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Background & Aims: Increasing knowledge and awareness of pregnant women about labor, delivery and postpartum pain coping strategies are important, and they can lead to the increasing of the reliability, confidence and self-efficacy in women during labor and delivery. Therefore, this study aimed to evaluate the effect of the childbirth preparation classes on self-efficacy in their coping strategies during childbirth in pregnant women. Materials and Methods: This was a quasi- experimental study which was carried out on 150 nulliparous pregnant women. They were randomly divided to experimental & control groups. Mothers in experimental group were trained both theoretically and practically by intervention in 8 sessions, while those in control group received the routine care only. The data were collected by using demographic and childbirth self-efficacy questionnaires. In order to determine the self-efficacy, the childbirth self-efficacy questionnaire (CBSEI) was applied on pregnant women at 20-23 gestational ages, and at 37 weeks of pregnancy and 24-72 hours after delivery. Data were analyzed with SPSS version 20 software. Results: The results showed a statistically significant difference between intervention and control groups (p =0.00). Conclusion: This study confirms the effectiveness of the antenatal preparation for childbirth educational program on self-efficacy of pregnant women to cope with labor. Therefore, it is recommended to use this program as a teaching or complementary method in being prepared for childbirth.

Keywords: Antenatal preparation for child birth, Caesarean section, Self–efficacy, Childbirth, Coping

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