Black women are three to four times more likely to die in childbirth than their White counterparts. It’s not just an issue of race — that statistic applies to all Black women, regardless of their socioeconomic status. Armed with this knowledge, we launched the Diversifying Doulas Initiative in June 2020 in anticipation of worsening health disparities due to the COVID pandemic. Doulas are nonmedical birth assistants. There’s compelling research demonstrating the value of doulas, particularly among vulnerable and marginalized pregnant women of color. Through their education and outreach support, doulas help to decrease the need for cesarean sections, increase participation in breastfeeding, decrease postpartum depression, and decrease the number of low birthweight infants. On average, cesarean sections cost $10,000 more than vaginal births. With the average cost of a doula being $1,000, providing doula services can be cost neutral by lowering the number of cesarean sections performed.