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This contribution reproduces a fact sheet about the current Cochrane systematic review, Continuous Support for Women During Childbirth , summarizing 27 randomized controlled trials of nearly 16,000 women. Having continuous labor support versus none was associated with no harms and impressive benefits, especially when provided by someone in a doula role. Overall, women with continuous support were more likely to have spontaneous vaginal births and shorter labors and less likely to have negative birth experiences, labor pain medication, epidural/spinal analgesia, instrumental vaginal births, cesarean births and low 5-minute Apgar scores. Subgroup analysis found most benefits and greatest effects sizes when continuous support was provided by someone in a doula role versus a member of the hospital staff or the woman's social network.

Continuous Support for Women During Childbirth: 2017 Cochrane Review Update Key Takeaways