Abstract
The purposes of this study were to investigate the relationship between income and various types and levels of childbirth preparation utilized by women, and to examine the relationship between preparation and childbirth outcomes. Forty-five primiparous women recruited from health care facilities and childbirth preparation classes participated in this study. After the birth of their infants, participants completed scales that measured childbirth preparation, perceived control, satisfaction with childbirth experience, pain perception, and pain medication. Lower income women were less likely than higher income women to attend childbirth preparation classes and more likely to acquire information about childbirth from their mothers. The women experienced similar childbirth outcomes except that lower income women reported higher levels of pain during childbirth. Findings from this study challenge the assumptions that lower and higher income women experience different childbirth outcomes and that women who do not attend classes are “unprepared.” Implications for research and practice include a re-evaluation of the way childbirth education is conceptualized.
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REFERENCES
Beck, N. C., & Siegel, L. J. (1980). Preparation for childbirth and contemporary research on pain, anxiety, and stress reduction: A review and critique. Psychosomatic Medicine, 42, 429–446.
Brown, S., & Lumley, J. (1998). Changing childbirth: Lessons from an Australian survey of 1336 women. British Journal of Obsterics and Gynecology, 105, 143–155.
Cook, S. S. (1997). Configuring childbirth education to survive in managed care. Advanced Practical Nursing Quarterly, 2, 22–26.
Dannenbring, D., Stevens, M. J., & House, A. E. (1997). Predictors of childbirth pain and maternal satisfaction. Journal of Behavioral Medicine, 20, 127–141.
Doering, S. G., Entwisle, D. R., & Quinlan, D. (1980). Modeling the quality of women's birth experience. Journal of Health and Social Behavior, 21, 12–21.
Githens, P. B., Glass, C. A., Sloan, F. A., & Entman, S. S. (1993). Maternal recall and medical records: An examination of events during pregnancy, childbirth, and early infancy. Birth, 20, 136–141.
Green, J. M., Coupland, V. A., & Kitzinger, J. V. (1990). Expectations, experiences, and psychological outcomes of childbirth: A prospective study of 825 women. Birth, 17, 15–24.
Handfield, B., & Bell, R. (1995). Do childbirth classes influence decision making about labor and postpartum issues? Birth, 22, 153–160.
Hart, M. A., & Foster, S. N. (1997). Couples' attitudes toward childbirth participation: Relationship to evaluation of labor and delivery. Journal of Perinatal and Neonatal Nursing, 11, 10–20.
Hetherington, S. E. (1990). A controlled study of the effect of prepared childbirth classes on obstetric outcomes. Birth, 17, 86–91.
Hillier, C. A., & Slade, P. (1989). The impact of antenatal classes on knowledge, anxiety, and confidence in primiparous women. Journal of Reproductive and Infant Psychology, 7, 3–13.
Hodnett, E. D., & Simmons-Tropea, D. A. (1987). The Labour Agentry Scale: Psychometric properties of an instrument measuring control during childbirth. Research in Nursing and Health, 10, 301–310.
Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Yale University Press.
Humenick, S. S., & Bugen, L. A. (1981). Mastery: The key to childbirth satisfaction? A study. Birth and the Family Journal, 8, 84–89.
Jeffers, D. (1992). Outreach childbirth education classes for low-income families: A strategy for program development. International Journal of Childbirth Education, 7, 17–18.
Lowe, N. (1989). Explaining the pain of active labor: The importance of maternal confidence. Research in Nursing and Health, 12, 237–245.
Lumley, J., & Brown, S. (1993). Attenders and nonattenders at childbirth education classes in Australia: How do they and their births differ? Birth, 20, 123–130.
Mackey, M. C. (1995). Women's evaluation of their childbirth performance. Maternal-Child Nursing Journal, 23, 57–72.
Martin, E. (1990). The ideology of reproduction: The reproduction of ideology. In F. Ginsburg & A. L. Tsing (Eds.), Uncertain terms: Negotiating gender in American culture (pp. 300–314). Boston: Beacon Press.
Melzak, R., Taenzer, P., Feldman, P., & Kinch, R. A. (1981). Labor is still painful after prepared childbirth training. Canadian Medical Association Journal, 125, 357–363.
Mercer, R. T. (1985). Relationship of the birth experience to later mothering behaviors. Journal of Nurse-Midwifery, 30, 204–211.
Mercer, R. T., Hackley, K. C., & Bostrom, A. G. (1983). Relationship of psychosocial and perinatal variables to perception of childbirth. Nursing Research, 32, 202–207.
Moran, C. F., Holt, V. L., & Martin, D. P. (1997). What do women want to know after childbirth? Birth, 24, 27–34.
Nelson, M. K. (1982). The effect of childbirth preparation on women of different social classes. Journal of Health and Social Behavior, 23, 339–352.
Nichols, M. R. (1995). Adjustment to new parenthood: Attenders versus nonattenders at prenatal education classes. Birth, 22, 21–26.
Norr, K. L., Block, C. R., Charles, A., Meyering, S., & Meyers, E. (1977). Explaining pain and enjoyment in childbirth. Journal of Health and Social Behavior, 18, 260–275.
Norvell, K. T., Gaston-Johansson, F., & Fridh, G. (1987). Remembrance of labor pain: How valid are retrospective pain measurements? Pain, 31, 77–86.
Simkin, P. (1991). Just another day in a woman's life? Women's long-term perceptions of their first birth experience. Part I. Birth, 18, 203–210.
St. Clair, P. A., & Anderson, N. E. (1989). Social network advice during pregnancy: Myths, misinformation, and sound counsel. Birth, 16, 103–108.
Waldenstrom, U., Borg, I., Olsson, B., Skold, M., & Wall, S. (1996). The childbirth experience: A study of 295 new mothers. Birth, 23, 144–153.
Wideman, M. V., & Singer, J. E. (1984). The role of psychological mechanisms in preparation for childbirth, American Psychologist, 39, 1357–1371.
Zwelling, E. (1996). Childbirth education in the 1990s and beyond. Journal of Obstetrics, Gynecology, and Neonatal Nursing, 25, 324–432.
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Johnston-Robledo, I. Beyond Lamaze: Socioeconomic Status and Women's Experiences with Childbirth Preparation. Journal of Gender, Culture, and Health 3, 159–169 (1998). https://doi.org/10.1023/A:1023289105781
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DOI: https://doi.org/10.1023/A:1023289105781