Reducing Turkey High Cesarean Section Rates

NCT07799545 | Completed

• 1 other identifier: E-10840098-202.3.02-7691
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

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.

Conditions

Birth, First; Birth Outcome, Adverse; Breast Feeding

Keywords

Antenatal education; Cesarean section; Normal delivery

Outcome Measures

Primary Outcomes (1)

• Comparison of the mode of delivery and the institution where the birth hospital

  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.

  through study completion, an average of 6 months.

Study Arms (2)

Antenatal education

EXPERIMENTAL

40 pregnant women who were selected according to the inclusion and exclusion criteria and who had completed Childbirth Preparation Class formed the intervention group. Then, the pregnant women who registered in our system have been given numbers. They have been sequentially numbered using a method that employs a central computer mechanism to implement the random assignment sequence. From these numbers, 80 people were selected using a single-blind random sampling method. Records of selected pregnant women were enrolled in the control group, with an allocation ratio of 1:2. In addition, a semi-structured questionnaire was administered to the intervention group before and after the training. The pre- and post-training questionnaire results of the pregnant women in this group were analyzed to investigate the effects of the training on birth preference, fear of childbirth, behavioral sociodemographic data, satisfaction rate with the training, fear of childbirth and breastfeeding-infantcare

Other: Antenatal education

Control group

NO INTERVENTION

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.

Interventions

Antenatal education OTHER

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.

Antenatal education

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• 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.

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead

Study Sites (1)

Sağlık bilimleri üniversitesi

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pregnancy Complications; Breast Feeding

Interventions

Prenatal Education

Condition Hierarchy (Ancestors)

Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Feeding Behavior; Behavior

Intervention Hierarchy (Ancestors)

Patient Education as Topic; Health Education; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Emrullah ŞANLAN, 2

  Saglik Bilimleri Universitesi

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 23, 2026
• First Posted: September 2, 2026
• Study Start: December 1, 2025
• Primary Completion: December 5, 2025
• Study Completion: May 1, 2026
• Last Updated: September 2, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)