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In March 2014, the American College of Obstetricians and Gynecologists (ACOG) put out an Agreement Declaration entitled "Safe Prevention of Primary Cesarean Delivery" in which it said, "Increasing [a woman's] access to non-medical interventions throughout labor, such as continuous labor support, also has actually been revealed to decrease cesarean birth rates." As more research study has actually appeared on the positive benefits of trained labor support provided by somebody not used by the health center, in 2017 ACOG formally announced the need for all birthing individuals to have access to continuous labor assistance outside health center staff, and said, "Proof suggests that, in addition to regular nursing care, continuous one-to-one psychological support provided by assistance workers, such as a doula, is associated with enhanced results." The official committee viewpoint put out by ACOG also uses other suggestions that allow birthing ladies more choice and access to more supportive care.

In 2017 the UK's Royal College of Midwives released a position statement on doulas, which supports the option of the private to work with a doula for their birth as long as the doula does not supply treatment. A 2018 research study took a look at women's perceptions of doulas in a number of various nations, consisting of Egypt, Lebanon, Syria, Malawi, Sweden, Nepal, Russia, Canada, and the United States of America and discovered that having constant assistance from a companion such as a doula was extremely appreciated by the majority of ladies.

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A 2018 research study analyzed news media discourse in China noted that Chinese doulas required to sign up with main departments or companies and are carefully linked with midwifery. Check Here For More was introduced in 1996 to mainland China and need of their services increased ever since, with women citing a dissatisfaction of healthcare.

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Stress in between physicians, nurses and doulas have actually sometimes been referred to as a "turf fight," though it is also acknowledged that doulas and nurses can occupy complementary functions that supply chances for shared learning and support. Some hospitals have actually produced internal doula training programs to reduce dispute in between doulas and medical personnel.