“…Yet, childbirth education's popularity continues, is often considered a standard of care (Enkin, Keirse, Renfrew, & Neilson, 1999), and is included as an objective in Healthy People 2010 (U.S. Department of Health and Human Services, 2000). Nevertheless, an abundance of childbirth education research has not demonstrated strong evidence to support how participation in classes affects the experience of childbirth (Gagnon, 2004;Humenick, 2000;Jones, 1983;Koehn, 2002;Spiby, Slade, Escott, Henderson, & Fraser, 2003). Further findings from the literature indicate that classes continue to be structured from the perspective of the educator rather than from the assessed needs of the participants (Enkin et al, 1999;Nichols & Gennaro, 2000;Nolan, 1997Nolan, , 1999.…”