IRCT201106215525N2 IRCT 2011-06-27 Vice chancellor for research, Shahroud University of Medical Sciences Cesarean rate reduction model Designing of educational,financial and revisional interventions of human factors and structural agents on cesarean rate reduction ,administration and evaluation of them in Shahroud and comparison with cesarean rate in adjucent cities 2010-12-22 anticipated 220 Complete https://irct.ir/trial/5932 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. 2-3 Factors influencing health status and contact with health services. Intervention 1: Intervention in experiment group: 1- Prenatal educations mainly based on "Extended Parallel Process Model" are an essential intervention that will be given to 220 participants through 8 sessions. This Model discuss about fear incentive of health threatening factor that in the present study includes fear from potential threats of unnecessary cesarean section. These educations will be presented by trained midwives in maternal health centers in Shahroud .Women in control group will be given prenatal routine care. 2- Instructions to obstetricians and midwives on the basis of confirmed context provided by The Ministry of Health and Medical Education 3- Revision of labor/delivery wards space in Shahroud hospitals in order to applying coping skills (relaxation, breathing and maternal position amending) to reduce pain and anxiety during labor/delivery. 4- Increasing the fee for services of obstetricians, anesthesiologists and midwives in cases of vaginal delivery to avoiding unnecessary cesarean which may perform due to financial motivations. Intervention 2: Participants in control group will not be educated likewise the intervention group on the basis of foregoing Model and will be given routine care.