The Conversation

Your weekly dose of evidence

If you keep abreast of all things royal, you might have seen the Duchess of Sussex Meghan Markle has hired a doula for the impending birth of the next royal baby. But what does a doula actually do?

A Cochrane Review published this week brings together the results of more than 50 studies to tell us birth doulas, and other labour companions, play a key role in supporting women during childbirth (and before and after too). The lead author Meghan Bohren explains doulas support women during childbirth by providing information, advocating for the woman’s needs, and providing practical and emotional support.

Beyond that, pairing a woman with a doula from the same ethnic, linguistic or religious background as her may be an important way to improve equity and provide culturally responsive care.

Phoebe Roth

Assistant Editor, Health+Medicine

Doulas support women before, during and after childbirth. A new review explores the important role they play. From shutterstock.com

What is a doula and how do they help women giving birth?

Meghan A. Bohren, University of Melbourne

Supporting women to have a labour companion or doula of their choice during childbirth has benefits for women and their babies. It could be especially important for women from migrant backgrounds.

From the archives: childbirth

It can be tough deciding where to give birth. nata-lunata/Shutterstock

Explainer: what are women’s options for giving birth?

Hannah Dahlen, Western Sydney University

More than 300,000 women give birth in Australia each year. Most (97%) give birth in hospitals (72% of these in public and 28% in private), while 0.3% are born before they arrive at hospital.

One in four Australian mothers had a negative birth experience. By LittleDogKorat/Shutterstock

So your birth didn’t go according to plan? Don’t blame yourself

Hannah Dahlen, Western Sydney University

While childbirth is often a joyful event, it rarely unfolds exactly how we think it will. This causes disappointment among some women, and leaves a small proportion with a diagnosis of postnatal PTSD.

Social and financial pressures are driving many Australian women who want to have children to wait until later in life. mimagephotography/Shutterstock

How old is too old for a safe pregnancy?

Hannah Brown, University of Adelaide

Are there other risks and complications associated with pregnancy and childbirth in your 50s and 60s – or even your 40s?

Birthing on country generally refers to an Aboriginal mother giving birth to her child on the lands of their ancestors. Skylines/Shutterstock

Why we need to support Aboriginal women’s choice to give birth on country

Catherine Chamberlain, Baker Heart and Diabetes Institute; Rhonda Marriott, Murdoch University; Sandy Campbell, James Cook University

Where birthing on country is not offered, women leave their families weeks before birth. Or she can choose to give birth in her community without skilled birth attendants, which is risky.

Expert answers to serious, weird and wacky questions

Curious Kids: why do we have two kidneys when we can live with only one?

Brooke Huuskes, La Trobe University

When my kidneys stopped working properly, my dad gave me one of his kidneys. Thanks, Dad.

Curious Kids: why bats sleep upside down, and other stories of animal adaptation

Amy Edwards, La Trobe University

Sometimes, two different animals will evolve to have a similar adaptation, even when they are not closely related. Flight is an excellent example.

Top picks from the week

Many men were concerned about climaxing too quickly or lacking interest in sex. Krista Mangulsone

More than half of Aussie men report experiencing sexual difficulties

Jennifer Power, La Trobe University

Research suggests that men who are exposed to cultural images of traditional masculinity have a greater vulnerability to sexual dysfunction than those who aren't.

Dragana Gordic/Shutterstock

Eggs and health: unscrambling the message

Tom Sanders, King's College London

Some of the advice on eggs should be taken with a pinch of salt.

The attack is likely to have enduring psychological effects for those at the scene. Mick Tsikas/AAP

How to take care of your mental health after the Christchurch attacks

Richard Bryant, UNSW

It's distressing to see reports of terrorist attacks but these feelings will usually abate over days or weeks. But people with a history of trauma need to take extra care of their mental health.

 

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