Effect of Pecha Kucha-Based Normal Birth Education on Birth Beliefs and Birth Preferences Among Pregnant Women Considering Elective Cesarean Section

NCT07657663 | Completed

• 1 other identifier: GO 2024/840
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial was conducted to evaluate the effect of Pecha Kucha-based normal birth education on birth beliefs and mode of birth preferences among primiparous pregnant women considering elective cesarean section without a medical indication. A total of 76 pregnant women between 28 and 32 weeks of gestation were randomly assigned to either an experimental group or a control group. The experimental group received normal birth education using the Pecha Kucha presentation technique, whereas the control group received the same educational content through a traditional face-to-face oral presentation. Birth beliefs and birth mode preferences were assessed before the intervention, immediately after the intervention, and one month after the intervention. The study aimed to determine whether a brief, structured, and visually supported educational intervention could improve beliefs regarding normal birth and increase preference for vaginal delivery among women considering elective cesarean section.

Conditions

Childbirth Education; Birth Beliefs; Elective Cesarean Section

Keywords

Pecha Kucha; Normal Birth Education; Birth Beliefs; Birth Preferences; Vaginal Birth; Elective Cesarean Section; Primiparous Women; Antenatal Education; Pregnancy; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (3)

• Change in Birth Beliefs Scale - Natural Process Belief Subscale Score

  The Natural Process Belief subscale of the Birth Beliefs Scale assesses the extent to which pregnant women perceive childbirth as a natural, normal, and safe physiological process. Higher scores indicate stronger belief in childbirth as a natural process.

  Baseline, immediately after the intervention, and 1 month after the intervention.

• Change in Birth Beliefs Scale - Medical Process Belief Subscale Score

  The Medical Process Belief subscale of the Birth Beliefs Scale assesses the extent to which pregnant women perceive childbirth as a medical event requiring professional control and medical intervention. Higher scores indicate stronger belief in childbirth as a medical process.

  Baseline, immediately after the intervention, and 1 month after the intervention.

• Change in Pregnant Women's Birth Mode Preferences Scale Score

  The Pregnant Women's Birth Mode Preferences Scale evaluates pregnant women's preferences regarding vaginal birth and cesarean delivery. Total scores range from 18 to 90, with higher scores indicating a stronger preference for vaginal birth.

  Baseline, immediately after the intervention, and 1 month after the intervention.

Study Arms (2)

Pecha Kucha-Based Normal Birth Education

EXPERIMENTAL

Pregnant women received normal birth education delivered using the Pecha Kucha presentation technique. The education consisted of 20 visually supported slides presented for 20 seconds each and included information on preparation for childbirth, birth planning, physiology and stages of labor, coping with labor pain, breathing and relaxation techniques, benefits of vaginal birth, indications and risks of cesarean section, partner support, breastfeeding initiation, postpartum care, and common misconceptions about childbirth. Participants completed outcome assessments at baseline, immediately after the intervention, and one month after the intervention.

Behavioral: Pecha Kucha-Based Normal Birth Education

Traditional Normal Birth Education

ACTIVE COMPARATOR

Pregnant women received the same normal birth educational content through a conventional face-to-face oral presentation. Educational topics were identical to those provided in the experimental group. Outcome assessments were completed at baseline, immediately after the intervention, and one month after the intervention.

Behavioral: Traditional Normal Birth Education

Interventions

Pecha Kucha-Based Normal Birth Education BEHAVIORAL

A structured face-to-face educational intervention delivered using the Pecha Kucha presentation format consisting of 20 slides displayed for 20 seconds each. The intervention was designed to provide evidence-based information about normal birth and cesarean section through concise, visually supported content.

Pecha Kucha-Based Normal Birth Education

Traditional Normal Birth Education BEHAVIORAL

Face-to-face education delivered using a conventional oral presentation method. The educational content was identical to that provided in the experimental group but was delivered without the Pecha Kucha presentation format.

Traditional Normal Birth Education

Eligibility Criteria

• Age: 20 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Female pregnant women aged 20 years or older. Primiparous. Between 28 and 32 weeks of gestation. Considering elective cesarean section. No maternal or fetal medical indication requiring cesarean delivery. Able to read, write, and speak Turkish. Willing to participate in the study and provide informed consent. Available to complete all study assessments throughout the study period.

You may not qualify if:

• Younger than 20 years of age. Multiparous women. Presence of a maternal or fetal medical indication requiring cesarean delivery. Hearing or visual impairment that could interfere with participation in the educational intervention.
• Inability to read, write, or speak Turkish. Refusal to participate or withdrawal of consent during the study. Failure to complete study procedures or follow-up assessments.

Sponsors & Collaborators

• Burdur Mehmet Akif Ersoy University: lead

Study Sites (1)

Bucak Health School

Burdur, Bucak, Turkey (Türkiye)

Location

Related Publications (15)

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  PMID: 28546985 BACKGROUND

• Bicav Z, Unal Toprak F, Isbuga CC. The Effect of Antenatal Breastfeeding Education Delivered Through the Pecha Kucha Method on Postpartum Breastfeeding Self-Efficacy, Infant Feeding Attitudes, and Breastfeeding Satisfaction: A Randomized Controlled Trial. J Hum Lact. 2026 Mar 6:8903344261419345. doi: 10.1177/08903344261419345. Online ahead of print.

  PMID: 41789726 BACKGROUND

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  PMID: 36377268 BACKGROUND

• Bahcecioglu Turan G, Karaaslan F, Ozer Z. The effects of nutrition education with Pecha Kucha method on prevention of malnutrition in cancer patients undergoing radiotherapy: a randomised controlled study. BMC Cancer. 2025 Aug 22;25(1):1355. doi: 10.1186/s12885-025-14626-7.

  PMID: 40847291 BACKGROUND

• Oluic S, Milutinovic S, Gligorevic S, Brezic N, Correa BHM, Hassan M, Bartlett B, Labban ME, Wedzina W, Delibasic M, Oluic J, El-Din M. Pecha Kucha in medical education: a narrative literature review. Korean J Med Educ. 2025 Dec;37(4):491-502. doi: 10.3946/kjme.2025.358. Epub 2025 Nov 27.

  PMID: 41355270 BACKGROUND

• Kirca AS, Dagli E. Evaluation of the effectiveness of education given to midwifery students with The Pecha Kucha Method on climate change awareness: A randomized controlled experimental study. Nurse Educ Today. 2025 Oct;153:106809. doi: 10.1016/j.nedt.2025.106809. Epub 2025 Jun 7.

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• Gun Kakasci C, Durmaz A. A creative and practical approach to postpartum discharge education: Pecha Kucha training via smart phone. Health Care Women Int. 2022 Dec;43(12):1482-1502. doi: 10.1080/07399332.2022.2043860. Epub 2022 Jun 21.

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• Hay SJ, McLachlan HL, Newton M, Forster DA, Shafiei T. Sources of information during pregnancy and the early parenting period: Exploring the views of women and their partners. Midwifery. 2022 Feb;105:103236. doi: 10.1016/j.midw.2021.103236. Epub 2021 Dec 21.

  PMID: 34968821 BACKGROUND

• Camacho-Morell F, Esparcia J. Influence and use of information sources about childbearing among Spanish pregnant women. Women Birth. 2020 Jul;33(4):367-376. doi: 10.1016/j.wombi.2019.08.003. Epub 2019 Aug 23.

  PMID: 31447406 BACKGROUND

• Coates D, Thirukumar P, Spear V, Brown G, Henry A. What are women's mode of birth preferences and why? A systematic scoping review. Women Birth. 2020 Jul;33(4):323-333. doi: 10.1016/j.wombi.2019.09.005. Epub 2019 Oct 11.

  PMID: 31607640 BACKGROUND

• Lopez-Gimeno E, Seguranyes G, Vicente-Hernandez M, Burgos Cubero L, Vazquez Garreta G, Falguera-Puig G. Effectiveness of birth plan counselling based on shared decision making: A cluster randomized controlled trial (APLANT). PLoS One. 2022 Sep 12;17(9):e0274240. doi: 10.1371/journal.pone.0274240. eCollection 2022.

  PMID: 36094935 BACKGROUND

• Stoll KH, Hauck YL, Hall WA. Home or hospital? Midwife or physician? Preferences for maternity care provider and place of birth among Western Australian students. Women Birth. 2016 Feb;29(1):e33-8. doi: 10.1016/j.wombi.2015.07.187. Epub 2015 Aug 28.

  PMID: 26319505 BACKGROUND

• Weerasinghe K, Rishard M, Brabaharan S, Mohamed A. Effectiveness of face-to-face physiotherapy training and education for women who are undergoing elective caesarean section: a randomized controlled trial. Arch Physiother. 2022 Feb 3;12(1):4. doi: 10.1186/s40945-021-00128-9.

  PMID: 35109917 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: June 13, 2026
• First Posted: June 18, 2026
• Study Start: March 15, 2025
• Primary Completion: June 15, 2025
• Study Completion: June 15, 2025
• Last Updated: June 18, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)