This study was conducted in two phases. In the first phase, a psychometric instrument was developed and validated to measure women's perceptions of childbirth. The scale demonstrated strong reliability and validity indicators through exploratory and confirmatory factor analyses. In the second phase, a randomized controlled trial was designed to evaluate the effectiveness of a structured online education program on pregnant women's childbirth-related outcomes. A total of 80 pregnant women were recruited and randomly assigned to either the intervention group (n=40), which received a 9-hour online childbirth education program, or the control group (n=40), which received routine antenatal care. The primary outcomes were childbirth perception, fear of childbirth, and readiness for birth, assessed at baseline and post-intervention using validated instruments. The results showed that the online education program significantly improved childbirth perception and readiness for birth while reducing fear of childbirth compared to the control group. This trial provides evidence for the effectiveness of online antenatal education in promoting a positive childbirth experience and may contribute to improving maternal health outcomes in line with international recommendations for respectful maternity care.
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Childbirth Perception Score
Timeframe: Measured by the validated Childbirth Perception Scale at baseline (before intervention) and 4 weeks after the intervention.
Fear of Childbirth Score
Timeframe: Measured by the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) at baseline and 4 weeks after the intervention.
Readiness for Birth Scor
Timeframe: Measured by the Childbirth Readiness Scale at baseline and 4 weeks after the intervention.