08/08/2026
Doulas cannot guarantee birth outcomes, no one can.
However, research shows that working with a doula reduces the likelihood of a c-section.
Some c-sections are absolutely medically indicated. But based on our high c-section rates, we know that many are not medically necessary.
A meta-analysis published in the American Journal of Obstetrics and Gynecology stated:
"Pregnant patients supported by doulas services are 68% less likely to undergo CD than those receiving standard prenatal care, more likely to have IAVD, and have no difference in epidural rates. Additional research is needed to elucidate the impact of doula services on neonatal outcomes. Nonetheless, doula support services represent a promising intervention to decrease the high rates of caesarean section in the United States."
A 68% reduced risk of c-section is absolutely statistically significant. It means compared to those without doula support, they are less likely to have a c-section (some will still have medically necessary ones or even opt for elective).
When a c-section does occur even with doula support, many parents report having a better understanding of why it became necessary AND feel more like they were active participants in the decision-making process.
Study linked below.
👇🏽 Does this study surprise you?
