As more feminism migrates online, full-spectrum doulas remain focused on life's physically intimate relationships: between caregivers and patients, parents and pregnancy, individuals and their own bodies. They are committed to supporting a pregnancy no matter the outcome—whether it results in birth, abortion, miscarriage, or adoption—facing the question of choice head-on.

Mary Mahoney is founder and board co-chair of the Doula Project, and a key player in several reproductive justice-focused coalitions and think tanks.

Lauren Mitchell is a founder of the Doula Project and co-coordinator of the Reproductive Choices Service of NYC's largest public hospital.