Review article| Volume 26, ISSUE 1, e5-e8, March 2013

Does antenatal education affect labour and birth? A structured review of the literature

Published:October 16, 2012DOI:



      To undertake a structured review of the literature to determine the effect of antenatal education on labour and birth, particularly normal birth.


      Ovid Medline, CINAHL, Cochrane and Web of Knowledge databases were searched to identify research articles published in English from 2000 to 2012, using specified search terms in a variety of combinations. All articles included in this structured review were assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).


      The labour and birthing effects on women attending antenatal education may include less false labour admissions, more partner involvement, less anxiety but more labour interventions.


      This literature review has identified that antenatal education may have some positive effects on women's labour and birth including less false labour admissions, less anxiety and more partner involvement. There may also be some negative effects. Several studies found increased labour and birth interventions such as induction of labour and epidural use. There is contradictory evidence on the effect of antenatal education on mode of birth. More research is required to explore the impact of antenatal education on women's birthing outcomes.


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        • Koehn M.L.
        Childbirth education outcomes: an integrative review of the literature.
        The Journal of Perinatal Education: An ASPO/Lamaze Publication. 2002; 11: 10-19
        • Walker D.S.
        • Visger J.M.
        • Rossie D.
        Contemporary childbirth education models.
        Journal of Midwifery & Women's Health. 2009; 54: 469-476
        • Fabian H.M.
        • Rådestad I.J.
        • Waldenström U.
        Childbirth and parenthood education classes in Sweden. Women's opinion and possible outcomes.
        Acta Obstetricia Et Gynecologica Scandinavica. 2005; 84: 436-443
        • O’Meara C.M.
        Childbirth and parenting education – the providers’ viewpoint.
        Midwifery. 1993; 9: 76-84
        • Bergström M.
        • Kieler H.
        • Waldenström U.
        Effects of natural childbirth preparation versus standard antenatal education on epidural rates, experience of childbirth and parental stress in mothers and fathers: a randomised controlled multicentre trial.
        BJOG: An International Journal of Obstetrics & Gynaecology. 2009; 116: 1167-1176
        • Su L.L.
        • Chong Y.S.
        • Chan Y.H.
        • Chan Y.S.
        • Fok D.
        • Tun K.T.
        • et al.
        Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial.
        BMJ: British Medical Journal (International Edition). 2007; 335: 596
        • Gagnon A.J.
        • Sandall J.
        Individual or group antenatal education for childbirth or parenthood, or both.
        Cochrane Database of Systematic Reviews. 2007;
        • Renkert S.
        • Nutbeam D.
        Opportunities to improve maternal health literacy through antenatal education: an exploratory study.
        Health Promotion International. 2001; 16: 381-388
        • Murphy S.T.
        Preparation is everything.
        World of Irish Nursing & Midwifery. 2008; 16: 30-31
        • Australian Nursing & Midwifery Council
        ANMC National Competency Standards for the Midwife.
        Australian Nursing & Midwifery Council, 2006 (Available at:)
        • International Confederation of Midwives
        ICM International Definition of the Midwife.
        International Confederation of Midwives, 2011 (Available at:)
        • Nasser N.
        • Sullivan E.
        Australia's mothers and babies.
        Australian Institute of Health and Welfare, Sydney1999
        • Li Z.
        • McNally L.
        • Hilder L.
        • Sullivan E.
        Australia's mothers and babies.
        Australian Institute of Health and Welfare, Sydney2009
        • Bonovich L.
        Recognizing the onset of labor.
        Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN/NAACOG. 1990; 19: 141-145
        • Lumluk T.
        • Kovavisarach E.
        Effect of antenatal education for better self-correct diagnosis of true labor: a randomized control study.
        Journal of the Medical Association of Thailand. 2011; 94: 772-774
        • Maimburg R.D.
        • Vaeth M.
        • Durr J.
        • Hvidman L.
        • Olsen J.
        Randomised trial of structured antenatal training sessions to improve the birth process.
        BJOG: An International Journal of Obstetrics and Gynaecology. 2010; 117: 921-927
        • Paz-Pascual C.
        • Artieta Pinedo I.
        • Grandes G.
        • Remiro Fernandez de Gamboa G.
        • Odriozola Hermosilla I.
        • Bacigalupe de la Hera A.
        • et al.
        Design and process of the EMA Cohort Study: the value of antenatal education in childbirth and breastfeeding.
        BMC Nursing. 2008; 7: 5
        • Mehdizadeh A.
        • Roosta F.
        • Chaichian S.
        • Alegahehbandan R.
        Evaluation of the impact of birth preparation courses on the health of the mother and the newborn.
        American Journal of Perinatology. 2005; 22: 7-9
        • Escott D.
        • Slade P.
        • Spiby H.
        • Fraser R.B.
        Preliminary evaluation of a coping strategy enhancement method of preparation for labour.
        Midwifery. 2005; 21: 278-291
        • Artieta-Pinedo I.
        • Paz-Pascual C.
        • Grandes G.
        • Remiro-Fernandezdegamboa G.
        • Odriozola-Hermosilla I.
        • Bacigalupe A.
        • et al.
        The benefits of antenatal education for the childbirth process in Spain.
        Nursing Research. 2010; 59: 194-202
        • Phipps H.
        • Charlton S.
        • Dietz H.P.
        Can antenatal education influence how women push in labour?. A Pilot Randomised Controlled Trial on Maternal Antenatal Teaching for Pushing in Second Stage of Labour (PUSH STUDY).
        Australian & New Zealand Journal of Obstetrics & Gynaecology. 2009; 49: 274-278
        • Escott D.
        • Slade P.
        • Spiby H.
        Preparation for pain management during childbirth: the psychological aspects of coping strategy development in antenatal education.
        Clinical Psychology Review. 2009; 29: 617-622