助产士在整个怀孕期间以及产后一年内为个人和家庭提供个人支持。 这包括在怀孕、分娩、生产和产后期间提供的情感和身体支持，以及流产和堕胎后的支持。​​ 

Doulas can help prevent perinatal complications and improve health outcomes for birthing parents and infants. According to a recent review by Sobczak and colleagues (2023), doula care was associated with positive delivery outcomes including a reduction in caesarean sections, epidural use, length of labor, low-birthweight and premature deliveries. Additionally, the emotional support provided by doulas lowered stress and anxiety during the labor period.​​  

研究调查了助产士持续支持的影响，报告显示助产士的持续支持提高了分娩过程中的自主权和能力，对分娩过程的总体满意度较高，并且提高了母乳喂养的成功率和持续时间 (Sobczak 等人，2023 年)。​​ 

可用服务​​ 

作为一项预防性福利，助产士服务需要医生或其他有执照的治疗师的书面推荐。 为了增加获得服务的机会，DHCS 医疗主任 Karen Mark 医学博士发布了一项长期建议，要求所有正在怀孕或过去一年内怀孕的 Medi-Cal 会员都可获得初始的助产服务。​​ 

长期建议授权以下服务：​​ 

• 一次初次访问。​​ 
• 最多可提供八次额外访视，以产前和产后访视的任意组合形式提供。​​ 
• 分娩（包括导致死产的分娩）、流产或流产期间的支持。​​ 
• 怀孕结束后，最多可进行两次延长三小时的产后访视。​​ 

Up to nine additional postpartum visits are available with additional recommendation from a physician or other licensed practitioner of the healing arts acting. This recommendation can be noted in the member’s medical record by the recommending licensed provider, or a member can ask a licensed provider to complete the Medi-Cal Doula Services Recommendation: Additional Postpartum Visits form and give the form to the doula. The standing recommendation from DHCS cannot be used for additional postpartum visits. For more information regarding recommendations, please see the Frequently Asked Questions for Medi-Cal Members.​​ 

导乐指南​​ 

The Doula Directory lists Medi-Cal enrolled doula providers by county who opted to be included in the directory. It includes their specialties, language, ethnicity, contact information, and other information that doulas shared with DHCS for the directory. DHCS updates the directory once each month.​​ 

享受收费服务的 Medi-Cal 会员可使用该目录寻找朵拉。参加管理性保健计划 (MCP) 的 Medi-Cal 会员应联系其 MCP 的会员服务部，以协助他们获得朵拉服务。Medi-Cal 管理式保健计划成员联系表 》（ Medi-Cal Managed Care Plan Member Contact List ）中载有 MCP 成员联系点 。​​ 

The Department has enrolled 1,576 individual providers as of June 5, 2026.​​  

会员资源​​ 

• Frequently Asked Questions for Medi-Cal Members​​   
• Medi-Cal 导乐服务建议：额外的产后访视​​   （西班牙语）​​ 
• DHCS 发布的关于助产士服务的长期建议​​ 
• 对医院与助产士相关的期望​​ 
• 情况说明书：为孕妇和新生儿父母提供的服务（2025 年 2 月）​​ 
• 西班牙语版本​​ 
• ALT：繁体中文、简体中文、韩语、他加禄语、越南语​​ 
• Fact Sheet: Doctors, Midwives, and Doulas: Finding the Right Care Team for Your Pregnancy (February 2025)​​ 
• 西班牙语版本​​ 
• ALT：繁体中文、简体中文、韩语、他加禄语、越南语​​ 

语言访问​​ 

阿拉伯联合酋长国​​    |   韋爾斯​​    |   韋斯特​​    |   繁體中文​​    |   فارسی​​    |   韋斯特​​    |   赫穆布​​    |   日本语​​    |   韩国​​    |   ລາວ​​    |   缅华克​​    |   愛爾蘭​​    |   俄语​​    |   中文​​    |   他加禄语​​    |   藝術本身​​    |   乌克兰​​    |   越南语​​ 

联系我们​​ 

有关朵拉服务福利的问题，请联系DoulaBenefit@dhcs.ca.gov。
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