Özet:

INTRODUCTION: Childbirth education classes support women to achieve a pleasing pregnancy and delivery. We aimed to determine the effects of CEC on obstetric outcomes in women who underwent labor induction with dinoprostone in an underdeveloped region of our country in this study. METHODS: Prospective study was conducted in Tunceli State Hospital, Department of Obstetrics and Gynecology, between August 2019 and March 2020. Age between 18-40, singleton pregnancy, no presence of chronic disease, and no history of cesarean section was included. CEC was provided by midwives who had certified. It started in the first trimester of pregnancy and continued until the last weeks of pregnancy. All participants received a total of 12 lessons. RESULTS: 171 patients recruited, including 82 (48%) of cases continued CEC, and 89 (52%) patients had no admission to CEC (controls). 69.5% of patients delivered vaginally, and we performed a cesarean section in 30.5% of cases in control groups. 83.1% of cases achieved vaginal delivery, and 16.9% underwent cesarean section in the CEC group. The vaginal birth rate was significantly higher in the CEC group than controls (p: 0.03). Neonatal outcomes were similar between the two groups. DISCUSSION AND CONCLUSION: CEC is an inexpensive option to promote maternal and neonatal health. It can be a useful tool to reduce cesarean birth rates and should be used widely all over the country.

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