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Listening to mothers: take two
1JUDITH LOTHIAN is a childbirth educator in Brooklyn, New York, and a member of the Lamaze International Board of Directors. She is also an associate professor in the College of Nursing at Seton Hall University in South Orange, New Jersey.
Childbirth in the U.S. remains intervention-heavy, with few women experiencing normal birth practices. Childbirth education classes increase confidence but are not the primary information source for most mothers.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Public Health
Background:
- The "Listening to Mothers II" survey examined contemporary U.S. women's childbearing experiences.
- Childbirth in the U.S. is characterized by high intervention rates, with less than 2% of births adhering to practices supporting normal birth.
Purpose of the Study:
- To analyze the impact and reach of childbirth education.
- To understand women's information-seeking behaviors during pregnancy.
Main Methods:
- Analysis of data from the Second National U.S. Survey of Women's Childbearing Experiences.
- Survey included questions on childbirth education attendance, information sources, and birth experiences.
Main Results:
- Only slightly over half of women attended childbirth education classes.
- The internet was the primary information source for 78% of women.
- Attending classes increased maternal confidence and reduced fear of medical interventions.
Conclusions:
- Childbirth education positively impacts maternal confidence and fear of interventions.
- The low percentage of normal births highlights a need to promote evidence-based practices.
- Findings have significant implications for improving childbirth education strategies.
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