“…Studies examining the impact of continuous support by doulas report significant reductions in cesarean births, instrumental vaginal births, need for oxytocin augmentation, and shortened durations of labor (Campbell, Lake, Falk, & Backstrand, 2006;Klaus & Klaus, 2010;Newton, Chaudhuri, Grossman, & Merewood, 2009;Papagni & Buckner, 2006;Sauls, 2002). Continuous support also has been associated with higher newborn Apgar scores (greater than 7) and overall higher satisfaction by mothers with the birthing process (Sauls, 2002).…”