Consequences of pregnancy training; Lifestyle modification or increase vaginal delivery? A retrospective cohort study

Du to importance of Lifestyle modification during pregnancy, the present study was conducted with the aim of determination of of childbirth preparation training outcome on lifestyle and mode of delivery of Gorgan women's.

This historical cohort study was conducted on 352 women under coverage of comprehensive health Gorgan 6-12 months after delivery. 176 of women who participated in childbirth preparation training as exposed group by census method sampling and 176 women who did not participated as non- exposed group by matching method Sampling in terms of age and maternal education included in the study. Lifestyle was assessed with Health Promoting Lifestyle Questionnaire (HPLP II).Data analysis was performed using SPSS18 software and Chi-square, independent t-test, Mann-Whitney, Kruskal-Wallis, Analysis of variance tests  and to analyze the relative risk analysis of logistic regression.

The mean score of total lifestyle in exposure group was (141.16 ± 22.26) and in the non-exposure group was (137.16 ± 20.67). Despite of The higher mean score in all six Subscale of lifestyle was higher in the exposure group, the independent t-test did not show significant difference (P=0.08), but there was a significant difference in the Subscale of stress management (P= 0.04). In addition, the relative risk for vaginal delivery was 1.49 (1.09-2.02) and vaginal delivery %13.1 was higher in the exposure group (P= 0.009).

Participating in childbirth classes increases vaginal delivery rate and the mean score of the total lifestyle and its six Subscale, even after 6-12 months after childbirth, and in the Subscale of stress management has the greatest impact.