Showing posts from March, 2017

World Doula Week

In February of 2017, the American Congress of Obstetricians and Gynecologists issued an opinion statement on approaches to limiting interventions during labor. Among their recommendations and conclusions was that continuous one-on-one emotional support by support personnel (doulas!) benefits laboring women.
"Evidence suggests that, in addition to regular nursing care, continuous one-to-one emotional support provided by support personnel, such as a doula, is associated with improved outcomes for women in labor. Benefits found in randomized trials include shortened labor, decreased need for analgesia, fewer operative deliveries, and fewer reports of dissatisfaction with the experience of labor (1, 17). As summarized in a Cochrane evidence review, a woman who received continuous support was less likely to have a cesarean delivery (RR, 0.78; 95% CI, 0.67–0.91) or a newborn with a low 5-minute Apgar score (fixed-effect, RR, 0.69; 95% CI, 0.50–0.95) (1). Continuous support for a labor…