The effect of implementation of birth plan and childbirth preparation classes maternal satisfaction and delivery outcomes: a randomized controlled clinical trial

The effect of the birth plan and childbirth preparation classes on delivery outcomes and maternal satisfaction

Controlled randomized controlled clinical trial

This randomized controlled trial will be conducted at childbirth preparation classes of Tehran University of Medical Sciences and Omid, Ansari, and Baharloo hospitals. The topic of the birth plan will be merged into the scientific content of the childbirth preparation classes and will be taught to pregnant mothers. The subjects will be randomly using www.random.org assigned to a group with a birth plan and without a birth plan. Their delivery will be done according to their birth plan. The allocation sequence will be determined by the person not involved in sampling and data collection. In order to the allocation concealment, the type of intervention will be sequentially numbered sealed packages by a person not involved in sampling and analysis. After obtaining informed consent, the envelope and the type of intervention will be determined.

Singleton pregnancy,Low risk pregnancy without medical or medwifery history such as history of abortion, infertility and preterm labour Gestational age of 32–33 weeks , participation at least 5 session of the childbirth preparation classes,Willingness to undergo vaginal delivery Literacy (reading and writing in Persian), Previous cesarean section with Willingness to undergo vaginal delivery

Pregnant mothers attending at least 5 sessions of childbirth preparation classes and having a birth plan

Delivery type, Perineal lacerations rate, Episiotomy rate, Induction of labor rate , Maternal satisfaction with childbirth, Apgar score at 1 and 5 minutes, Neonatal intensive care unit admission rates, Breastfeeding initiation within the first hour of life, Fulfilling mother's wishes rate

Pregnant mothers participating in childbirth preparation classes will be randomly assigned into one of with the birth plan or with not birth plan (routine) using www.random.org.

The outcome assessor will not know how the intervention and control groups are assigned and will review data on outcome variables without considering groups of individuals.

The data of this study will be accessible upon the request form the corresponding author after publication, or we may deposit our data in the “Figshare” for sharing with other researchers after the publication of the manuscript.

The data will be accessible upon the request from the corresponding author or in the Figshare” after publication of the manuscript (we anticipate this time by the end of 2021)

Our data will be accessible upon the request from faculty members who interested to use our data with the research purpose (with acknowledgement of authors in our study).

Interested researchers can send an e-mail to the corresponding author and request our data. In case of if we deposited our data in the “Figshare” cite, they will be accessible from the cite

Mojgan Javadnoori Ahvaz, Golestan Ave, Ahvaz Jundishapur University of Medical Sciences, Nursing & Midwifery School, Midwifery Department

The requested information will be sent at the most up to one week after receiving the email.