Louisiana doula protects BIPOC women from abuse through birth work and beyond

Having endured the trauma of a lost pregnancy at the hands of her obstetrician during her teenagehood, Angelica Rideaux vowed that she would work to protect BIPOC women from emotional and physical abuse.

In 2021, she enrolled in Community Birth Companion, a non-profit doula training program serving those in Southwest Louisiana. 

“During the training, I was loved on by women who looked like me, and had the same purpose of ending racial bias in maternal child health care,” Rideaux recalls.

She now serves as a doula for BIPOC families around Louisiana  with the ultimate goal of becoming a Certified Professional Midwife (CPM). Currently, there are only three Black CPMs in Louisiana, according to Rideaux. In 2021 Baby Catcher Birth Center, the state’s first Black-owned, CABC accredited free-standing birth center opened.  

Most recently, Rideaux was accepted as a member of the Power Coalition for Equity and Justice’s She Leads: Community Activist Fellowship 2023 cohort: a “network of women activists who are disrupting the current power structures and realizing change in their communities.”

Rideaux’s accomplishments go on. She earned one of the most recent Accessing the Milky Way scholarships to support her completion of the Lactation Counselor Training Course (LCTC)

Because Rideaux is a hands-on learner, she reports the online format of the LCTC challenging. Even so, Rideaux says she likes challenges. 

“So I am going to push past that,” she states. 

She says she has found the office hours helpful; they make the experience of online learning feel less isolating. 

Working her way through the course, Rideaux has been surprised by how many myths have been put to rest. Specifically, she says it was “mind-blowing” to learn that water consumption is not solely responsible for milk production. She plans to share the knowledge she continues to gain among her colleagues and the families she supports.    

Rideaux sees the LCTC as an important piece in making her future in midwifery more well-rounded, effective and supportive. 

As Rideaux continues on her journey to know more to better serve her community, she reminds us of some important concepts to reflect on as we move through our own work to improve maternal child health outcomes. 

First is that discomfort is necessary for change, and sitting in discomfort, having those difficult  conversations is part of bringing an end to racial inequity.

Secondly, creating healthy environments for women and children, especially those in BIPOC communities,  is not a trend. Rideaux comments that while she wants everyone to be culturally aware and competent, she hopes that the impetus comes from “hearts to get the situation resolved” rather than for “the dollars” or for “the accolades” or for an illusion of doing good.  

In Equity is more than a buzzword, the author writes: “Those committed to equity should understand that the harm of racism cannot simply be ‘undone’. The ramifications of colonization, enslavement and segregation penetrate almost every aspect of our society, including our education systems. Merely boosting representation is not an effective way to increase equity in predominantly white institutions.”  (Paytner, 2023)

It’s a reminder that improving maternal child health outcomes for the BIPOC community is part of a revolution, as Rideaux describes it. 

A lot of us are on the ground getting this work done, never receiving any kind of media coverage,” she begins. “We are soldiers in this war, and the goal is to get everybody on the same path for equity and justice. We  want everybody to feel like they are humans because that’s what we are first and foremost.”  

Learn about ending obstetric racism by visiting Birthing Cultural Rigor, founded by Dr. Karen A. Scott, MD, MPH, FACOG. 

Tips for infusing equity into philanthropy

In April, we reported on a thread that came up during the Black Birth Maternal & Infant Health Symposium: capitalism and how it influences health equity.

This month, the United States Breastfeeding Committee (USBC) hosted Philanthropy with an Equity Lens featuring Dr. Cara V. James of Grantmakers in Health.

Photo by Jon Tyson

For those who couldn’t attend, there will be a recording sent to registrants. And if you missed registration, we’ve distilled the conversation in hopes that you’ll use it as a jumping-off point in your discovery or continued understanding of operationalizing Diversity, Equity, and Inclusion (DEI) or what is sometimes referred to as J.E.D.I. (Justice, Equity, Diversity, Inclusion).

First off, USBC Senior Engagement & Training Manager Denae Schmidt and Dr. James made the distinction between operationalizing DEI and advancing health equity. Simply put, the former is the practice and the latter is the outcome. Dr. James suggested participants think of the distinction as the difference between who is doing the work and who is being served.

So, what practices are philanthropists adopting in order to serve the advancement of health equity?

  • Funders are reevaluating what is truly needed from grantseekers. Many are making the application process less tedious, acknowledging that many small organizations do not have the resources to “jump through hoops.”
  • Some funders are forgoing reporting requirements, adopting the concept of trust-based philanthropy.  Trust-based philanthropy embraces the idea that the community has a lot of expertise, as Dr. James puts it. In this relationship, there is trust in the collaboration, a power share. Dr. James nods to MacKenzie Scott who tends to vet organizations on the front end in order to understand their focus, and then give funding with no strings attached.
  • Over the past five or so years, there has been a shift in the field to recognize that there needs to be more capacity-building for grant seekers. Catchafire is a “network of volunteers, nonprofits, and funders working together to solve urgent problems and lift up communities” offering pro bono services. Find out how that works here: https://vimeo.com/462743914
  • Dr. James reports that more people are starting to recognize that policy is an important piece in health equity. She said that we need to get “upstream” to address health disparities which means that we need to address the structures that lead to poor outcomes in conjunction with providing resources to organizations.

 

What are some tips for grant seekers?

Photo by Tim Mossholder
  • Grantseekers can check funders’ websites for statements on commitments to DEI to make sure it’s a good fit for them. Grantseekers might also research what other projects funders have supported to get a sense of what kind of work they invest in.
  • Grantseekers might consider inviting potential funders to their events in order to engage with the community. Dr. James suggests not approaching the first meeting with funders with an “ask”.
  • Work alongside and across spaces to pool resources like talent and time. Collaboration expands reach, and this is desirable to funders.
  • Don’t be afraid to reach out to funders to get more information about how proposals can align more with their commitment.

Schmidt and Dr. James closed with some thoughts on why good intentions just aren’t good enough. Mainly, good intentions don’t always lead to action, Dr. James pointed out. And sometimes, she added, they can lead to harmful action. She reminded us that we didn’t start talking about health equity in 2020. These discussions had been happening long before, and what has been missing are the resources and the support in leadership.

What leadership talks about in public and in private signals what they care about, Dr. James continued. Individuals leading DEI initiatives need to have the authority and the respect to make decisions.

So, generally speaking, what can we all do to help operationalize DEI?

  • Take the courageous stand to commit to DEI.
  • Facilitate the collection and evaluation of DEI initiatives, so that we can gain an understanding of what is happening in these spaces.
  • Enter spaces with cultural humility. Recognize who is already in the space and what you can learn from them.