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Related Experiment Video

Updated: Jul 2, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Published on: January 12, 2018

Are women really asking for it?

Jennifer Block1

  • 1JENNIFER BLOCK is the author of Pushed: The Painful Truth About Childbirth and Modern Maternity Care (Da Capo Press, 2007) and the blog Pushedbirth.com .

The Journal of Perinatal Education
|September 5, 2008
PubMed
Summary

Childbirth educators and doulas are concerned that standard obstetric care leads to increased interventions and morbidity for women. They question their responsibility in informing expectant mothers about these risks despite comprehensive preparation.

Keywords:
access to carebirth attendantcesarean ratechildbirth educationdoulasoptimal experienceplace of birthpreparing for childbirthrate of out-of-hospital birthwomen's choice“pushed birth”

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Area of Science:

  • Obstetrics
  • Maternal Health
  • Public Health

Background:

  • Most women opt for standard obstetric care during labor and birth.
  • Evidence suggests standard care increases risks of unnecessary interventions and morbidity.
  • Women feel unprepared for the reality of standard obstetric care despite preparation.

Purpose of the Study:

  • To explore the role of childbirth educators and doulas in informing women about the risks associated with standard obstetric care.
  • To address the discrepancy between women's preparation for childbirth and the reality of interventions.
  • To determine the ethical responsibility of childbirth professionals in risk communication.

Main Methods:

  • Qualitative study exploring perspectives of childbirth educators and doulas.
  • Analysis of existing literature on labor and birth interventions.
  • Discussion of ethical considerations in patient education.

Main Results:

  • Childbirth educators and doulas report frustration with women's choices of standard obstetric care.
  • Professionals feel a responsibility to inform but struggle with how to do so without causing undue fear.
  • There is a perceived gap in women's understanding of potential interventions.

Conclusions:

  • Childbirth educators and doulas play a crucial role in risk communication.
  • Effective strategies are needed to inform women about potential interventions without causing alarm.
  • Further research is needed on optimal methods for risk disclosure in childbirth education.