The Effect of Antenatal Education and Pregnancy Exercises on Delivery Outcomes

Aim: To assess the impact of pregnancy school training and exercises on obstetric outcomes in a tertiary center. Method: We conducted a retrospective evaluation of pregnant women who participated in pregnancy school exercises between January and April 2023 and had term deliveries. These pregnant women received theoretical education, relaxation, and breathing exercises. Pregnant women who did not attend the pregnancy school were included in the control group. Results: In the study group, we evaluated 175 pregnant women who attended prenatal education, while the control group consisted of 175 pregnant women who did not attend prenatal education. The rate of nulliparous patients was 74.9% (n = 131) in the study group and 56.6% (n = 99) in the control group (p < 0.001). The rate of oxytocin augmentation was 28.6% (n = 50) in the study group and 46.9% (n = 82) in the control group (p < 0.001). The episiotomy rate was lower in the study group (41.7% (n = 73)) compared to the control group (54.9% (n = 96), p = 0.014), and the cesarean section rate was also lower in the study group compared to the control group (p = 0.024). Conclusion: Pregnant women who regularly attend pregnancy school in the early weeks experience a significant reduction in the need for episiotomies, oxytocin supplements, and cesarean section rates. These positive outcomes are attributed to the benefits of pelvic floor exercises. Therefore, we recommend encouraging all pregnant women to participate in pregnancy school training in the early weeks to support natural birthing processes.