Doula Support During Pregnancy, Childbirth, and Postpartum: A Systematic Review and Meta-Analysis.
Meera Viswanathan, Jennifer Cook Middleton, Nila A Sathe et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the impact of doula support during pregnancy, childbirth, and postpartum on maternal and infant outcomes. Analyzing 12 randomized controlled trials and 18 nonrandomized studies, the findings suggest that doula support is likely associated with lower rates of preterm birth and cesarean delivery, as well as improved birth experiences. The evidence is rated with moderate certainty.
Key findings
- Doula support is likely associated with lower rates of preterm birth and cesarean delivery.
- Improved birth experiences and increased likelihood of postpartum visit attendance were noted.
- Among at-risk populations, four of five studies reported benefits from doula support.
Why it matters
Understanding the role of doula support can inform clinical practices aimed at improving maternal and infant health outcomes, particularly in populations facing health disparities. Enhanced support during childbirth may lead to better experiences and outcomes for mothers and infants.
What to keep in mind
Many studies included in the review had high risk of bias, and there was significant heterogeneity across outcomes.