Additional reassurance, a change in position or
activity, and eye-to-eye contact with the
doula may be enough to bring a woman who
is reaching the limits of her control back to a
place where she begins to feel more confidence in her ability to work through her labor. The provision of pharmacologic pain
relief should be offered primarily based on
prelabor wishes, the response of the mother
to take-charge support techniques, and also
on how much longer the labor is expected to
take