 As a doula with more than a decade of experience supporting families from all walks of life, I’ve witnessed the transformative power of real, human care in birth and postpartum. And lately, I’ve been reading a lot about the rise of “AI doulas.” If you’re a pregnant woman, a parent, or someone who cares about equitable maternal care, you should think critically too. Because here’s the truth: AI doulas, no matter how smart or advanced the technology, cannot replace the support, knowledge, compassion and embodied expertise of live doulas and birth workers. And that limitation matters deeply, especially for Black and Brown women and for families in rural and underserved areas who are already struggling to access quality maternal care. The Evidence Speaks for Real Doula Support Over years of training, intuitive skill and lived experience, doulas have become an evidence-based part of maternal care. Multiple peer-reviewed studies have linked doula support, particularly continuous, human, non-clinical support, to:
What Real Doulas Bring That AI Simply Can’t When people talk about AI doulas, they usually mean chatbots or machine learning tools designed to answer questions about pregnancy, contractions, labor stages or baby care. They might offer information. They might offer checklists. They might even simulate empathy through programmed responses. But here’s what AI cannot and will never do:
The truth is that AI can't give the much-needed human response to years of infertility, a third trimester pregnancy loss, a changed birth plan that ends in an emergency csection, birth trauma, the long journey of breastfeeding or pumping, preparing to leave your baby with someone while you return to work and all of the other countless physical, emotional and mental changes that come with parenthood.  Soula — AI emotional support self‑discovery coach for women Where AI May Help and Where It Falls Short
Listen, I don’t dismiss technology outright. The modern world has come along way with technological advances. AI tools can offer resources, triage information and support access to basic guidance when no human is available. There is emerging research on AI applications in maternal health in low-resource settings that aid triage and decision support for clinical staff. But that’s not the same as replacing a doula. Those applications are clinical adjuncts, not sources of continuous physical, emotional, cultural, and advocacy support. Bridging the Gap: Companies Who are Making a Difference At the same time, we are seeing companies like Maven Clinic and Cleo step into this space, offering families access to virtual doulas, care advocates, and wellness support through technology. These platforms are often employer-sponsored benefits designed to increase access to guidance, education, and support across pregnancy, postpartum, and parenting. Through services like video consultations, messaging, and on-demand resources, virtual doulas on platforms like Maven can help with birth planning, answer questions, and provide emotional support from a distance. Cleo similarly connects families with guides and experts who offer personalized support across different stages of caregiving . And to be clear, there is value here. These tools can help bridge gaps, especially for families who might not otherwise have access to any support at all. But even as these companies expand access, what they are offering is still adjacent to, not a replacement for, the deeply relational, hands-on, culturally attuned care that in-person doulas provide. Technology can extend our reach, but it cannot replicate our presence. AI will continue to evolve. AI doulas may become more sophisticated. But they will always be tools, not replacements, for the human heart, presence, intuition and expertise that real doulas bring to birth and postpartum care. Real doulas don’t just provide information, we bear witness. We advocate. We care. We walk into the unknown with you. And in birth, that human presence matters. Want to know the real deal about AI? Watch this eye-opening video on the future of AI from a spiritual perspective.
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 In 2026, families in North Carolina and all across America face a rapidly evolving landscape when it comes to growing their families and caring for children. With higher costs of living, inflation driven partly by tariffs, healthcare costs rising sharply and continuing maternal health challenges, planning for everyday life and family expansion means understanding more than just diapers and cribs. It means understanding economic realities and health care considerations that affect every step from conception to raising kids.
The Impact of Inflation and Tariffs on Everyday Living in 2026 Unfortunately, inflation isn’t over and tariffs compound it. Though inflation has somewhat eased from its peak years, the ripple effects continue. Tariffs on imported goods, particularly from China, Mexico, and Canada, have pushed prices up on basic household goods, groceries, and baby products. Estimates suggested that recent tariffs could raise food prices by about 2.6% overall, with fresh produce increasing even more, potentially adding nearly $4,000–$5,000 annually to a typical household’s grocery bill. Industry analysts expect tariff-driven cost pressures to impact healthcare supply chains as well, meaning some equipment and supplies used in hospitals may become more expensive and guess where those additional costs are going? Yep, right to you. Even modest increases in everyday prices matter greatly when you’re budgeting for rent or mortgage, utilities, childcare, transportation, and rising health insurance premiums. The Real Cost of Childbirth in America Fact: Bringing a baby into the world is expensive. According to 2025 estimates, the average hospital cost for a vaginal birth in North Carolina was about $14,700 without insurance, with out-of-pocket costs (after insurance) of about $2,750. In contrast, a C-section typically costs 50–75% more than a vaginal birth. Severe complications increase costs substantially with complicated deliveries totalling many thousands more in combined hospital and physician fees, especially with readmissions. Even with insurance, some families pay $3,000–$5,000 or more out-of-pocket for delivery and newborn care. And if complications arise, like a NICU stay, costs can easily exceed $10,000 or more. The impact of hospital delivery costs ripples through family budgets, causing financial strain and debt. It also influences decisions about where and how to give birth, including increasing interest in home births. In North Carolina, home births have nearly doubled since the pandemic, partly because families are seeking alternatives to expensive hospital bills. High costs may also deter some families from seeking early or consistent prenatal care, which can worsen health outcomes. And of course we can't talk about childbirth without mentioning the ongoing maternal health crisis. It continues despite efforts to improve standards of care, including federal proposals aimed at improving hospital maternal care, although such programs can be costly to implement. In North Carolina specifically, maternal health funding has been boosted with federal investments (Medicaid expansion) aimed at expanding access to care, growing the health workforce and supporting perinatal mental health, which is a positive but still limited step. But with health care subsidies now expired and average premiums on the ACA marketplace nearly doubling, basic health care needs for families hang in the balance and may leave many families putting plans to expand on hold. How Families Can Plan Ahead Families expanding in 2026 should build a family budget that accounts for reality and prepare in these areas: 1. Understand the Full Cost of Raising Children
2026 brings both challenges and uncertainty for families in America, especially here in North Carolina. Economic pressures like tariffs and inflation affect everyday living costs, while maternal health risks and childbirth expenses underscore the importance of proactive planning, budgeting, and advocacy. Growing a family isn’t just about preparing a nursery, it’s about understanding the financial landscape and health realities that shape your first years together. With thoughtful planning and community support, families can navigate these challenges and build a strong foundation for the future.  The holidays are often painted as a season of light, laughter, and togetherness. But for many families, this time of year arrives carrying an ache that’s hard to put into words. An empty chair at the table. A quiet house where a child’s laughter once filled the air. A job lost, a dream deferred, a relationship changed, a body that no longer feels the same after birth or loss. Grief doesn’t take a holiday break. Many people often feel pressure (spoken or unspoken) to “be strong,” to show up for others, or to recreate joy for their families even when their own hearts feel heavy. Even I have expereinced a great deal of unexpected loss and grief this year both personally and professinally. If you’re walking through the holidays after loss, I want you to know this first and foremost: Your grief is valid. Your sadness is not a failure of faith. And joy does not mean pretending everything is okay. Grief and Joy Can Coexist One of the greatest misunderstandings about grief, especially within faith spaces, is the idea that joy replaces sorrow. But scripture tells a different story. “The Lord is close to the brokenhearted and saves those who are crushed in spirit.” —Psalm 34:18 Joy, in a biblical sense, is not forced cheerfulness or constant gratitude. It is a quiet, steady hope rooted in God’s presence with us, even in the valley. You can grieve deeply and still experience moments of joy. You can laugh one moment and cry the next. Both can live side by side. Joy may look different now. Softer. Quieter. More fleeting. And that’s okay. Naming the Losses We Carry Loss during the holidays isn’t always tied to death alone. Many families are grieving:
Grief after birth, whether after a traumatic delivery, NICU stay, infertility journey, or postpartum struggles, can feel especially isolating during a season that celebrates new life and happiness. If this is you, please know this: God sees every part of your story, including the chapters you never wanted to write. Gentle Ways to Make Space for Joy (Without Forcing It) Joy doesn’t need to be manufactured. Often, it’s received quietly when we allow ourselves grace. 1. Lower the bar. This may not be the year for elaborate traditions or full calendars. Give yourself permission to simplify. A peaceful day is enough. 2. Create new traditions. It’s okay if old traditions feel painful. Light a candle in remembrance. Write a prayer. Take a quiet walk. Invite God into something new. 3. Let yourself feel it all. Suppressing grief doesn’t protect joy, it delays healing. Tears are not a setback; they are a form of release. 4. Ask for support. Just as I remind new parents they weren’t meant to do postpartum alone, grief was never meant to be carried in isolation. Lean on trusted friends, your faith community, or a professional if needed. 5. Look for holy moments, not happy ones. Joy may show up as a deep breath, a kind word, a warm meal, or a moment of rest. These are sacred, too. A Faith Reminder for the Weary Heart “Blessed are those who mourn, for they will be comforted.” —Matthew 5:4 God does not rush your healing. He does not ask you to skip over grief to prove your trust in Him. He meets you in it. The incarnation we celebrate at Christmas is a reminder that God entered a broken world, not a perfect one, and chose to dwell with us in our pain. If this holiday season feels heavier than joyful, you are not alone. There is no timeline for grief. There is no right way to mourn. And there is no expiration date on love. But know that our God heals and he is waiting to do it for you, May this season hold space for your sorrow and gently invite moments of peace. May you feel God’s nearness in the quiet moments and His grace when the days feel overwhelming. And may joy, however small and however unexpected, find you exactly where you are. If you are grieving, you are seen. You are held. And you do not walk this season alone.   Pregnancy and postpartum are transformative experiences, full of joy, anticipation, and change. But while you focus on preparing for your baby, it’s just as important to protect your own health. Recognizing warning signs early—during pregnancy and after birth—can be life-saving. Many complications can be treated when caught in time. Let this post serve as your guide to understanding the symptoms you should never ignore, and what to do if they appear. 1. Vision Problems & Dizziness
Sudden changes in vision—like blurriness, seeing spots, or light sensitivity—along with dizziness can be signs of preeclampsia, a dangerous condition characterized by high blood pressure. What to do: Call your healthcare provider immediately or go to the ER. These symptoms require urgent medical attention. 2. Persistent Headache If you experience a headache that doesn't go away with rest or medication, it could also indicate preeclampsia or even a more serious neurological issue. What to do: Notify your provider, especially if the headache is severe or paired with vision changes or swelling. 3. Fever Over 100.4°F (Pregnancy) or 100°F+ (Postpartum) A fever may be a sign of infection—either systemic or localized (like mastitis or a uterine infection). What to do: Don’t wait. Contact your provider to rule out infection or other underlying issues. 4. Swelling in Hands and Face While some swelling is normal in pregnancy, sudden or severe swelling, especially in the hands and face, is a red flag for preeclampsia. What to do: Contact your provider immediately for evaluation. 5. Vomiting or Diarrhea Lasting More Than 24 Hours Persistent gastrointestinal issues can lead to dehydration and may signal infection or other complications. What to do: Stay hydrated and contact your provider to assess the need for testing or treatment. 6. Vaginal Bleeding During pregnancy, bleeding could indicate miscarriage, placental issues, or preterm labor. Excessive bleeding in postpartum may signal hemorrhage. What to do: Call 911 or go to the ER if you're soaking a maxi pad in an hour or less or passing clots larger than a lemon. For lighter but concerning bleeding, contact your provider. 7. Elevated Blood Pressure High blood pressure can threaten your life and your baby’s. It’s a hallmark of preeclampsia. What to do: Regular monitoring is crucial. If you notice consistently high readings, call your provider immediately. 8. Abdominal Cramps or Pain (Not Contractions) Persistent or sharp pain could be caused by placental abruption, preterm labor, or other serious concerns. What to do: Don’t try to "wait it out." Call your provider for an evaluation. 9. Urinary Discomfort Burning, blood in urine, or inability to urinate may be signs of a urinary tract infection (UTI), which can lead to complications if untreated. What to do: Contact your provider for a urine test and treatment plan. 10. Change in Vaginal Discharge A sudden change in smell, color, or consistency, especially a foul, fishy odor, may point to an infection like bacterial vaginosis. What to do: Make an appointment with your OB/midwife to get it checked. 11. Pelvic Pressure A sensation of the baby pushing down too early could indicate preterm labor. What to do: Call your provider, especially if accompanied by back pain or regular contractions before 37 weeks. 12. Water Breaks Before 37 Weeks Preterm rupture of membranes can lead to infection or preterm birth. What to do: Head to the hospital right away. This is considered a medical emergency. 13. Decreased Fetal Movement If you notice fewer kicks or movement patterns shift drastically after 28 weeks, it may be a sign your baby is in distress. What to do: Perform a kick count. If movements are fewer than 10 in two hours, contact your provider or go to labor and delivery. 14. Swollen, Red, Painful Area on the Leg This could be a blood clot and is especially dangerous if it travels to your lungs. What to do: Go to the emergency room immediately. 15. Severe Headache That Improves When Lying Down This may be a sign of a spinal headache (often after an epidural) or an issue with cerebrospinal fluid pressure. What to do: Contact your provider. Treatment may include a blood patch or other interventions. 16. Painful Breast with Redness and Flu-like Symptoms This may indicate mastitis, a breast infection common in breastfeeding parents. What to do: Keep nursing or pumping, apply warm compresses, and call your provider. You may need antibiotics. 17. Bleeding That Soaks a Pad in an Hour or Clots Larger Than a Lemon These are classic signs of postpartum hemorrhage, which can be life-threatening. What to do: Call 911 or go to the ER immediately. 18. Thoughts of Harming Yourself or Your Baby Intrusive thoughts in the postpartum period can indicate depression, anxiety or another Perinatal Mental Health Disorder. What to do: Tell your partner or someone you trust. Call your provider and get a referral to a mental health specialist. You may also consider contacting a crisis hotline if you are alone. It can feel overwhelming to sort through which symptoms are "normal" and which are not, but you are your own best advocate. If something feels off, it’s always better to call your provider and be reassured than to ignore it and risk your health. Remember:
You deserve to feel safe, supported, and informed throughout your pregnancy and postpartum journey. Stay vigilant (not fearful) and speak up when something doesn’t feel right. Protect your peace, protect your body, and above all, know that your wellbeing matters.  Parenting is hard. And confusing. And exhausting. Trust me, I get it. Much of parenting is trial & error and gut instinct, am I right? The honest truth is that only you know what's best for your children and family. But where do you go when you need answers?
The modern world has resources and information literally at your fingertips. But a lot of what is floating around out there is opinion and not evidence-based information from experts. And no offense to Google, but that is the last place you need to go when you are looking for direct and factual data. Please save yourself some time and uncertainty. Instead, here are some highly-recommended and equally popular resources that can be beneficial to you on your parenting journey. Websites
Apps
Podcasts
When You Need Professional Input
Again, nothing beats your gut instinct. But if you need a starting point for specific topics related to pregnancy, birth and parenting, some of these online resources will surely be at the top of your go-to list. Have you tried any of the resources listed above? Have any to add to the list? Leave a comment below! |
About the AuthorKelly Collins Archives
March 2026
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