Delivery In Women Research Articles

Automated Insulin Delivery in Women With Pregnancy Complicated by Type 1 Diabetes

(N Engl J Med. 2023;389:1566–1578) Type 1 diabetes often causes significant complications both during pregnancy and immediately after delivery for both mother and infant. This makes glycemic control during pregnancy for these women of utmost importance for their health and that of their baby. Several therapies have been introduced for pregnancies complicated by type 1 diabetes, and one that is relatively new is hybrid closed loop therapy; because of its recent development, the efficacy of this treatment is still unclear. This study was designed to test if the initiation of hybrid closed loop therapy before 16 weeks of gestation would improve glucose levels during pregnancy. The primary outcome for this study was the percentage of time that glucose levels were within the pregnancy-specific target range of 63 to 140 mg per deciliter.

Planned Induction of Labour Versus Planned Caesarean Delivery in Women with Severe Pre-eclampsia at Term—a Randomized Controlled Trial

Planned Induction of Labour Versus Planned Caesarean Delivery in Women with Severe Pre-eclampsia at Term—a Randomized Controlled Trial

Automated Insulin Delivery in Women With Pregnancy Complicated by Type 1 Diabetes

(Abstracted from N Engl J Med 2023;389:1566–1578 Hyperglycemia during pregnancy is an important risk factor for complications, such as preterm birth, large birth weight, and admission to the intensive care unit. Those at highest risk already have glycated hemoglobin above target levels at the start of pregnancy.

The perinatal health secondary to pandemic: association between women's delivery concerns and infant's behavioral problems.

COVID-19 pandemic characterised a unique and vulnerable social, emotional, and health environment for pregnancy, with potential long-lasting risks to maternal and child health outcomes. In women who were pregnant at the peak of COVID-19 pandemic, we investigated the association between pandemic-related concerns about pregnancy and delivery and both the parent's (i.e. maternal parenting stress) and the infant's (i.e. emotional-behavioral problems) outcomes 12 months after birth. A sample of 352 Italian pregnant women completed a web-based survey from 8 April to 4 May 2020 and a follow-up at 12 months after delivery. Maternal assessment in pregnancy covered prenatal measures for: pandemic-related concerns about pregnancy and childbirth, COVID-19 stressful events exposure, pandemic psychological stress, and mental-health symptoms (i.e. depression, anxiety). The 12 months' assessment covered post-partum measures of social support, parenting stress and maternal reports of infants' behavioral problems. The results of the Quasi-Poisson regression models on the association between COVID-19 related influencing factors and parenting stress and infant's behavioral problems showed that the presence of higher pandemic-related concerns about pregnancy and childbirth scores was associated with greater total and internalising behavioral problems but not with parenting stress levels. Perinatal mother-infant health has been sensitively threatened by pandemic consequences with maternal concerns about childbirth in pregnancy being associated with 12 months' children's behavioral outcomes. There is a need to invest in psychological support for perinatal women throughout the transition to parenthood to protect risk conditions before they get chronic or severe and influence offspring development.

Preference of cesarean delivery and its associated factors among pregnant women attending ante natal care at public health facilities of Debrebrehan City, Ethiopia: Cross-sectional study.

A Caesarean section is a surgical procedure used to prevent or treat life-threatening maternal or fetal complications. Women's delivery preferences have become a global issue of interest to many researchers and clinicians, especially given the ever-increasing rate of cesarean sections. There is limited data on the preference for cesarean delivery and its associated factors for Ethiopian women, particularly in the study area. The aim of the study is to assess the preference for cesarean delivery and its associated factors among pregnant women attending antenatal care at public health facilities in Debre Berhan, Ethiopia, in 2023. An institution-based cross-sectional study design was done from May 5-20, 2023, among 512 participants, and a multi-stage sampling technique was used. The data were collected by using interviewer-administered semi-structured questionnaires. The data were entered by Epi Data version 4.6 and then transferred to SPSS version 25 for analysis. With logistic regression, those variables with a p-value <0.25 in the bivariate analysis were candidates for multivariate logistic regression, and variables with a p-value <0.05 were considered statistically significant. The preference for a cesarean section was 26%, with a CI of 22.3% to 29.9%. Pregnant mothers who were not satisfied with their previous intrapartum care (AOR; 6.3 CI = (3.5-11), P = 0.01), had no knowledge about cesarean delivery (AOR; 2.9; 95% CI = 1.6-5.3), P = 0.01), had a previous history of spontaneous abortion (AOR; 3.1; 95% CI = (1.5-6.3), P = 0.001), lived in an urban area (AOR; 1.9; 95% CI = (1.0-3.5), P = 0.038), and had a current pregnancy-related problem (AOR; 4.8; 95% CI = 1.9-10), P = 0.001) were significantly associated with the preference for cesarean delivery. In this study, the preference for cesarean delivery was high as compared to the World Health Organization recommendation. Pregnant mothers who were not satisfied with their previous intrapartum care, had no knowledge about cesarean delivery, had a previous history of spontaneous abortion, had an urban residence, and had a current pregnancy-related problem were significantly associated with a preference for caesarean delivery. Clinicians who are working in the delivery room should improve their service provision by using patient-centered care to increase patient satisfaction.

Maternal Fetal Prognosis: Pregnancy and Delivery in Women of 40 Years Old and Over in a Second Reference Hospital in Bamako

Maternal Fetal Prognosis: Pregnancy and Delivery in Women of 40 Years Old and Over in a Second Reference Hospital in Bamako

Successive Term Delivery in Women with Stable Human Immunodeficiency Virus Infection: A Case Report

Successive Term Delivery in Women with Stable Human Immunodeficiency Virus Infection: A Case Report

The The Relationship Level Of Anxiety Of Women In Delivery With The Type Of Delivery In The Delivery Ward At Sanjiwani General Hospital, Gianyar

Latar Belakang: Persalinan merupakan peristiwa yang seringkali menimbulkan kecemasan tinggi pada ibu. Kecemasan yang dialami oleh ibu dapat menghambat proses persalinan dengan adanya berbagai macam komplikasi yang menyertai. Hal tersebut dapat meningkatkan prevalensi persalinan dengan section caesarea. Tujuan Penelitian: mengetahui hubungan antara tingkat kecemasan ibu bersalin dengan jenis persalinan kala II. Penelitian ini merupakan penelitian longitudinal dengan pendekatan prospektif. Pengumpulan data dilaksanakan pada bulan Maret 2023 meliputi data primer dan data sekunder. Metodologi: Pengambilan sampel menggunakan teknik non probability sampling dengan metode purposive sampling. Sampel dalam penelitian ini sebanyak 22 responden. Hasil: Sebanyak 36,4% ibu mengalami kecemasan dengan tingkat sedang serta 27,3% ibu memiliki riwayat persalinan dengan tindakan section caesarea. Berdasarkan hasil dari analisis fisher’s exact test diperoleh yakni sebanyak 56,3% ibu dengan jenis persalinan normal mengalami tingkat kecemasan ringan. Sedangkan untuk ibu bersalin dengan tindakan section caesarea diperoleh yakni 100% mengalami kecemasan tingkat sedang. Kesimpulan: Terdapat hubungan antara tingkat kecemasan dengan jenis persalinan pada ibu yakni p value &lt;0,05. Diharapkan adanya upaya yang signifikan dari pihak RSUD Sanjiwani untuk melakukan program terkait pelayanan asuhan sayang ibu sehingga mengurangi tingkat kecemasan pada ibu sehingga menekan angka persalinan dengan tindakan.

Fetal Overgrowth and Preterm Delivery in Women With Type 1 Diabetes Using Insulin Pumps or Multiple Daily Injections: A Post Hoc Analysis of the EVOLVE Study Cohort.

To compare the risk of fetal overgrowth and preterm delivery in pregnant women with type 1 diabetes (T1D) treated with insulin pumps versus multiple daily injections (MDI) and examine whether possible differences were mediated through improved glycemic control or gestational weight gain during pregnancy. The risk of pregnancy and perinatal outcomes were evaluated in a cohort of 2,003 pregnant women with T1D enrolled from 17 countries in a real-world setting during 2013-2018. In total, 723 women were treated with pumps and 1,280 with MDI. At inclusion (median gestational weeks 8.6 [interquartile range 7-10]), pump users had lower mean HbA1c (mean ± SD 50.6 ± 9.8 mmol/mol [6.8 ± 0.9%] vs. 53.6 ± 13.8 mmol/mol [7.1 ± 1.3%], P < 0.001), longer diabetes duration (18.4 ± 7.8 vs. 14.4 ± 8.2 years, P < 0.001), and higher prevalence of retinopathy (35.3% vs. 24.4%, P < 0.001). Proportions of large for gestational age (LGA) offspring and preterm delivery were 59.0% vs. 52.2% (adjusted odds ratio [OR] 1.36 [95% CI 1.09; 1.70], P = 0.007) and 39.6% vs. 32.1% (adjusted OR 1.46 (95% CI 1.17; 1.82), P < 0.001), respectively. The results did not change after adjustment for HbA1c or gestational weight gain. Insulin pump treatment in pregnant women with T1D, prior to the widespread use of continuous glucose monitoring or automated insulin delivery, was associated with a higher risk of LGA offspring and preterm delivery compared with MDI in crude and adjusted analyses. This association did not appear to be mediated by differences in glycemic control as represented by HbA1c or by gestational weight gain.

Automated Insulin Delivery in Women with Pregnancy Complicated by Type 1 Diabetes

BackgroundHybrid closed-loop insulin therapy has shown promise for management of type 1 diabetes during pregnancy; however, its efficacy is unclear.MethodsIn this multicenter, controlled trial, we randomly assigned pregnant women with type 1 diabetes and a glycated hemoglobin level of at least 6.5% at nine sites in the United Kingdom to receive standard insulin therapy or hybrid closed-loop therapy, with both groups using continuous glucose monitoring. The primary outcome was the percentage of time in the pregnancy-specific target glucose range (63 to 140 mg per deciliter [3.5 to 7.8 mmol per liter]) as measured by continuous glucose monitoring from 16 weeks’ gestation until delivery. Analyses were performed according to the intention-to-treat principle. Key secondary outcomes were the percentage of time spent in a hyperglycemic state (glucose level >140 mg per deciliter), overnight time in the target range, the glycated hemoglobin level, and safety events.ResultsA total of 124 participants with a mean (±SD) age of 31.1±5.3 years and a mean baseline glycated hemoglobin level of 7.7±1.2% underwent randomization. The mean percentage of time that the maternal glucose level was in the target range was 68.2±10.5% in the closed-loop group and 55.6±12.5% in the standard-care group (mean adjusted difference, 10.5 percentage points; 95% confidence interval [CI], 7.0 to 14.0; P<0.001). Results for the secondary outcomes were consistent with those of the primary outcome; participants in the closed-loop group spent less time in a hyperglycemic state than those in the standard-care group (difference, −10.2 percentage points; 95% CI, −13.8 to −6.6); had more overnight time in the target range (difference, 12.3 percentage points; 95% CI, 8.3 to 16.2), and had lower glycated hemoglobin levels (difference, −0.31 percentage points; 95% CI, −0.50 to −0.12). Little time was spent in a hypoglycemic state. No unanticipated safety problems associated with the use of closed-loop therapy during pregnancy occurred (6 instances of severe hypoglycemia, vs. 5 in the standard-care group; 1 instance of diabetic ketoacidosis in each group; and 12 device-related adverse events in the closed-loop group, 7 related to closed-loop therapy).ConclusionsHybrid closed-loop therapy significantly improved maternal glycemic control during pregnancy complicated by type 1 diabetes. (Funded by the Efficacy and Mechanism Evaluation Program; AiDAPT ISRCTN Registry number, ISRCTN56898625.)

Determinants of Institutional Delivery in Bangladesh: A Multilevel Analysis of a Nationwide Population-Based Survey

Background: A substantial number of mothers and infants lose their lives due to complications during childbirth. Institutional delivery can lower the number of fatalities. This study aims to explore the prevalence of institutional delivery and its multifaceted associated factors in Bangladesh.&#x0D; Methods: The data were extracted from Bangladesh Demographic and Health Survey (BDHS), conducted during the period of 2017-18. Following data preprocessing, a total of 4974 women were included in this study. This study attempts to identify and assess the variables (at the individual and community levels) having the significant impact on the institutional delivery by using a multilevel binary logistic regression model.&#x0D; Results: Approximately half of the Bangladeshi women's deliveries were done at the medical center. The study found that women aged 20 or older had a 1.53 times greater likelihood of using healthcare facilities during childbirth (OR 1.53, [1.31-1.78]) than those under 20. Women with higher levels of education were more than twice as likely to choose institutional delivery as those with no education, and the women whose husbands had higher education had the same likelihood. The likelihood of using an institutional delivery service was also boosted by women's higher socioeconomic status. Women with exposure to any form of media had a 36% (OR 1.36, [1.16-1.60] higher likelihood of accessing healthcare facilities during childbirth. Rural women had a 20% lower likelihood of receiving institutional delivery. The utilization of institutional delivery was positively correlated with religion, geographical region, child ever born, and antenatal care visits (ANC). This study discovered significant variations at the community level.&#x0D; Conclusion: In order to increase the prevalence of institutional delivery in Bangladesh, the study findings suggest that policymakers should focus on addressing socioeconomic and demographic factors, particularly on women's education, husbands' education, age at first delivery and frequency of ANC visits.

Impact on Neonatal Outcomes with Late Preterm and Early Term Delivery in Women with Diabetes.

Late preterm and early term deliveries are common in pregnancies complicated by diabetes due to higher rates of obstetric complications including increased stillbirth risk. However, early delivery is associated with multiple neonatal adverse outcomes, which may be further increased by maternal diabetes. We examined whether there is an additive effect on adverse neonatal outcomes in the setting of maternal diabetes in the late preterm and early term periods. This was a retrospective cohort study of women with a singleton, nonanomalous pregnancy delivering at a single academic medical center in the late preterm (340/7-366/7 weeks) or early term (370/7-386/7 weeks) period between 2010 and 2019. Women were categorized by diabetes status: no diabetes, type 1 (T1DM), type 2 (T2DM), or gestational diabetes (GDM). Multivariate logistic regression was used to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for risk of both mild and severe composite neonatal outcome with delivery in the late preterm or early term period using pregnancies without diabetes as the referent. A total of 8,072 pregnancies were included with T1DM, T2DM, and GDM complicating 1.8, 5.6, and 9.9% of pregnancies, respectively. Expected demographic differences were seen among groups including higher rates of non-Hispanic Black race, chronic hypertension, and higher body mass index in women with T2DM. The probability of severe composite adverse neonatal outcome was significantly increased in women with T1DM in the late preterm (aOR: 4.4; CI: 2.4-8.1) and early term (aOR: 1.6; CI: 1.1-2.3) periods, largely driven by the need for mechanical ventilation. The mild composite outcome was increased among all women with diabetes with early term delivery but highest in women with T1DM. Pregnancies complicated by diabetes, particularly T1DM, have higher rates of neonatal adverse outcomes independent of gestational age at delivery, which is an important consideration when late preterm or early term delivery is planned. · Diabetes in pregnancy increases risk of early delivery.. · Adverse neonatal outcomes are higher with diabetes, especially T1DM.. · Adverse neonatal outcomes are independent of gestational age..

Behavioral Economics in the Delivery of Women’s Health: Next Horizons for Improvements in Practice

Behavioral Economics in the Delivery of Women’s Health: Next Horizons for Improvements in Practice

Factors Related to the Utilization of Birth Waiting House by Delivery Women in the Working Area of Puskesmas Treatment, Padang City

Birth Waiting Home (RTK) is a government program that aims to reduce maternal mortality. But in reality, there are still many people who do not take advantage of this facility. The purpose of this study was to analyze the factors related to the use of maternity waiting homes (RTK) by mothers in the city of Padang. This research is explanatory survey research conducted in four treatment centers in the city of Padang. The research sample was 185 mothers who gave birth in January-July 2022 at four Padang City Health Centers. Data collection tool using a questionnaire. The data analysis method used is chi-square at the 95% level of confidence. The results of the study show that none of the respondents used RTK. Knowledge, attitude, parity, mileage, and health insurance are not related to the use of maternity waiting homes (RTK). It is recommended to the Padang City Health Office to carry out routine supervision of the implementation of work programs related to maternal and child health, especially the use of birth waiting for homes (RTK) in all health centers in Padang City.

Comparative Study of Abnormal Uterine Bleeding with History of Cesarean Section and Vaginal Delivery in Women Referring to Gynecology Clinic of Ali-Ebn-Abitaleb Hospital in Zahedan

Background: The aim of this study was to compare the abnormal uterine bleeding with a history of cesarean section and normal delivery in women referred to the gynecology and obstetrics clinic of Ali Ibn Abitaleb Hospital in Zahedan, Iran in 2020-21.&#x0D; Methods: Patients were divided into two groups of 100 patients. For each patient, information including demographic characteristics and evaluation of the causes of abnormal uterine bleeding in patients based on paraclinical procedures, BMI calculation, vaginitis and Pelvic inflammatory disorder (PID) were obtained.&#x0D; Results: The mean age of patients in the normal delivery group was 30.14 ± 6.26 years and in the cesarean section patients was 29.13 ± 6.70 years. There was no statistically significant difference between the two groups in terms of age. There was a statistically significant difference between the two groups in terms of type between menorrhagia (p value = 0.047) and in comparison between the two groups in terms of bleeding causes, anatomical cause (p value = 0.02) and neoplasia (p value = 0.04).&#x0D; Conclusion: The present findings showed that the incidence of menorrhagia was higher in cesarean delivery and the incidence of abnormal uterine bleeding (AUB) in cesarean delivery may occur after delivery with a shorter time interval than the delivery time. The most important cause of abnormal bleeding in both groups was infection, but with regards to anatomical causes, the most important cause was fibroids in both groups.

Factors Associated with the Place of Delivery among Urban Poor Societies in Indonesia.

Pregnant women in urban poor societies are vulnerable groups. Due to low financial capacity, there are obstacles to accessing delivery in an institution for poor women in urban areas. The study analyses factors associated with the delivery place among pregnant women in urban poor society in Indonesia. The study analyzed secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). A total of 1,562 samples were childbearing-age women (15-49 years) who gave birth in an urban poor society in Indonesia in the last 5 years. The study examined some variables, such as delivery place, age, education, employment, marital status, parity, insurance, knowledge of pregnancy danger, antenatal care (ANC), the autonomy of health, and family finance autonomy. The study employed binary logistic regression in the final stage. The results show that age is associated with the place of delivery. The higher the education, the higher the possibility for delivery in an institution. Being employed and having partners are protective factors for women in institution delivery. The likelihood of giving birth in a medical facility decreases as more children are born alive. In addition, having health insurance, thorough ANC visits, knowledge of pregnancy danger symptoms, and health autonomy are protective factors for pregnant women having deliveries in medical facilities. On the contrary, pregnant women who rely solely on family financing have a higher chance of delivering in a medical facility. The study concluded that 10 variables were associated with pregnant women's delivery in Indonesia's urban poor society: age, education, employment, marital, parity, insurance, pregnancy danger knowledge, ANC, health autonomy, and family finance autonomy.

The risk of developing type 2 diabetes after gestational diabetes: A registry study from Finland

AimsWomen with a history of gestational diabetes (GDM) have an increased risk of developing type 2 diabetes (T2DM). We studied the risk for T2DM in women with and without GDM in relation to body mass index (BMI) and examined whether insulin treatment for GDM associates with the risk of developing T2DM. In addition, we investigated whether the risk of developing T2DM after GDM had changed in 15 years. MethodsWe used data by linking four registers; Medical Birth Register, Hospital Discharge Register and Primary Care Register run by THL Finnish Institute for Health and Welfare, and Medical Reimbursement Statistics run by the Social Insurance Institution of Finland (Kela). Registry data were collected from 2005 to 2020. The follow-up started from woman's delivery in 2006-2020 and ended to the diagnosis of T2DM or December 2020. Cox proportional hazard modelling was used to estimate the effect of GDM exposure to T2DM. To assess whether the risk of developing T2DM after GDM had changed in 15 years, we compared the HR between years 2006-2008 and 2018-2020. ResultsIn total, 462 401 women were included in the study: 96 353 (21%) women had previous GDM. There were 5370 (1.2%) women who developed T2DM after childbirth during the follow-up. Among women with prior GDM, 3995 (4.1%) developed T2DM, while 1375 (0.4%) women without prior GDM developed T2DM during follow-up. The mean follow-up was 6.86 years (SD 4.21) for women with GDM and 9.07 years (SD 4.35) for women without GDM. The hazard ratio (HR) for developing T2DM after GDM was 18.49 (95% CI 17.39-19.67). The incidence of T2DM in women with a history of GDM began to rise almost steadily from the first year of follow-up. As BMI increased, T2DM incidence increased in both women with and without prior GDM but more in women with prior GDM. Insulin treatment had an independent association with increased risk of T2DM (HR 3.81, 95% CI 3.57-4.07). We did not observe any difference in HR between years 2006-2008 and 2018-2020. ConclusionsThe relative risk for T2DM was 11-fold for women with previous GDM compared to women without previous GDM. A higher BMI and insulin treatment increased the risk of future diabetes. All measures to prevent the conversion of GDM to T2DM should be taken especially among women with overweight or obesity.

Perinatal outcome and risk factors of precipitate labor in term primipara: an analysis of 381 cases.

To investigate the perinatal outcome and risk factors of precipitate labor in term primipara. A total of 6951 full-term singleton primiparas with cephalic vaginal delivery in Women's Hospital, Zhejiang University School of Medicine from January 2020 to December 2020 were enrolled, among whom 381 cases of precipitate labor were classified as the precipitate labor group and 762 cases of normal labor were randomly selected as the control group. The perinatal outcomes of the two groups were compared, and the risk factors of precipitate labor were analyzed by multivariate logistic regression. The incidence of precipitate labor in full-term, singleton pregnancy and cephalic primiparas was 5.48% (381/6951). The durations of the first and second stages of labor in the precipitate labor group were significantly shorter than that in the control group ( P<0.01); while there was no significant difference in the duration of the third stage of labor between the two groups ( P>0.05). Compared with the control group, the incidence of soft birth canal laceration in the precipitate labor group was increased ( P<0.01). However, there was no significant difference in postpartum hemorrhage and neonatal related perinatal outcomes between the two groups (all P>0.05). Multivariate logistic regression analysis showed that maternal height ( OR=1.038, 95% CI: 1.010-1.067, P<0.01), gestational age at delivery ( OR=0.716, 95% CI: 0.618-0.829, P<0.01), late miscarriage ( OR=1.986, 95% CI: 1.065-3.702, P<0.05), membrane rupture before labor ( OR=1.802, 95% CI: 1.350-2.406, P<0.01), labor induction by transcervical balloon ( OR=3.230, 95% CI: 2.027-5.147, P<0.01), labor induction by propess ( OR=2.332, 95% CI: 1.632-3.334, P<0.01) and labor induction by oxytocin ( OR=0.291, 95% CI: 0.219-0.386, P<0.01) were independently associated with precipitate labor. The incidence of precipitate labor in full-term, singleton pregnancy was not low. Precipitate labor could lead to a significant increase in perineal laceration. Maternal height, history of late miscarriage, membrane rupture before labor and labor induction by transcervical balloon, labor induction by propess are risk factors, while labor induction by oxytocin and late gestational time of delivery are protective factors for precipitate labor in term primipara.

Challenging Management for Pregnancy and Delivery in Women with Achondroplasia and Pesudoachondroplasia

Challenging Management for Pregnancy and Delivery in Women with Achondroplasia and Pesudoachondroplasia

The Effects of Birth Preparation Education on Women's Delivery Type and Views about Birth

Amaç: Bu çalışmanın amacı doğuma hazırlık eğitiminin kadınların doğum şekli ve doğuma ilişkin görüşlerine etkisinin incelenmesidir.Yöntem: Bu çalışma vaka-kontrol tasarımında, Mayıs 2019–Aralık 2020 tarihlerinde, bir devlet hastanesinde doğum öncesi bakım hizmeti almak üzere bulunan ve gelişigüzel örnekleme yöntemi ile belirlenen 100 (Eğitim: 50 ve Kontrol: 50) kadın ile yürütülmüştür. Veriler Tanıtıcı Bilgi ve Doğum şekli ve Görüş Belirleme Formları ile toplanmıştır. Veriler tanımlayıcı istatistikler ki-kare testi, t-testi, yüzdeler arası fark ve lojistik regresyon ile analiz edilmiştir.Bulgular: Çalışmada eğitim ve kontrol gruplarının istatistiksel olarak benzer şekilde vajinal doğum yaptıkları (%28.0 ve %46.0; χ²= 3.475; p= 0.062) ve isteğe bağlı sezaryen oldukları (%13.9 ve %33.3; χ²= 3.375; p= 0.066) bulunmuştur. Katkıda bulunan değişkenlerin etkisi sabit tutulduğunda, eğitim sınıflarına katılmanın vajinal doğumları 1.8 kat artırdığı (OR=1.833; %95 CI= 0.724-4.641), ancak bu sonucun istatistiksel olarak anlamlı olmadığı saptanmıştır. Eğitim grubunun daha fazla oranda (%12.0’ye karşı %0.0) psiko-sosyal destek alabildikleri ve bu farkın anlamlı olduğu belirlenmiştir (t= 2.53, p&amp;lt;0.05). Her iki gruptaki kadınlar benzer şekilde anne-bebek etkileşimi (%26.0), anne sütü ile besleme/emzirme başarısı (%46.0), fiziksel rahatlık (%18.0), rahat hareket edebilme/çabuk ayağa kalma (%16.0), kontraksiyonlar ile baş edebilme/doğumu yönetebilme (%18.0) ve bebek bakımını yapabilme (%4.0) konularında olumlu deneyime sahiptiler. Yine her iki gruptaki kadınlar benzer şekilde fiziksel rahatsızlık (%66.0), emzirme başarısızlığı/sorun yaşama (%20.0), korku/endişe (%6.0), doğumda kontrol kaybı (%4.0) ve acil sezaryen (%4.0) hakkında olumsuz deneyim bildirmişlerdir.Sonuç: Bu çalışmada doğuma hazırlık sınıfının doğum şeklini etkilemediği, psiko-sosyal destek alımını artırdığı ve fiziksel deneyimleri etkilemediği sonuçları elde edilmiştir.