Which of the following is NOT an evidence-based benefit of using a doula?

• A. Shorter labors
• B. Decreased birth weight of newborn
• C. Higher breastfeeding rates
• D. 50% reduction in C-section births

Answer: (B)

Doulas provide continuous labor support, and research shows this kind of presence can positively influence several outcomes. Shorter labors are observed in studies because continuous support helps reduce maternal stress and promote effective coping and labor progress, which can shorten the time from active labor to delivery. Higher breastfeeding rates are also supported; doula-led coaching on positioning, latch, and early initiation helps mothers start breastfeeding and continue it successfully after birth. A notable reduction in cesarean births appears in evidence as well, reflecting fewer unnecessary interventions and smoother labor when continuous support is available.

Birth weight, however, isn’t shown to be a result of doula care. Fetal weight is determined mainly by factors like gestational age, maternal health, nutrition, and placental function, not by the presence of a doula during labor. So, while the other benefits are supported by evidence, decreased birth weight is not considered an evidence-based benefit of doula support.