Does preparation for childbirth training reduce the cesarean rate?

Yıldız Arzu Aba, Faculty of Healty Sciences, Bandırma Onyedi Eylul Unıversity, Balıkesir,Turkey
Şirin Özkan, Faculty of Healty Sciences , Kocaeli Research and Education Hospital, Kocaeli,Turkey
Hacer Ataman, Faculty of Healty Sciences, İstanbul Medeniyet University, İstanbul, 34000,Turkey
Bulat Aytek Şık, Department of Obstetrics and Gynecology, İstanbul Aydın University, İstanbul, 34000,Turkey
Serkan Kumbasar, Department of Obstetrics and Gynecology, Sakarya Unıversity Research and Education Hospital, Sakarya,54000,Turkey
Murat Bozkurt, Department of Obstetrics and Gynecology, Sakarya Unıversity Research and Education Hospital, Sakarya, Turkey
Eray Çalışkan, Department in Obstetrics and Gynecology, Bahçeşehir University, Istanbul, Turkey


Purpose: This study was conducted as experimental and prospective to determine the effect of birth preparation training on the birth route preparations of pregnant individuals.

Methods:The study was conducted in three state hospitals which operate under Kocaeli State Hospitals Community. The study group included 110 pregnant individuals who attended the hospitals’ birth preparation training classes between 1 January – 30 June 2015 and the control group included 90 pregnant individuals from Kocaeli Maternity Hospital. The chi-squared test was used to measure the differences between groups in classified variables, and the t-test was used for parametric variables. P

A survey form was used to identify individual demographic information, obstetric stories, and preferred birth route in order to collect relevant data.

Findings:The survey reveals that 67% of the pregnant individuals prefer vaginal birth while 33% prefer cesarean birth. In choosing the birth route, 60% of the pregnant individuals make their own decisions, while 28.2% make the decision together with their partner, and 11.8% report the decision being made by their doctor. It is observed that—after attending the birth training—all of the individuals preferred vaginal birth. For the pregnant individuals, their birth route choices before and after the birth preparation training had been observed as highly statistically significant ( p

Conclusions and Suggestions: In this study, for the individuals who participate in birth preparation training, the choice of the birth route is found to be affected by age, literacy, and former birth route experienced. However, no significant evidence was found regarding reducing the choice of cesarean. A pregnant individual’s birth route choice will be more healthy as she becomes qualified for, and receives sufficient treatment between the preconception stage to after birth, alternative birth routes, and consultancy for overcoming birth pain and relaxation methods.