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In March 2014, the American College of Obstetricians and Gynecologists (ACOG) put out an Agreement Declaration entitled "Safe Avoidance of Main Cesarean Shipment" in which it stated, "Increasing [a woman's] access to non-medical interventions throughout labor, such as continuous labor assistance, likewise has actually been shown to minimize cesarean birth rates." As This Website has become readily available on the positive benefits of trained labor support offered by someone not utilized by the health center, in 2017 ACOG formally announced the need for all birthing people to have access to continuous labor assistance outside hospital staff, and said, "Evidence recommends that, in addition to routine nursing care, constant one-to-one emotional support supplied by support workers, such as a doula, is connected with enhanced outcomes." The main committee opinion put out by ACOG likewise uses other recommendations that enable birthing females more option and access to more encouraging care.

In 2017 the UK's Royal College of Midwives released a position declaration on doulas, which supports the option of the individual to employ a doula for their birth as long as the doula does not offer healthcare. A 2018 study took a look at ladies's understandings of doulas in several various countries, including Egypt, Lebanon, Syria, Malawi, Sweden, Nepal, Russia, Canada, and the United States of America and discovered that having continuous assistance from a buddy such as a doula was highly appreciated by the majority of women.

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A 2018 study examined news media discourse in China noted that Chinese doulas needed to register with official departments or organizations and are carefully related to midwifery. The doula occupation was presented in 1996 to mainland China and need of their services increased considering that then, with women citing a discontentment of healthcare.

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Training and Certification to Become a Doula

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Stress in between medical professionals, nurses and doulas have actually often been referred to as a "turf battle," though it is likewise acknowledged that doulas and nurses can occupy complementary roles that supply opportunities for shared knowing and assistance. Some healthcare facilities have actually created internal doula training programs to decrease dispute between doulas and medical staff.