The American College of Obstetricians and Gynecologists (ACOG) and Society for Maternal-Fetal Medicine (SMFM) joint statement makes us so very happy! We highly recommend taking the time to read through the ACOG press release on the Safe Prevention of the Primary Cesarean Delivery as this statement will be quite a game changer in maternity care. Among other new guidelines – active labor is 6cms (not 4cms) and pushing for a first time mom can be up to 3 hours. Of course, our favorite part was about doulas:
Published data indicate that one of the most effective tools to improve labor and delivery outcomes is the continuous presence of support personnel, such as a doula. A Cochrane meta-analysis of 12 trials and more than 15,000 women demonstrated that the presence of continuous one-on-one support during labor and delivery was associated with improved patient satisfaction and a statistically significant reduction in the rate of cesarean delivery (111). Given that there are no associated measurable harms, this resource is probably underutilized.
Did you read that?! Doulas are probably an underutilized resource. We knew that already, but hooray for the ACOG getting behind doula support as an effective way to lower the rates of cesareans! Well Born Baby believes every woman and family deserves a doula and offers complimentary consults and 1st Friday Mocktails to find your best doula match!