CClinicalTrials.gg
CompletedNCT07799545Updated Sep 2, 2026

Reducing Turkey High Cesarean Section Rates

An interventional study of Antenatal education in Birth, First, Birth Outcome, Adverse and Breast Feeding, sponsored by Saglik Bilimleri Universitesi. Completed at 1 site in Turkey (Türkiye). Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Saglik Bilimleri Universitesi · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study 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.

Read the 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.

02

Conditions studied

  • Birth, First
  • Birth Outcome, Adverse
  • Breast Feeding

Keywords

  • Antenatal education
  • Cesarean section
  • Normal delivery
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts 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

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.
04

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Antenatal education

    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

  • No intervention
    Control group

    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

  • OtherAntenatal education

    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.

05

What researchers measure

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.

    Time frame: through study completion, an average of 6 months.

06

Study locations

1 site
  • Sağlık bilimleri üniversitesi
    Istanbul, Turkey (Türkiye)
07

References and documents

Study documents

  • Protocol and statistical analysis plan · Dec 1, 2025
  • Informed consent form · Dec 1, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT07799545
Lead sponsor
Saglik Bilimleri Universitesi
Responsible party
Sponsor
First posted
Sep 2, 2026
Start date
Dec 1, 2025
Primary completion
Dec 5, 2025
Completion
May 1, 2026
Last update
Sep 2, 2026

Study contacts

Emrullah ŞANLAN, 2
study director · Saglik Bilimleri Universitesi

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion