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Reducing Turkey High Cesarean Section Rates

The Role Of Antenatal Education In Reducing Turkey High Cesarean Section Rates: A Randomized Controlled Trials

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07799545
Enrollment
120
Registered
2026-09-02
Start date
2025-12-01
Completion date
2026-05-01
Last updated
2026-09-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Birth, First, Birth Outcome, Adverse, Breast Feeding

Keywords

Antenatal education, Cesarean section, Normal delivery

Brief summary

Considering the increasing rates of cesarean delivery in Turkey, we aimed to research the impact of antenatal education on pregnancy, the childbirth process, the cesarean section rate, and the postpartum period through a randomized controlled study. METHOD: A total of 120 pregnant women (40 in the education group and 80 in the control group) with a gestational age of 28 weeks or more were included in the study from the Üsküdar. The education group trained face to face in the Childbirth Preparation Class. Only if, pre- and post-training tests were administered to the education group to evaluate sociodemographic characteristics, educational needs, birth preferences, satisfaction with the training, and the behavioral outcomes gained from the training.

Detailed description

In this context, given the increase in cesarean section rates, we designed a study incorporating both quantitative and qualitative data to investigate the effect of educating pregnant women about childbirth, the labor process, and the postpartum period. We aimed to examine the relationship between participants' receipt of antenatal education and mode of delivery (vaginal birth/cesarean section), the institution where the birth took place, age, and the number of informational phone calls received. In addition, among volunteers who participated in the pregnancy education program, we aimed to evaluate their educational needs, birth preferences, satisfaction with the training, and the impact of the training on their.

Interventions

Pregnancy Information Class Pregnancy information training is conducted by a family medicine specialist and a midwife using the Ministry of Health's current guidelines and presentations provided as training material, with theoretical instruction and one-on-one question-and-answer sessions. The training lasts a total of 4 hours in two sessions per day.

Sponsors

Saglik Bilimleri Universitesi
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Years over 18. * Pregnancy over 28 weeks (primiparous). * To live in Üsküdar. * No additional diseases that may affect maternal and neonatal outcomes.

Exclusion criteria

* Patients with high-risk pregnancies. * Patients with maternal comorbidities (gestational hypertension, preeclampsia, uncontrolled diabetes or gestational diabetes, malignancy, vascular diseases, degenerative joint and connective tissue diseases, mental illness). * Women with known chronic disease. * Have a history of cesareans.

Design outcomes

Primary

MeasureTime frameDescription
Comparison of the mode of delivery and the institution where the birth hospitalthrough study completion, an average of 6 months.Data Collection: The age, number of telephone consultations/information sessions, preferred hospital type (public/private), and final delivery method (normal/cesarean) of the participants in both groups were recorded. In addition, socio-demographic data (age, education, income, occupation, spouse's age, etc.), birth preferences (normal/vaginal or cesarean), 10 questions (1-5 scale) asking why they preferred normal delivery, 8 questions (1-5 scale) asking why they preferred cesarean delivery, and factors influencing their birth preference were recorded before the training. After the training, qualitative and quantitative data, including open-ended questions on the training needs and satisfaction of the study group, were recorded.

Countries

Turkey (Türkiye)

Contacts

STUDY_DIRECTOREmrullah ŞANLAN, 2

Saglik Bilimleri Universitesi

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Sep 3, 2026