Abstract:

As a result of births in the hospital instead of home, antenatal training programs have been developed in order to prepare women for birth. The result of pregnancy training and its impact on the process of birth is not yet clear. The aim of the presented study is to evaluate whether antenatal education affects maternal and perinatal results in nullipar women. In the retrospective case control study, the medical records of 513 low-risk nullipar women who were born in a third stage center between January 2010 and December 2016 were examined. In the 85 women’s working groups, which received an antenatal education, 428 women’s control groups were included, which did not participate in the training program. The demographic and clinical characteristics of the groups and maternal and perinatal results were compared. Results: The average age (26.0 ± 4.4 vs. 23.5 ± 4.4; p <0.001) was higher (5.9% vs. 0%; p<0.001) compared to the control group of women who received an anti-natal education; the birth rate was lower (11.8% and 25.5%, p 0.006) compared to the average age (26.0 ± 4.4 vs. 23.5 ± 4.4; p <0.001) compared to the control group of women who received an anti-natal education. Caesar indications of the groups, the duration of the birth stages, the epizotomy rates in women who have vaginal births, the postpartum complications rates and perinatal results were similar. The result: Antenatal training was found associated with low Caesar birth rates. The effect of antenatal training on other maternal and perinatal results is not identified. Keywords: Antenatal education; Cezaryen sexyo; Vaginal birth; Nulliparite; Maternal result; Perinatal result ABSTRACT Aim: As a result of births in hospital instead of homes, antenatal education programs have been developed with the aim of preparing women for birth. The effect of antenatal education on pregnancy outcomes and birth process has not yet been fully clarified. The aim of the presented study was to evaluate whether antenatal education affects the maternal and perinatal outcomes in nulliparous women. Material and Methods: In this retrospective case-control study, medical records of 513 low-risk nulliparous women who gave birth between January 2010 and December 2016 at a tertiary care center were reviewed. 85 women with antenatal education were included in the case group and 428 women who did not participate in the education program were included in the control group. The demographic, clinical characteristics, maternal and perinatal outcomes of groups were compared. Results: Mean age of women (26.0±4.4 vs. 23.5±4.4; p<0.001), history of abortion rate (5.9% vs. 0%; p<0.001) were higher and caesarean section rate (11.8% vs. 25.5%, p 0.006) was lower in women with antenatal education than in the control group. Caesarean indications, length of labour stages, episiotomy rates of women with vaginal delivery, postpartum complication rates, and perinatal outcomes of groups were similar. Conclusion: Antenatal education was associated with lower Caesarean birth rates. There was no effect of antenatal education on the other maternal and perinatal outcomes. Keywords: Antenatal education; Caesarean section; Vaginal birth; nulliparity; Maternal outcome; Perinatal outcome