Open AccessAssociation of Delivery Outcomes With the Number of Childbirth Education Sessions
Author(s) -
Jennifer Vanderlaan,
Christen D. Sadler,
Kristen H. Kjerulff
Publication year - 2021
Publication title -
the journal of perinatal and neonatal nursing/journal of perinatal and neonatal nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.377
H-Index - 43
eISSN - 1550-5073
pISSN - 0893-2190
DOI - 10.1097/jpn.0000000000000579
Subject(s) - childbirth , medicine , attendance , odds , odds ratio , pregnancy , obstetrics , logistic regression , session (web analytics) , genetics , pathology , world wide web , computer science , economics , biology , economic growth
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.