الفهرس 
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Abstract
Antenatal education is provided as a standard guideline in developed countries but till now, there is no standard program applied in developing countries. This study aimed to test the effect of implementing childbirth preparation classes for coping with labor and delivery. Subjects and method: A randomized Control Trial (RCT) was utilized. A sample size was 104 women, 52 in each group (a childbirth preparation and a control groups). The study was carried out at Antenatal Clinic at Mansoura New General Hospital, Mansoura city, Dakahlia governorate between November 2015 till August 2016. Results: Women who attended childbirth preparation classes had a greater childbirth self-efficacy, a lower perceived labour pain and a greater childbirth coping behaviour (p = <0.001). Conclusion: Childbirth preparation classes give an actual chance for helping primiparous women increasing childbirth self-efficacy, reducing labour pain and increasing childbirth coping behaviour. The study recommended the importance of designing and applying antenatal education classes as an essential component of standard antenatal care. Designing and applying childbirth preparation classes in the third trimester of pregnancy particularly for primigravidas. Designing comprehensive updated booklet of childbirth preparation which is suited and tailored to the culture of the Egyptian women and distributed through private and public antenatal clinics. Finally immediate strategies should be adopted to move from medicalization of childbirth to physiological and low intervention midwife- led care which is empowering Egyptians women.