Fear of childbirth is a prevalent issue for primiparous women, potentiallyimpacting their experiences and outcomes. Educational classes are effective in increasingknowledge, lowering childbirth-related fear, and enhancing childbirth self-efficacy.

To evaluate the transformative effect of nursing educational classes on fear of childbirthand self-efficacy among primiparous women.

A quasi-experimental (pre/post-test)design was used.

Maternal and Child Health Centers in Al-Sat Khadra, Helwan,Cairo.

Fifty-five primiparous women who fit the inclusion requirements wereselected using a purposive sampling technique.

Tool I: a structured interviewingquestionnaire to assess personal and obstetrical characteristics and women's knowledge;Tool II: the Childbirth Fear Questionnaire; and Tool III: the Childbirth Self-EfficacyInventory.

The intervention led to significant improvements in women'sknowledge regarding childbirth. Notably, there was a marked decrease in childbirth fear,with most women reporting no fear post-intervention, compared to severe fear beforehand.Additionally, childbirth self-efficacy rose dramatically; 80% of women had low selfefficacy before the program, while 94.5% achieved high self-efficacy afterward. Thesechanges were statistically significant (p < 0.001).

Women's knowledge andchildbirth self-efficacy improved significantly, and fear of childbirth was notably reducedafter participating in educational classes.

Educating expectantmothers about the labor process, coping mechanisms, and preparation for childbirth canlessen their fear of giving birth …