MCH Best. NPM 2: Low-Risk Cesarean Deliveries
Strategy. Childbirth Education Classes
Approach. Support the development of a community-based childbirth education class series.
Overview. Attending prenatal education classes has been associated with higher rates of vaginal deliveries among women in the study sample.1
Evidence. Emerging. Interventions implemented at the patient level appear effective in decreasing the percentage of cesarean deliveries among low-risk first-time mothers. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Patients.
Outcome. Reduction of primary cesarean delivery rates among nulliparous women. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently XXX ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Support the development of a community-based childbirth education class series,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4):
1 Stoll KH, Hall W. Childbirth education and obstetric interventions among low-risk Canadian women: is there a connection? J Perinat Educ. 2012;21(4):229-237. doi:'10.1891/1058-1243.21.4.229