The University of Texas Southwestern Medical Center just published a study in American Journal of Obstetrics and Gynecology (see Coaching Makes Little Difference for Women in Labor) detailing how "coaching" during the second stage of labor has little positive effect on labor, and could have a negative effect.
Many newspapers, like the Australian, are misunderstanding the study. It's not that assisting a woman during labor has no effect, it's quite the opposite. It's saying forcing a woman to follow what my wife calls "directed pushing" (hold your breath and push as hard as you can for 10 seconds) during the second stage of labor is not very effective. Instead, women should be allowed to follow their own instincts, doing what their body tells them to do rather than following a rigid set of guidelines. That's exactly what doulas, and other "birth coaches" have been trying to get doctors to accept.
Listen, if you are pregnant, hire a good doula, like my wife, (sorry, shameless plug), someone that can act as an advocate for you. They know how hospitals work, and they can help you have the birth experience you want, one that is better for everyone involved, including your baby.
