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Studies of Doulas and their impact on Families

From Mothering the Mother by Klaus, Kennell, and Klaus.

No Doula

Doula

Length of Labor

1st Guatemalan Study
(40 women: oxytocin or
cesarean births NOT included)
19 hrs 9 hrs
2nd Guatemalan Study
(225 women: oxytocin or
cesarean births NOT included)
15.5 hrs 7.7 hrs
Houston Study
(416 women: oxytocin and
cesarean births ARE included)
9.4 hrs 7.4 hrs

Natural Vaginal Deliveries (no analgesia, oxytocin, forceps)

Houston Study
(212 woman WITH a doula)
(204 women without a doula)
12% 55%

Epidural Rate

Houston Study
(416 women)
55% 8%

Oxytocin (Pitocin) use

Guatemalan Study
(225 women with uncomplicated
labor and delivery requiring no
intervention)
13% 2%
Houston Study
(416 women)
44% 17%

Use of Forceps

Houston Study
(416 women)
26% 8%

Cesarean Birth Rate

Guatemalan study
(225 women)
17% 7%
Houston Study
(416 women)
18% 8%

Effect After Delivery, Johannesburg Study

Feeding behavior at six weeks

Breastfeeding only 29% 51%
Demand feeding 47% 81%
Feeding Food other than Milk 53% 18%
Feeding problems 63% 16%
Average Number of Days of
Breastfeeding Only
24 days 32 days

Infant Health Problems at Six Weeks

Vomiting 28% 4%
Colds or Runny Nose 69% 39%
Poor appetite 25% 0%
Diarrhea 33% 19%

Satisfaction with Partner at Six Weeks

Before Pregnancy 63% 65%
During Pregnancy 48% 49%
Since the baby was born 49% 85%
Relationship after birth 30% 71%

Maternal Fever and Epidural Anesthesia, Houston Study

Infant kept more than 2 days in hospital
(suspected due to epidural fever)
24% 10%
Maternal Fever 10% 1%
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