Multidisciplinary childbirth education for obstetricians is associated with fewer interventions and lower primary cesarean rates in nulliparous women.
Does multidisciplinary childbirth educator-doula training for obstetricians reduce routine intrapartum interventions and primary cesarean rates?
Multidisciplinary childbirth educator-doula training for obstetricians is associated with fewer routine intrapartum interventions and lower primary cesarean rates.
Absolute Event Rate: 0% vs 0%
BACKGROUND: Global concern about unwarranted childbirth interventions has intensified, with calls for respectful, evidence-based intrapartum care that supports physiologic birth. While antenatal education for expectant parents is common, the impact of multidisciplinary childbirth education for obstetricians has been underexplored. METHODS: In a study of obstetricians (N = 112, M RESULTS: Of 31 practices, 26 differed by t test; 19 remained significant after correction. In adjusted models, 21 practices differed. CEDT-trained clinicians reported lower routine enemas, frequent digital exams, continuous CTG, routine IV lines, and IV fluids to shorten labor, with greater oral intake and nonpharmacologic pain relief; they more often supported instinctive pushing, upright positions, and delayed cord clamping, and less often used lithotomy and routine neonatal suctioning. Primary cesarean in nulliparas was lower. CONCLUSION: This study's significance is that multidisciplinary childbirth educator-doula training for obstetricians is associated with fewer routine interventions and lower nulliparous primary cesarean rates. Prospective studies are warranted.
Selman et al. (Mon,) reported a other. Multidisciplinary childbirth education for obstetricians is associated with fewer interventions and lower primary cesarean rates in nulliparous women.
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