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Like childbirth educators and other unlicensed assistive personnel , certification to become a doula is not compulsory, thus, anyone can call themself a doula or a childbirth educator.
Five causes make up about 80 percent of newborn deaths.
The first stage begins with the onset of labor and ends when the cervix is fully opened.
Description: The fetal head then continues descent into the pelvis, below the pubic arch and out through the vaginal introitus opening.