Est. 2023 · Louisiana-rooted maternal health

Mary’s Hands Network

Louisiana’s largest volunteer-based community doula network. Free care for families. Trained doulas from within the community. Outcomes that beat the state, beat the nation, and beat Healthy People 2030.
3-Year Impact Overview · May 2023 — May 2026
Louisiana’s reality
F
March of Dimes grade
Louisiana’s maternal mortality rate is 58.1 per 100,000 live births — more than 2× the national average.
March of Dimes · CDC Pregnancy Mortality Surveillance
The disparity
3–4×
higher maternal mortality
Black mothers in the US face 3-4 times the pregnancy-related death rate of white mothers. In Louisiana, the disparity is especially acute.
CDC · Pregnancy Mortality Surveillance System
What is a doula?

Someone in your corner — alongside the medical team, never in place of it.

Doulas DO
  • Provide continuous emotional support through pregnancy, labor, and the early weeks
  • Offer physical comfort measures — counter-pressure, hip squeezes, rebozo, positions
  • Share evidence-based information for informed decisions
  • Stay through shift changes — nurses rotate, doulas do not
  • Help clients advocate with their medical team
  • Support non-pharmacological pain relief: breath, movement, water, touch
Doulas DO NOT
  • Diagnose or treat medical conditions
  • Perform clinical assessments — vitals, exams, fetal monitoring
  • Prescribe or administer any medications
  • Override the decisions of nurses, midwives, or doctors
  • Give medical advice — that belongs to the medical team
  • Replace medical providers in any way
Who we are

Every birth deserves a doula.

A Louisiana 501(c)(3) nonprofit. Founded 2023. Recruiting, training, and matching community doulas with families across Southeast Louisiana — at no cost to the client.

Our mission
Empower families. Promote birth excellence. Bridge the health equity gap in our community.
Community supporting community, one birth at a time. The Mary’s Hands Network founding principle
501(c)(3)· EIN 92-2430838· IRB Protocol #2025-001· ICEA-approved training
What we do

Care across the whole arc

Birth Doula Support

Prenatal visits, continuous labor presence, postpartum follow-up.

Postpartum Doula

In-home care, breastfeeding support, newborn help through the fourth trimester.

Bereavement Doula

Specialized loss and grief support for families experiencing perinatal loss.

Text-a-Doula

On-demand text-based support for families outside our matching capacity.

Doula Hotline

Centralized phone triage: (225) 424-7532. First point of contact for any family.

Virtual 1:1

Prenatal education, birth planning, postpartum guidance statewide.

Spanish-Language Care

Bilingual doulas and translated materials for Louisiana’s Hispanic community.

Resource Navigation

WIC, SNAP, mental health, housing, insurance enrollment — connected in real time.

The workforce we’re building
261
doulas trained · 18 cohorts
Louisiana’s largest volunteer-based doula workforce — recruited from and serving the same communities. ICEA-approved curriculum. Rigorous skills evaluation.
Target: 500+ doulas statewide by 2027
Three years of impact

By the numbers

May 2023 — May 2026.

643
Families supported
Across Southeast Louisiana
108*
Births attended
IRB-tracked outcomes
112
Babies loved
Including 4 sets of twins
261
Doulas trained
Across 18 ICEA cohorts
9,504
Volunteer hours
Given to families in need

* Documented deliveries attended by MHN doulas total closer to ~202 clients; the 108 figure reflects only births with complete hospital records enrolled in the IRB study.

Birth outcomes

Better than Louisiana. Better than the nation. Every metric.

Cesarean rate
37%
Louisiana
32%
National
14%
MHN
62% fewer
Preterm birth
13%
Louisiana
10%
National
4%
MHN
71% fewer
NICU admission
12%
Louisiana
9%
National
~4%
MHN
67% fewer

Measured across 110 IRB-tracked births. Statistically significant (p<0.05) in expanded 156-birth dataset. Exceeds Healthy People 2030 targets on all three metrics.
Source: MHN 3-Year Impact Report · IRB Protocol #2025-001

Louisiana healthcare costs saved
$988K
through 3 years of MHN care
Fewer cesareans. Fewer NICU admissions. Better outcomes at lower cost.
~25 avoided cesareans × $13,000  +  ~9 avoided NICU admissions × $73,700  ≈  $988,000
Sources: HCUP/AHRQ National Inpatient Sample (cesarean cost) · March of Dimes (NICU cost) · MHN IRB Protocol #2025-001 (108 births)
If we reach every Louisiana family
$336.6M
annual Louisiana savings potential
Scaling MHN’s model statewide. Backed by Louisiana Act 228 Medicaid coverage. Sustainable, evidence-based, community-rooted.
~59,000 LA births/year × MHN’s demonstrated cesarean + NICU differentials × avg. cost per averted outcome  ≈  $336.6M/year
Sources: Louisiana Vital Records (annual births) · HCUP/AHRQ + March of Dimes (cost) · MHN IRB Protocol #2025-001 (outcome differentials, p<0.05)
What’s next

Where we’re going

1

Geographic Expansion

Lafayette, New Orleans, and rural parishes — scaling to Louisiana’s highest-need regions.

2

Medicaid Reimbursement (LA Act 228)

Actively enrolled with Healthy Blue Louisiana and Louisiana Healthcare Connections.

3

Training Scale-Up

6–8 cohorts annually. Target: 500+ trained doulas statewide by 2027.

4

Hospital Partnerships

Formalizing with Baton Rouge General. Expanding community doula integration across the region.

5

Peer-Reviewed Research

Submitting IRB-approved outcomes for publication — strengthening the evidence base for state and national policy.

In partnership with

Our partners & funders

Hospitals, foundations, and statewide organizations who make this work possible.

No one walks
through birth alone.

Doulas don’t replace medical care. They make sure no family has to go through it without a hand to hold.
Madeline LeBlanc, MHA, RN, IBCLC
Founder & Executive Director
mleblanc@mhndoula.com · (225) 892-4906
www.maryshandsnetwork.org
Speaker notes

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