The increase in maternal mortality has disproportionately affected Black women. It has become evident that doulas are beneficial for mothers, as they are able to enhance maternal care. However, many women are not aware of doula services. Identifying the underlying reasons for the limited use of doulas is critical to enhancing maternal care for Black child bearers who experience barriers to health care. One such reason for excluding doulas may be the biased Flexner Report, written by Abraham Flexner in 1910, which changed the standards of medical education throughout the United States and which medical schools still use today. This study examines the Flexner report, specifically with regards to the medical education of Black individuals and women. In a comprehensive literature review, this study explored historical maltreatment against the Black population, the delegitimization of Black maternal providers, the benefits that doulas offer, the perceptions that maternal care providers have towards doulas, and the standards of education for doulas. This study examined the experiences of maternal care providers and doulas working together and investigated potential reasons why doulas may not be as accepted as other medical professionals or incorporated institutionally. Findings indicate that historical medical maltreatment, such as the Tuskegee Study and Eugenics Movement, have contributed to current health disparities, such as an increase in Black maternal mortality. In addition, findings indicate that doulas are able to serve as advocates, but that some maternal care providers have negative perceptions of doulas. However, establishing a standardized certification system may improve the perceived legitimacy of doulas among other maternal care providers. Through a set standardized education, doulas could become an institutional part of the healthcare system, thus effectively addressing some maternal health disparities.