Association of Delivery Outcomes With the Number of Childbirth Education Sessions. Issue 3 (July 2021)

• Record Type: Journal Article
• Authors: Vanderlaan, Jennifer; Sadler, Christen; Kjerulff, Kristen
• Is Part Of: Journal of perinatal & neonatal nursing. Volume 35:Issue 3(2021)
• Page Start: 228
• Page End: 236
• Publication Date: 2021-07
• Subjects: cesarean delivery -- childbirth education -- shared decision-making; Maternity nursing -- Periodicals; Neonatal nursing -- Periodicals; Maternal health services -- Periodicals; Newborn infants -- Medical care -- Periodicals; 610.7362
• DOI: 10.1097/JPN.0000000000000579
• Languages: English
• ISSNs: 0893-2190

Abstract

Abstract : Supplemental Digital Content is Available in the Article. Abstract : The objective of this study was to determine whether childbirth education conducted over 3 or more sessions is more effective than courses conducted over 1 or 2 sessions. This was a secondary analysis of 2853 participants in a longitudinal study of women recruited during their first pregnancy. Data on childbirth education attendance were collected during the 1-month postpartum interview. The Kruskal–Wallis test for ranks was used for univariate analysis by the number of class sessions, and logistic regression was used to compare no education with any childbirth education, single-session, 2-session, and 3-or-more-session courses. Primary outcomes included induction of labor, cesarean delivery, use of pain medication, and shared decision-making. Attending 3 or more education sessions was associated with a decreased risk of planned cesarean delivery and increased shared decision-making. Attending any childbirth education was associated with lower odds of using pain medication in labor, reduced odds of planned cesarean delivery, and increased shared decision-making. Childbirth education was not associated with induction of labor. Childbirth education can be provided over 3 or more sessions. This finding can be used to develop evidence-based childbirth education programs.