ArticleBirth (Berkeley, Calif.)2025
Birthing With Others: Exploring the Efficacy of One-On-One Professional Support on Physiological Birth and Flow State.
Article in Birth (Berkeley, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
2 citing papers in PubMed.
- How Supportive Care Shapes Women's Childbirth Satisfaction: A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Being in the zone during physiological birth: a comparative study of hospital and home birth environments.Frontiers in global women's health · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOne-on-one professional support during labor is recognized for its role in promoting physiological birth, reducing interventions, and enhancing women's birthing experiences. Throughout physiological birth, many women encounter an altered state of consciousness. This state not only facilitates the normal birth process but also empowers women during and after childbirth. Recently, the flow-a mental state of complete absorption and energized focus in an activity, with a sense of control and high motivation-has been identified as a measure of this experience during physiological birth. This study aimed to discover whether one-on-one continuous professional support would improve the childbirth experience by increasing the likelihood of physiological birth and a heightened state of flow during childbirth.
methodsWomen with childbirth experience were recruited through social media. Participants (n = 788) completed an online survey: the Flow State Scale (FSS) and a demographic questionnaire, including details about the professional support received during childbirth.
resultsOne-on-one professional support was significantly associated with natural childbirth (midwife: 80.9%, doula: 65.7%) and lower medical interventions (midwife: 19.1%, doula: 34.3%) compared to conventional professional assistance (natural birth: 44.4%, interventions: 55.6%). A MANCOVA analysis revealed significant differences in flow state levels, with women receiving one-on-one support experiencing the highest flow state.
conclusionsThis research validates the significant correlation between one-on-one support-provided by midwives or doulas-and physiological birth. It also establishes for the first time a correlation between women in childbirth receiving continuous one-on-one professional support and heightened flow state levels, signifying a positive and empowering birthing experience.
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Registered trials
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