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AIM To summarize, categorize, and describe published research on how birthing room design influences maternal and neonate physical and emotional outcomes. BACKGROUND The physical healthcare environment has significant effects on health and well-being. Research indicates that birthing environments can impact women during labor and birth. However, summaries of the effects of different environments around birth are scarce. METHODS We conducted a systematic review, searching 10 databases in 2016 and 2017 for published research from their ince