Integrating Obstetricians into Childbirth Education and Its Association with Reduced Intrapartum Interventions

H. Şule Selman; Saliha B. Selman; Hakan Çoker; Neşe Karabekir

doi:10.1007/s10995-025-04210-7

December 22, 2025Maternal and Child Health Journal

Integrating Obstetricians into Childbirth Education and Its Association with Reduced Intrapartum Interventions

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Key result

Multidisciplinary obstetrician childbirth education is linked to fewer interventions and lower primary cesarean rates in nulliparas.

Why the study?

Despite global concern about unwarranted childbirth interventions, the impact of multidisciplinary childbirth education for obstetricians has been underexplored.

Does multidisciplinary childbirth educator-doula training for obstetricians reduce routine intrapartum interventions and primary cesarean rates?

Key Points

To examine whether multidisciplinary childbirth educator and doula training for obstetricians is associated with reduced routine intrapartum interventions and lower primary cesarean rates.
Evaluated clinical practice patterns among obstetricians (N = 112) comparing those with multidisciplinary childbirth educator-doula training (CEDT) to untrained clinicians.
Assessed differences across 31 intrapartum labor and delivery practices using t-tests, multiple testing corrections, and multivariable adjusted models.
Of 31 analyzed intrapartum practices, 26 differed significantly by t-test, 19 remained significant after correction, and 21 differed in adjusted models.
CEDT-trained obstetricians reported significantly lower rates of routine enemas, frequent digital examinations, continuous cardiotocography (CTG), routine IV lines, IV fluids to shorten labor, lithotomy positioning, routine neonatal suctioning, and primary cesarean deliveries in nulliparas.
Clinicians with educator training demonstrated significantly higher support for oral intake during labor, nonpharmacologic pain relief, instinctive pushing, upright delivery positions, and delayed cord clamping.

Structured PICO

Does multidisciplinary childbirth educator-doula training for obstetricians reduce routine intrapartum interventions and primary cesarean rates?

P

Population

112 obstetricians

I

Intervention

Multidisciplinary childbirth educator-doula training (CEDT)

C

Comparator

Obstetricians without CEDT training (implied)

O

Outcome

Self-reported intrapartum practices (31 practices evaluated) and primary cesarean rates in nulliparas

Limitations

Prospective studies are warranted

Implication

Multidisciplinary childbirth educator-doula training for obstetricians is associated with fewer routine intrapartum interventions and lower primary cesarean rates.

Abstract

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Discussion

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Cite This Study

Selman et al. (2025) studied this question. Multidisciplinary childbirth education for obstetricians is associated with fewer interventions and lower primary cesarean rates in nulliparous women.

synapsesocial.com/papers/6963223291e05aa366cb8c50 https://doi.org/10.1007/s10995-025-04210-7

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Integrating Obstetricians into Childbirth Education and Its Association with Reduced Intrapartum Interventions

Key Points

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Integrating Obstetricians into Childbirth Education and Its Association with Reduced Intrapartum Interventions

Key Points

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

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