Childbirth Education Class and Birth Plans Are Associated with a Vaginal Delivery

Afshar, Yalda; Wang, Erica T.; Mei, Jenny Y.; Esakoff, Tania F.; Pisarska, Margareta D.; Gregory, Kimberly D.

doi:10.1111/birt.12263

Cited by 59 publications

(53 citation statements)

References 15 publications

(22 reference statements)

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“…Some report that women with a birth plan have an improved childbirth experience and are more satisfied, possibly correlating with the number of fulfilled birth plan requests . Women with a birth plan feel more in control during labor, more often have vaginal births, and have a more physiological birth process . There are mixed results in women with a birth plan on the use of an epidural .…”

Section: Introductionmentioning

confidence: 99%

“…However, others found no improvement in childbirth experience in women with a birth plan, or even found that women with a birth plan are less satisfied . In general, women with a birth plan were more often older, primiparous, and more highly educated . Actual usage of birth plans varies between 20% in 1993 in Victoria Australia and 48% in 2013 in Los Angeles, USA …”

Section: Introductionmentioning

confidence: 99%

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Prevalence, characteristics, and satisfaction of women with a birth plan in The Netherlands

Jolles

Vries

Hollander

et al. 2019

Birth

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Background:The use of birth plans to facilitate shared decision making in childbirth is widely recommended by international agencies and by the Dutch Integrated Birth Care protocol (2016). This study evaluated the use of birth plans in The Netherlands. Methods: A retrospective study was conducted during 2017 in a Dutch academic hospital. Women who gave birth after 33 weeks of gestational age were included (N = 1159). Medical records were searched for a birth plan, either a note or attached file. Socio-demographic, relevant medical and obstetrical characteristics fulfilling criteria for secondary care, and postpartum satisfaction were collected and related to birth plans. Postpartum satisfaction was scored on a scale from 0 to 10. The "net promoter score" (NPS), a quality of care indicator, was also computed. For analysis, independent t test, chi-square test, ANOVA, and two-way between ANOVA were used. Results: A birth plan was noted in the medical records of 34.7% of women. Women with a birth plan were on average older, primiparous, of Dutch ethnicity, and more likely to have a complicated medical history, psychological condition, or fertility treatment. The mean postpartum satisfaction score was 8.28 and the NPS for customer satisfaction was 36.1, falling in the good range. No significant differences in postpartum satisfaction related to birth plans were found. Conclusions: Although birth plans are recommended for every pregnant woman, this is not everyday practice yet. The purpose of birth plans, to facilitate shared decision making, is therefore not fully realized. Implementation strategies are needed to increase adoption of birth plans for every woman. K E Y W O R D S birth care plan, birth plan, satisfaction, shared decision making How to cite this article: Jolles MW, de Vries M, Hollander MH, van Dillen J. Prevalence, characteristics, and satisfaction of women with a birth plan in The Netherlands. Birth. 2019;46:686-692.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence, characteristics, and satisfaction of women with a birth plan in The Netherlands

Jolles

Vries

Hollander

et al. 2019

Birth

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“…If a birth plan is added to childbirth preparation classes, odds of vaginal delivery will increase dramatically (29). Birth plan is a component of birth preparation and can improve satisfaction with childbirth experience (30).…”

Section: Discussionmentioning

confidence: 99%

Maternity care priorities for prevention of psychological birth trauma in Iran: A Delphi consensus study

Taghizadeh

Taheri

Takian

et al. 2019

NPT

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Background & Aim: Promoting maternal mental health is achievable through prevention of psychological birth trauma (PBT). This study aimed to investigate experts’ opinion on best strategies in prevention of PBT among childbearing women. Methods & Materials: This Delphi, systematic interactive research was conducted in Tehran, from July to November 2017. Delphi technique and policy dialogue was used to prioritize pre-defined PBT prevention strategies which had been identified in our previous studies. 13 experts were included in the Delphi. After two rounds, panelists had come to consensus on strategies’ priorities; they rated each strategy. Priority of strategies was set based on scores. Strategies with total mean of ≥9 and interquartile range (IQR) of ≤2 were entered to the next stage. At the last stage of consensus, a 4-hours meeting was held with seven policy makers; four top strategies were selected by consensus of the all members. Results: From 38 initial strategies, nine with the mean of ≥9 were identified as the top ones. At the policy dialogue meeting, four strategies were selected: continuous support during childbirth, practical childbirth preparation classes, group prenatal care, and preparing individual birth plan in antenatal visit. Conclusion: According to the experts, top four strategies can be combined in an integrated program. All these services will be provided at Primary Health Care facilities. These strategies are suggested in supporting maternity care in Iran and other developing countries to promote maternal mental and physical health.

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“…Additionally we analyse factors being associated with the uptake of antenatal classes specifically, as literature suggests that these classes are particularly beneficial to the perinatal phase (e.g. Afshar et al 2017;Consonni et al 2010).…”

Section: Description Of the Main Variablesmentioning

confidence: 99%

“…Fenwick et al (2015) highlighted the benefits of midwife-led psychoeducation in addition to normal maternity care with regard to fear of childbirth and distressing post-birth flashbacks (Fenwick et al 2015). Other studies have also linked antenatal classes to higher frequency of vaginal deliveries (Afshar et al 2017), higher rate of exclusive breastfeeding (Sehhatie et al 2019), and decreased likelihood of birth-related PTSD (İsbir et al 2016). Maintaining physical activity during pregnancy has a range of benefits (Nascimento et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies

Ludwig

Miani

Breckenkamp

et al. 2020

Matern Child Health J

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Objective Non-medical antenatal care (ANC) refers to a range of non-medical services available to women during pregnancy aiming at supporting women and prepare them for the birth and the postpartum period. In Germany, they include antenatal classes, breastfeeding classes and pregnancy-specific yoga or gymnastics courses. Studies suggest that various types of nonmedical ANC carry benefits for both the women and their babies. Little is known about the uptake of non-medical ANC among different socioeconomic population subgroups, but one may expect lower utilization among socio-economically disadvantaged women. We analyzed factors contributing to the utilization of non-medical ANC in general and antenatal classes in particular. Methods Baseline data of the Bielefeld BaBi birth cohort (2013-2016) and the Berlin perinatal study (2011)(2012) were analyzed. Comparing the two cohorts allowed to increase the socio-economic and migration background variance of the study population and to capture the effect of the local context on uptake of services. Multivariate logistic regression analyses were performed to study associations between the uptake of non-medical ANC and socio-economic and migration status. Results In Berlin and Bielefeld, being a first generation migrant and having lower levels of education were associated with lower non-medical ANC uptake. In Berlin, being a 2nd generation woman or having a low income was also associated with lower uptake. Conclusions for PracticeOur study suggests that non-medical ANC remains in some part the prerogative of non-migrant, well-educated and economically privileged women. Since differences in non-medical ANC have the potential to create inequalities in terms of birth outcomes and maternal health during pregnancy and post-partum, more efforts are needed to promote the use of non-medical ANC by all population groups. SignificanceWhat is already known on this subject? Non-medical antenatal care (ANC) contributes to an enhanced pregnancy experience and improved birth outcomes. A recent study showed a lower uptake of non-medical antenatal care among migrants than among women without migration background using unadjusted data. Socioeconomic status has been hypothesized to impact the utilization of non-medical ANC.What this study adds? This study highlights the existence of social inequalities in non-medical ANC use. Our results suggest that there is a strong relationship between the use of non-medical ANC and migration background and educational attainment, with 1st generation migrants and women with low and medium levels of education having a lower uptake of services.

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Childbirth Education Class and Birth Plans Are Associated with a Vaginal Delivery

Cited by 59 publications

References 15 publications

Prevalence, characteristics, and satisfaction of women with a birth plan in The Netherlands

Prevalence, characteristics, and satisfaction of women with a birth plan in The Netherlands

Maternity care priorities for prevention of psychological birth trauma in Iran: A Delphi consensus study

Are Social Status and Migration Background Associated with Utilization of Non-medical Antenatal Care? Analyses from Two German Studies

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