Arkansas faces a tough reality with its maternal mortality rate, the highest in the U.S. at 43.5 deaths per 100,000 live births from 2018 to 2020, per the Kaiser Family Foundation. Rural areas see it hit even harder, and the Arkansas Maternal Mortality Review Committee notes 92% of these deaths are preventable. A key issue is inadequate support during labor, delivery, and postpartum. With rural hospitals closing OB units, many moms are left navigating early labor or postpartum challenges with little guidance, a gap that’s costing lives.
Doulas are stepping up to fill that space, offering a lifeline where the system falls short – a fact seen by Arkansas State leadership and supported by major education institutions and hospitals like UAMS.
One tool making a big impact is the peanut ball. Studies show peanut balls can reduce cesarean rates by 50%, a significant factor in Arkansas where the C-section rate is 35.2%, above the national average of 32.2% in 2022, per CDC data. They also shorten labor, making it easier and less stressful for both mother and baby. This reduces worry for fathers too, as the process becomes smoother.
Beyond birth, Doula support cuts postpartum depression odds by up to 64.7%, vital since 65% of pregnancy-related deaths occur in the first year after delivery. It’s about checking in, asking how’s your recovery going or are you managing with a newborn, questions that matter when many skip that six-week checkup.
Arkansas’ maternal health crisis calls for action. A new state law requires health plans to cover doula services alongside Medicaid, opening doors for more families. Yet, with only 60 days of postpartum Medicaid coverage, short of the year many experts recommend, there’s still work to do. Doulas offer consistent care, advocating for moms through every stage, from early labor to postpartum healing. It’s not just about numbers, it’s about lives.
The 92% preventable death rate is a wake-up call. At Bright Blessings, we’re part of the solution, sharing decades of experience to make birth safer for Arkansas families.

