Midwives’ perspective on participation of pregnant individuals planning an elective caesarean section delivery in antenatal classes in Germany: a qualitative interview study - Report - MDSpire

Midwives' Insights on Involvement of Expectant Mothers Opting for Elective Cesarean Deliveries in Antenatal Education Programs in Germany: A Qualitative Interview Analysis

  • By

  • Sandra Jaax

  • Jessica Breuing

  • Barbara Prediger

  • Nadja Könsgen

  • July 21, 2026

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Midwives' Insights on Elective Cesarean Deliveries in Antenatal Education

Overview

This study explores midwives' perspectives on the involvement of expectant mothers planning elective cesarean sections (CS) in antenatal education programs in Germany.

Background

Antenatal classes are essential for preparing expectant parents for childbirth and parenthood, providing both information and social support. In Germany, a significant proportion of births are via cesarean section. This study aims to identify how midwives perceive the integration of elective CS topics into antenatal classes and the factors influencing participation.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • Antenatal classes in Germany primarily cover topics related to vaginal birth.
  • Midwives reported that many expectant mothers planning elective CS feel unprepared due to a lack of specific information.
  • Participation in antenatal classes by mothers planning elective CS is influenced by their information needs.
  • There is a need for antenatal education to address both elective and unplanned cesarean sections.
  • Midwives emphasized the importance of creating a supportive environment for mothers planning elective CS.

Clinical Implications

Midwives should consider incorporating specific content on elective cesarean sections into antenatal classes to address the needs of expectant mothers. This approach may enhance the preparedness and confidence of mothers planning elective CS.

Conclusion

The study underscores the importance of adapting antenatal education to include elective CS, ensuring that all expectant mothers receive relevant information and support.

Related Resources & Content

  1. BMC Pregnancy and Childbirth, 2023 -- Navigating the latent phase of labour: women’s experiences within structural constraints
  2. BMC Pregnancy and Childbirth, 2023 -- Cesarean delivery on maternal request: the perspective of birth companions
  3. BMC Psychiatry (Springer), 2023 -- Challenges in Accessing Perinatal Mental Health Services Among Ethnically Diverse Women in the UK
  4. Archives of Gynecology and Obstetrics, 2023 -- Induction of labor in women with prior cesarean section: outcomes in a selected low-risk population
  5. Die Sectio caesarea | Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V., 2024
  6. NG201 Evidence review E, 2023
  7. Die Sectio caesarea | Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V.
  8. NG201 Evidence review E 25/09/2023

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