Category Archives: Group process

Activities for Online Birth Classes

In the past year, so many of us have moved our classes online. We may continue to be online through coronavirus and beyond, as some instructors are considering continuing to offer online classes from now on, in addition to in-person. We’ve discovered that online classes can help make our classes more accessible to people from a broader geographic area, to people with limited transportation, folks who don’t want to deal with commuting to and parking at a class site, folks with disabilities, parents on bed rest, and more.

How do we make our online classes as engaging and memorable as possible? Here are lots of ideas for interactive birth class activities. My examples will go in order from pregnancy topics through the stages of labor and into postpartum and baby care. Most of the techniques can be adapted to many more topics than I address in my example.

Healthy Pregnancy

Due to my state’s Medicaid requirements, we have to cover several specific topics, including substances (alcohol, drugs, tobacco), healthy nutrition and food safety, exercise, sexuality and more. To address these topics, you could create an online Jeopardy game, or create a quiz in Kahoot to use in class, or use Zoom polls to quiz them during class. Or you could use Google Forms to create a quiz to send to the students as “homework.” You could use these wellness cards for ideas for questions and answers to include. You could adapt a grab bag activity by having a slide show with pictures of items and asking them to talk about them.

Anatomy Pictionary

Sharon Muza has a great icebreaker activity where she has students draw anatomy. You can easily adapt this to online classes by splitting students up into breakout rooms, have them use the Zoom whiteboard to create drawings, then screen capture those and return to the main room to share.

Jamboard Signs of Labor

This is an interactive bulletin board type activity, where there are post-its listing symptoms that labor may be starting. Students sort them into possible, probable, and positive signs of labor. Find it here, and make a copy for your use:

On a Zoom call, the way you would use this is: paste the link into chat. Everyone goes to the link and they can all manipulate it together, and you can talk them through it. (Learn more about using outside apps with Zoom.) If you’re meeting in-person, I’ve got an old school version of this activity where you print the cards and they sort them.

Comfort Techniques Chat Storm

Tell them “I’m going to ask you all to type some ideas into chat… First, I want you to think about when you’re sick – what helps you to feel better?” They start typing, then you can prompt them more… “It may help you to think – when you were a kid, what did your parent do to help you feel better? Or what did you wish they had done that you think would have helped.” As all the ideas pour in over chat, you can read some out loud, affirm them, comment on how these might be used in labor. Then do another storm for “what helps you to relax?” (more questions)

Comfort Tools Scavenger Hunt

Either during your presentation on comfort techniques for early labor, or in a discussion of “what to pack for the hospital”, send students off to find something in their house that helps when they’re in pain, or sick, or feeling worried. Have them do show and tell, and talk about how you could use those in labor.

Virtual Background for Hospital Routines

When you discuss arriving at the hospital, you can use a photo of triage room as your virtual background. (Learn how to use virtual backgrounds in Zoom.) When you discuss moving to the hospital room, change your background to reflect that.

Word Cloud – what will labor be like?

During in-person classes, I’ve used a worksheet where people can circle words that represent what they think birth will be like (words like: messy, excruciating, beautiful, long…). Then they discuss – if your birth is like that, what support will you need? (Or if you’re providing labor support, and the birth is like that, how will you best support the laboring person?) In a virtual class, you could do this as a word cloud, where all the students add their words, and you’d see common themes arise, as words that multiple people type are shown bigger than those only added by one. I have directions on how to do a word cloud in mentimeter here:…/use-other-apps-with-zoom/

Jigsaw Puzzle Stages of Labor

Take your favorite poster / infographic of the Stages of Labor, and convert it to a jigsaw puzzle, as Mallory Emerson describes here: For copyright purposes, you should only use images that you otherwise have the rights to use in your classroom. You can purchase a variety of images. I like the Road Map of Labor from Childbirth Graphics, but there’s also good stuff available through Plumtree, Better Birth, and Birthing with Guinever. (Find links to those products in my post on Where to Find AV Aids.)

You could either use this as homework – send students a link to do at home after class, or you could do it collaboratively during an online class – maybe as a warm-up before starting class or as a breaktime activity. It’s low key, interactive, and good for the visual and kinesthetic learners to review labor stages by interacting with the images.

Continuum Exercises

In a classroom, I have used a continuum exercise for something like: “If you have TONS of experience taking care of lots of newborn babies, go to that end of the room. If you’ve never held a baby under 6 months old, go to that end. The rest of you array yourself somewhere on that continuum.” It’s helpful to me to see the range of knowledge and helpful to them to see that they’re not the only ones… I have never done this for topics that I feel like people can be judgmental about… “oh, I knew she was one of those people.” But online you can do this anonymously. Have a slide showing a continuum like the pain medication preference scale, and you can have them annotate it to mark where they are. (You could also do this a poll or using another – rate on a scale of 1 – 10 type tool.)

Thumbs Up / Thumbs Down Reactions

They can use Zoom reactions to vote. Could be used for something like: “is this normal or is this a warning sign?” Or “is it time to go to the birthplace?” Or “True or False.”

Show and Tell

Sharon Muza suggests having students bring to class session: something they’ll want nearby when they’re nursing, or something they will use for newborn care. Learn more.

More Ideas / Training

For more general ideas you could adapt to perinatal topics, check out my Zoom Guide for more ideas on Demo Physical Activities on Zoom, Games and Interaction on Zoom, Use Other Apps with Zoom, Using Zoom on Facebook Portal, and more.

If you’d like to learn more about exactly how to use virtual teaching techniques in the birth class setting, I highly recommend the Creative and Confident classes offered by Sharon Muza, FACCE and Mallory Emerson, LCCE.

Group Process: Challenging Group Dynamics

This is post #7 in my weekly series on “Group Process in Childbirth Education: Building and Supporting a Community of Learners.”

New childbirth educators tend to worry about these issues a great deal. To be honest, you’ll encounter mild difficulties from time to time with classes, but it’s rarely a big deal. The students in your class will be adult learners, which in general means they may be more engaged and better behaved than the students you remember from high school. Also, they chose to be in your class, and are motivated to learn what you have to share, which also improves behavior.

If you have quiet students:

  • ask more open-ended questions
  • go around the circle and ask each person to share a response to a simple question
  • use grab bag exercises or games where everyone has an assigned “job” to do
  • do more small group activities – it’s easier to talk in a small group

If you have loud students who over-participate:

  • break eye contact with them
  • walk away from them – toward the white board, toward a poster…
  • look at your watch
  • interrupt if needed: say “thanks for that” then ask “have other students had that experience?”

If you have issues with students’ attention wandering:

  • move around
  • pick something up or point at a visual aid
  • look at the person whose attention has wandered
  • ask a question
  • make students laugh – the inattentive one will wonder what she missed

For “side talk” (two students talking):

  • move toward them
  • look at them, then look to the one who is speaking
  • engage them
  • change the activity – get up and move around, pull out an AV.

If you have a hard time keeping the class focused, and find yourself wandering off target: Always write the outline on the board. If discussion is getting un-focused, you can point at it and say “I love this discussion, but we have more we need to cover today, so let’s get back on track.”

More tips for difficult students:

Group Process: Activities to Build Connections

This is part 6 of my weekly series on “Group Process in Childbirth Education: Building and Supporting a Community of Learners.”

If you spent all your class time lecturing, showing videos, and demonstrating, your students would get a lot of information out of your class. But they would have missed out on one of the other benefits of taking childbirth classes: the chance to meet and connect with other parents. Consider spending a portion of each class on building community. (A side benefit for you: As students get more comfortable with each other, they will participate more, ask more questions, and learn more from the class.)

Here are some activities to try:

Tune Out, Tune In. Each week when students arrive at class, they’re often not quite “present” when they walk in. Their mind may be on work, or traffic, or the errands they need to run after class, or many other things. Try a warm-up activity each week to give them time to get present.

  • Check-Ins:
    • What’s on your mind today? What worries have come up? What questions?
    • Highs / Lows: What have been the best and worst parts of your last week?
    • What have you learned since last week? What have you read? Did you have an appointment with your caregiver? Did you see anything about birth on TV?
  • Question of the week related to the topic:
    • Name something that helps you when you’re feeling sick, in pain, or worried?
    • What’s one item you plan to bring to the hospital with you?
    • What’s your biggest worry about medical procedures and interventions?
  • Agenda setting: Any questions left over from last week? What questions do you have about tonight’s topic you want me to be sure to answer?

Small Group Work – the bigger the class, the more important it is to fit in some small group work into your classes, so people have a chance to connect. Sometimes keep couples together and pair up two or three couples. Other times, encourage a couple to separate and join different groups so they hear different perspectives.

  • Small group discussions. Examples:
    • Discuss experiences they have in common, like: common discomforts mom is having or plans for postpartum and baby care.
    • Labor words: Pass out a list of adjectives that could be used to describe labor. Ask them to mark 4 or 5 words that resonate with them. Then discuss with your group: what did they mark? If their labor was like that, what support would they need?
    • Scenarios for discussion: make up cards which describe variations scenarios or other challenges that may arise in labor. They read one out loud, then discuss what they think is happening, and what they would do.
  • Quizzes – make up cards that review the info you covered in the last class session – write a question on one side of the card, the answer on the other. Pass them out to small groups of students. They read the question, guess at the answer, check to see if they’re right.
  • Brainstorms: Assign them a topic (write it on a big piece of easel paper). Have them brainstorm all the ideas they can come up with. Example: pros and cons of vaccinations, circumcision, and breastfeeding.
  • Separate moms and support people. (Works best if you have two rooms.)
    • Ask moms to self-guide a discussion on common discomforts of pregnancy while you facilitate a confidential discussion with partners on what they’re worried about related to their ability to provide labor support.
    • Ask moms to self-guide a discussion on postpartum support resources and imagining how they’ll adapt to life as a mom while you teach dads/partners some newborn care skills (like baths, cord care, nail trimming). Allows dads/partners to be the “expert” on a topic so moms have to ask them how to do it.

Interactive activities

  • Invite participation in class. Give plenty of time for questions from students. Ask them plenty of questions.
  • Play games.
    • Try the Breastfeeeding myths and truths game: Each student reads a card and says whether they thinks it’s a myth or think it’s true. You follow up with more details.
    • Try the Signs of Labor game – write on the board “maybe, probably, definitely” or “possible, prelabor, positive” if you prefer. Give students a card describing a sign of labor, and ask them to tape it where it goes.
    • Birth Matters has a collection of game ideas, as does Passion for Birth. and Stacie Bingham.
  • Do role plays. Example: print these labor scenarios. Cut up the cards describing stages in labor, and put the posters on the wall. Have a couple read one scenario out loud, then suggest a comfort technique or two to try from the list of options (breathing techniques, comfort techniques, position). Everyone practices together.
  • Mocktail party. Laurie Levy invented this activity, where she brings tacky margarita glasses and offers several types of non-alcoholic mixed drinks for people to try (with recipes), puts on party music, and encourages them to mix and chat while drinking. You could combine this with a wide variety of icebreaker type games.

What do you do to build connections amongst your students?

Group Process: Encourage Connection

This is part 5 of my weekly series on “Group Process in Childbirth Education: Building and Supporting a Community of Learners.”

Giving “permission” for connections

Talk about the benefits of connecting to other parents. Talk in the first class about peer support, and what a fabulous resource new parents can be for each other, offering both practical advice, and support (i.e. helping you realize that you’re not the only one who’s having a hard time adjusting.) I say something like: “one of the best things for new parents is to talk to other parents, get support, get advice, share frustrations, etc. We’re going to start practicing that here today, and start talking to other people who are in your same life situation… It’s easy to think that because I’m teaching the class, I’m the expert in the room, but I guarantee that you all have things to teach each other and to learn from each other as well.” I then go on to give examples of how having connections to other parents will help you throughout your child’s life (get tips on potty training your 3 year old; talk to other parents about starting kindergarten, get recommendations for driver’s ed classes, get support from other parents are adjusting to having their child go away for college.)

Encourage connection. Assume your students want to meet and talk with other parents, but may need guidance for when and how to do that. Just before each break, encourage them to connect over break. Give them a couple questions to ask each other or discussion topics. I say something like ““go ahead and run to the bathroom, or get some water, then come back and chat with your classmates. Maybe you can get some good ideas for baby names, or where to shop for baby bathtubs, or share some positive birth stories you’ve heard.”

Or put out displays around the room which encourage them to wander around and chat informally with each other. Try “lift-the-flap” cards. First, think up trivia questions. Write the answers on a 4×6 index card. Then cover the answer up with a 3×5 post-it note. Write the question on the post-it note. Students ask themselves the question, then lift the flap to check their own answers. Works great for nutrition, pop quiz review of labor, baby development trivia, etc.

Breaks: Allow plenty of time at break for them to make these connections! (Note: breaks also allow the introverts to slip out of the room for a little while and get a breather.)

Snacks: People naturally connect over food. If you have snacks in your class, you will have a better group dynamic. The whole class will go better. Consider providing a simple, inexpensive snack in week one and asking parents to volunteer to bring snacks to all the other classes.

Encourage on-going connections

Connection outside of class: Suggest students get together. Consider setting up a Facebook group for them to use to connect. Hand out copies of a class roster with student contact information. (In week one, tell them you’ll be doing this, and pass around a roster, so they can make any changes, or mark out any info they do not want to appear on the roster you distribute.)

Encourage them to meet for dinner nearby before class, or go out for lunch after a class.

One of our instructors would ask students at the beginning of each class: “where did you guys get together this week” – her tone assumed that of course they had done so. The first week or two they would hem and haw, but then after that they started answering!

Reunion: Plan a reunion after all the babies are born. It’s a great opportunity for them to re-connect. Have them all email each other (or post on Facebook) when their babies are born as a lead-up to reunion. At reunion, hand out roster again. Encourage them to meet again.

Group Process: Class Begins


This is post #4 in my weekly series “Group Process in Childbirth Education: Building and Supporting a Community of Learners.” It’s about the first ten minutes of class – this is the most important time in terms of establishing effective group dynamics for the rest of the class series. People won’t connect unless they feel comfortable and feel like they belong.

Arrival and First impressions

Your students form an impression of you, their fellow students, and whether they belong in the first ten seconds after entering the room, so it’s important to get first impressions right.

Be early for the first class and have everything ready so you can focus on welcoming students. Pay attention to how you are dressed. Try to dress in a similar style to your students, but one step more formal, since you are the “authority.” Introduce yourself when they arrive, and begin a conversation (great topics: when are they due, what they’ll name the baby, traffic and weather.)

Have an attendance sheet or class folder with their name on it. This reassures them they’re in the right place.

Have them make nametags. Rather than little tags they wear on their chests, fold a piece of cardstock in half to make a little “tent”. Have them write first names and due date with a marker so it’s easily visible from across a room. They set it on the floor in front of them. Or, you can use the spiffy white board style nametags shown at the top of the page.

Have snacks available, or at least water and cups.

Play music to set a friendly, relaxed tone. Try to find music that’s fairly universally appealing, not something aimed at just one demographic.

Have an icebreaker activity available in case lots of students arrive early – it’s better to get them moving and talking, instead of sitting passively in their chairs. Choose one that helps people find commonality and appreciate the diversity of experience. Try Icebreaker Bingo – each student is given a sheet with 25 questions on it. Their job is to find someone in the room that can answer yes to the question and write their name down.

Class Begins

Your introduction: This partially serves to establish your credibility as the instructor for the class (what you know and how you learned it) but it also helps to establish you as a human being they can relate to – an approachable mentor on the parenting path.

Student Intros: If you’re teaching a one-time two-hour class with 12 couples, you may not do full introductions of all the students. But for smaller classes and multi-week classes, always make time for intros. Minimum intros are names and due dates. If you have time, try the 3 part intro:

  • Who Are You? (Name and Due Date)
  • What do you already know? (Could ask professional background, but that can set up social class distinctions. Could ask what they know about birth and baby care. Could say “In this class, we’ll be talking about some things that are new to you that you might worry whether or not you’ll be good at. I want you all to remember that you can learn new skills and get good at them. Share with us something new you’ve learned and gotten good at in the past few years.”)
  • What do you want to know? (What are you hoping to learn in this class? If you’re in a hurry, ask them to say in one word what they’re hoping to learn. If you have more time, you don’t need to limit it in this way.)

When they introduces themselves, show interest in them as an individual. But then also generalize what they said so it relates to everyone. “Yes, a lot of people worry about that. We will definitely be talking about that in week two.” “Thanks for that question on diaper wipes. We’ll be talking more about all things diaper related in the newborn care class.”

Housekeeping. Tell them how to get basic physical needs met: where the bathrooms are, where they can get food / drink, when you will be taking breaks. If you’re teaching a class that’s more than 3 hours, say that it’s OK to sit on the floor, or stand, or sit on the birth ball, or whatever they need to do to be comfortable for all that time. If people are comfortable, they can learn. But if they’re wondering when /how they’ll get to eat or pee, they’re not learning.

Go over the class outline so they know what to expect out of each session of class. Also define social norms and expectations for participation and interaction.

In next week’s post, we’ll look at more ways to build community as the class goes on.

Group Process: Room Set-Up

This is post #3 in my series “Group Process in Childbirth Education: Building and Supporting a Community of Learners.”

Chair Set-Up

The arrangement of chairs makes a big difference in group dynamics – in how well the students connect to you and to each other, and in how much attention they pay in class.

Here are options:

Semi-circle or U shape with instructor at front

  • Advantages: students can see each other and can see instructor well (helpful for demos of positions, audiovisual aids etc.) Sets up instructor as authority, but in a friendlier way than seminar seating. Instructor can move into the center of the room, walk toward people when they ask questions; this dynamic motion helps to engage students.
  • Disadvantages: Takes up a lot of space. Some students are uncomfortable looking at each other rather than looking straight ahead at white board. (Having tables in front of them reduces this discomfort, but makes the class much more formal than just chaUirs.)
  • Things to be aware of: Make sure all the chairs are angled to face more forward to the front of the room rather than facing into the center of the room… otherwise students spend lots of the class turned sideways in their chairs. Very uncomfortable!
  • Best compromise for a class with a mix of lecture, group discussion, small groups, etc.

Circle of chairscircle

  • Advantages: Everyone can see everyone. Equalizer. Best for group discussions. There’s plenty of floor space for practicing comfort techniques.
  • Disadvantages: Takes lots of space. Some people may be uncomfortable facing each other – feel like they’re on display with nowhere to hide. Circles don’t wok well with tables unless there’s one really big table everyone is seating around. Not good for videos or visual aids as some people won’t have a good view.
  • How I use this: I don’t use circles when I teach, simply because I write and draw on the board a lot and that works better with U shaped seating than with circles. I do use circles for class reunions because I want everyone there to be an equal participant, and acknowledge that everyone has valuable knowledge to share.

Seminar seating (rows of tables with chairs on one side, all facing the board) or theater seating (rows of chairs facing forward, no tables). seminar

  • Advantages: sets up a formal learning structure, focuses attention forward.  Good view of visuals for those in the front of the room. Best for lectures. Theater seating is the most compact seating – you can fit more people in the room with this option than any other, which may be important in a small space. theaterStudents with a professional or academic background may feel quite comfortable in this arrangement.
  • Disadvantages: may be too formal, and discourage interaction amongst students, and even interaction between students and teachers. Those in the back of the room may have a harder time seeing and hearing. This set-up also puts students in their academic brain. This is not where I want my childbirth class students because in labor you’re not in your academic brain. I want people moving, feeling, connecting, and exploring so they learn in a way they’re more likely to remember during labor. Also, this feels like a “class room”. If you have students who were “never good at school”, this will not feel comforting and welcoming to them.
  • How I use this: I try to avoid this arrangement, but sometimes when I’m running late to a class, I discover that this is how the facility staff set up the room, so I live with it, but make an extra effort to encourage group participation.

Banquet style seating (students gathered around tables, facing inward)banquet

  • Advantages: best for small group activities. Good for encouraging interaction and getting students to teach each other.
  • Disadvantages: For any lecture, half the people have to turn around in their chairs to see the front of the room. Could encourage people to only interact with the people at their table, and not with the full class.
  • How I use this: I occasionally use this set-up on week four or five of my series. After the group has already built a rapport, doing small group discussions can work well for values clarification and problem-solving exercises.

However the room is set up, make sure it’s clear and obvious to the students where they are supposed to sit. For example, if you have a room with far more chairs than you need for class, putting handouts on the chairs you want them to use helps make it clear. If you need all the chairs to be used, and don’t want couples to leave space between them and the next couple, make it obvious that there are “pairs” of chairs and put the handouts for a couple so they straddle over two chairs.

Decor, artwork and visual aids

If you’re teaching in a shared or borrowed space, you have to live with whatever décor comes with the room. Occasionally you may have something you need to cover up. For example, if you’re teaching a secular class in a church building, some of your students may be more comfortable if you can subtly cover up very religious images or words. If you’re in a medical clinic waiting room, you may want to set aside some of the educational materials and magazines that are normally there.

You can also decide whether to bring any of your own décor into the space – a table cloth maybe? Or flowers? I personally like to travel light, and I don’t like a lot of visual clutter, so I try to make the space as plain and neutrally welcoming as possible.

I have some slides I use in my childbirth educator training that illustrate a variety of classrooms, display of visual aids, and instructor appearance. Check them out, and then imagine that you are a “typical expectant parent” from the population you serve. What would you think about each of these settings? What would make you comfortable? Uncomfortable?

Pay attention to artwork and to visual aids. Medical illustrations of anatomy and pelvis models and such may be uncomfortable to some people, either because they don’t understand what they’re seeing (which makes them feel ignorant) or because they think bodily details are “icky.” I keep most of my medical AV’s out of sight at the beginning of the first class. “Earth mother” style artwork may also be a turn-off to some who already feared that birth class would be too “woo-woo” for them. Pictures of babies are almost always a winner, especially if they show diverse families.

Assess your current classroom

The next time you’re in your classroom, take a good critical look at it. Imagine you were a new student coming it, not knowing what a childbirth class would be, and wondering whether it was a good fit for them. What would they see? How would they interpret it? What could you do to make them more comfortable?

Group Process: Finding a Classroom


This post is part 2 in my weekly series on “Group Process in Childbirth Education: Building and Supporting a Community of Learners.”

The physical space in which a group meets has a big influence on the group dynamics. Most educators don’t have much choice in what classrooms they teach in – it’s usually a hospital conference room. However, if you have control over what classroom you use, and what’s in it, here are some simple steps you can take to create a welcoming environment.

Location Options

Having your own Dedicated Classroom: Although as an instructor, I would love having my own dedicated space that was the perfect classroom that met all the needs I describe below, and was optimized for my classes. However, it’s very hard for most childbirth educators to bring in enough money by teaching classes on weeknights and weekends to pay for leasing a space 24/7. It’s a big financial risk to take, and really cuts into your potential profits, so you may want to explore other options.

Some educators have had success opening a retail business that supports a classroom in a back room. But, many have failed at this, since the skills needed to be a good educator are not really the same skills necessary to being a successful retailer.

Sharing with like-minded businesses: You may be able to pair up with other groups or individuals that have compatible needs and complementary schedules. For example, the same space could host early morning and lunch time yoga classes, morning toddler groups, afternoon groups for parents and newborns, and evening childbirth preparation classes. Usually the way this plays out is that one person officially holds the lease and then makes agreements with individuals who use the space. Although this can be quite successful, it’s very important to have very clear agreements in place about things like cleaning up, vacating the space with enough time for the next group to set up, storage, use of other groups’ supplies, and so on. It’s also important to be very clear about financial responsibilities and liabilities. It would be quite easy for everyone to go in with good intentions, but then for some of the partners businesses to fail, or for health challenges to arise or whatever that leaves a small number of groups trying to pay for a space that was originally supposed to be shared by several partners.

Borrowing space at a clinic, hospital, store, school, gym, church, or yoga studio: You may be able to find a local business that does not typically host classes or public meetings, but is willing to host your classes. The advantage can be that the classroom is free. If the business serves pregnant clients, they can be a referral source and students may learn about your class simply because you’re in a place where they were already going. The disadvantage is that it’s often not an ideal space.

Sometimes you get lucky and they have a classroom space or large meeting room, that perfectly meets your needs (and if you’re really lucky they have storage space where you can keep your supplies between classes). But sometimes you end up in the staff lunch room, or the waiting room of a pediatric clinic (students who arrive early get the grown-up size chairs!), or even in the rocking chair display area of a retail store during business hours. (It was comfortable for my students who rocked their way through the class, but a little tricky for me when I had my flip chart set up in front of some bedding retail items, and customers would come up needing to pick out a crib sheet from those racks!)

Using a public meeting room: Your local library, community center, or mall may have a meeting room. They may loan it out for free (though they often then limit access to only non-profit groups or programs that are open to the public) or may charge an hourly rental fee. If it’s free, there can be a lot of competition for the space, so you may need to schedule way in advance or may need to be flexible about your schedule (instead of having a class that’s 7 Wednesdays in a row, it might be three Wednesdays followed by 4 Tuesdays). If it’s an hourly fee, that can start adding up and seeming expensive, but it’s certainly a lot cheaper than having your own dedicated space 24/7. The advantage is that it’s often a very functional classroom space with good furnishings, a white board, and some AV equipment. The downside is that it’s not your space and it’s not anyone’s space… at a psychological level, this anonymous space may make it harder for students to connect to each other and to you.

Using your home: Many childbirth educators over the years (especially Bradley instructors) have taught in their living rooms. The advantage is that it’s free and you can store all your stuff there. And, if the dynamics work right, it can feel cozy and welcoming and may help your students really connect to you and each other. The disadvantage is you’ll have to keep class sizes small, or really pack people into a space; your family will always have to work around classes (keeping the house cleaner than you otherwise might, keeping quiet on class nights, and so on); and some parents do not feel comfortable coming into a private house – they may just never register for your classes, or they might be brave enough to come one session, but then drop out.


If at all possible, pick a centrally located classroom that is easy for people to find in a nice, safe neighborhood, with plenty of free parking.

It may cost more than a classroom on the outskirts of town, or one in a dodgy neighborhood, or one in a neighborhood with poor parking. But it’s worth it. You’ll have more students register if you’re in a nice, accessible part of town. Your students will be happier on the first night of class (and more likely to return for the other nights and more likely to recommend your classes to friends) if you were able to give clear easy directions, and if they were able to park nearby with ease.

Classroom Size and Shape

My favorite classroom is a square room, somewhere between 25×25 feet to 30×30 feet. It’s big enough to fit 12-14 couples, but small enough to not feel awkward with 5 couples. The fact that it’s square gives me the most options for room arrangement.

I have taught in long skinny rooms with big conference tables running down the middle where I feel like I’m having to shout to the people at the end and there’s no room to practice comfort techniques. I have taught in rooms that would comfortably fit 5 or 6 couples but we shove all the tables against the wall and cram in 8 couples. I’ve taught in rooms with columns smack dab in the middle where you have to figure out how to arrange the chairs so everyone has a chance of seeing the front of the room. You can make anything work. But when you’re first looking for a room keep the ideal in mind, and know what you’re giving up if you get something different.


Good, clean bathrooms  are essential! Ideally, multiple bathrooms or multiple stalls so students don’t have to spend their break time waiting in line for the bathroom. Having a sink where you can fill a water pitcher is nice and having access to a refrigerator for ice and for cold water is even better. Having non-fluorescent lights that you can dim for videos and for exercise classes is helpful. (Never turn off lights all the way – some adults are scared of the dark…) For flooring, I personally like hardwood that is easier to keep clean than carpet, but then it’s nice if you have yoga mats or exercise mats to lay down on the floor for comfort during comfort technique practice. Other nice options: windows for natural light, some place nearby students can go on break to grab a cup of coffee or a snack, white board, TV with DVD player, and/or projector and screen, lockable storage where you can keep your supplies between classes.

Ideally, you want the ability to control the temperature. We all learn best when we’re comfortable, not when we’re too hot or too cold.


Ideally, I would want 25 – 30 stacking chairs, a small table for the front of the room for me to set my teaching supplies on, a bigger table or two for the back of the room for attendance sheets, nametags, handouts and for snacks. If you have control over the chairs, it’s worth putting a lot of time and effort into finding good ones. Women in late pregnancy are rarely comfortable, especially when asked to sit for long periods of time, but a good chair makes it much better than a bad chair. Avoid chairs designed for short term seating like wedding receptions or waiting rooms, avoid dining room chairs, which are often best for small-bottomed people and usually don’t stack. Look for “church chairs.” They’re designed to be comfortable for long periods of time, but still fairly easy to move around (although ours are a bit heavier than would be ideal). Make sure the chairs are stackable. If you’ve got a small class, you don’t want to have a ton of empty chairs all set up… that makes it look like these are lame classes nobody signs up for. If you’ve got 5 couples, leave out about 12 chairs and stack the rest tidily in the corner!For your tables, light weight folding tables are good. It’s also nice to have a few birth balls and/or “back jack chairs” so people have some options for comfortable seating.

I personally am not a fan of couches for seating because most pregnant women have a hard time getting up out of a couch. Some classrooms offer only yoga mats and birth balls for seating. That may surprise your students when they arrive, if that is not what they expected to find at a “class.” It can also be awkward for pregnant mamas to get down to the ground and get back up again.

Room Arrangement

Room arrangement makes a huge difference in group dynamics. ‘ll do a full post on this tomorrow.


In tomorrow’s post, I’ll address what you may need to do in a space you don’t control. If you control the space, you have more options. On one hand, you want to create a space that is welcoming and relaxing, and perhaps helps to empower people about their birth, or has images of parents and babies that help your students start visualizing themselves in their new role. On the other hand, keep in mind the comfort of your students. For example, many birth educators are comfortable with nudity, or exposed breasts in a nursing mama. Some of your students may not be. You might find candles, sage, and primal art appealing. But on the first night of your class, those might turn off some of your students who will think you’re too woo-woo / new agey / granola for them. (Once you’ve established your credibility, they’ll be willing to go that way with you, but it may be too much for week one.)

photo credit: EMSL via photopin cc

Group Process: Steps to take before class begins

I’m starting a multi-week series called “Group Process in Childbirth Education: Building and Supporting a Community of Learners.” Check back each Monday for a new post.

Why does group process matter?

  • Students want to connect! One reason parents choose to take in-person birth classes is the chance to meet and talk to other expectant families.
  • When students connect to the instructors and other students, they feel like they belong, which helps them feel safe. They will be more willing to participate by asking questions and joining in discussions. They will also be more willing to practice exercises in class, which makes it more likely they’ll practice at home, which makes it more likely they’ll use the techniques in labor.
  • When students connect, they have more fun. We learn best when we feel safe and happy, so your teaching will have more impact.
  • As an instructor, you’ll have more fun and your work will be easier if you’ve got good group dynamics.

Setting the Stage

Building an effective group where everyone feels welcomed, safe, and connected starts before the first class begins. Here are some things which will help get you off to a good start.

Group Size: Different educators have different opinions about the ideal class size for a childbirth preparation class, but most say that the best group is somewhere between 5 and 13 couples.

Small groups (3 – 6 couples) can sometimes work well, if you have a few very personable students who are good at pulling everyone else into a relaxed conversation. In effective small groups, there is a lot of opportunity for discussion and getting all the questions answered. Sometimes you’ll have a magical small group where the students really bond.

However, if you have a small group of introverts, everything can fall flat. If anyone misses a single session of class, the energy drops and more students start missing each week. Also, the smaller the group, the greater the pressure on individual group members to conform to a particular way of thinking or acting. There may be less individual freedom of opinion. Diverse students may not feel like they belong.

Larger groups (10 – 13 couples) can work well. There’s naturally a higher energy in the room, and a greater diversity of experiences, concerns, and questions. Every student can find someone else “like them” in the class. It can also make it feel like childbirth classes “must be important if so many people sign up for them!”

In larger groups, it may help to sometimes split them up for small group activities or discussions. You may also choose to have some activities where you go around the circle and ask every student to answer a question so that everyone’s voice has a chance to be heard.

Large groups (14 or more couples): Many instructors find 13 couples is a tipping point. At that level, they can still make a personal connection with students. But once it’s over 14 couples, you may as well have 20, because it just feels like a large lecture class, not a community. Very large groups tend to produce lower member satisfaction due to the lessened individual opportunity to speak or receive attention from the group leader.

Connect with students before class

If you handle your own marketing and registration, you’ll have lots of opportunity to connect before a class. But even if you just get a roster and email addresses a couple days before a class, it’s very helpful to send a friendly email. Welcome them to class and give a basic overview of what to expect (if the class is more than two hours long, tell them about the food situation). Optionally, you could include some fun, approachable info about a class topic (e.g. a link to an engaging video that is five minutes or less…) Be sure to say “contact me if you have any questions” and include a link to directions. Speaking of directions…

Make sure students know how to get to your classroom!

Be sure that they are receiving clear simple-to-follow directions. Test them yourself, or even better, have someone who has never been there and who has a horrible sense of direction test them! Also, if it’s tricky, tell them where they’ll park.

These days, many people trust their phone to give them directions anywhere, so they just type in the address, or the name of the building and follow that. If it’s not obvious how to find your classroom from the front door of the building, make sure you warn them of that in your communications. (For example: “you need to drive around the back of the church and go in the door next to the playground. All other doors will be locked when you arrive.”)

Also, on the first day of class, put up signs at the building, pointing them in the right direction.

Getting lost on the way to class and the stress of that makes it really hard for your students to feel comfortable and ready to learn when they do get there. Make it a smooth process for them!

Check back next week for thoughts about setting up the room to enhance group process.