BACKGROUND:
The midwife-led continuity of care model (MLCCM) offers a woman-centered approach that can positively impact the birth process. Given the high cesarean section rates and widespread fear of childbirth in Turkey, it is crucial to investigate the effects of MLCCM on childbirth fear, birth preferences, and postpartum trauma perception.

OBJECTIVES:
This study aims to examine the effects of education provided within the MLCCM framework on childbirth fear, birth preferences, and postpartum trauma perceptions of primiparous pregnant women.

METHODS:
The study was designed as a single-blind, randomized controlled longitudinal trial. A total of 92 pregnant women (46 in the intervention group, 46 in the control group) who attended prenatal check-ups at Adana City Hospital and met the inclusion criteria were included. The intervention group received a four-module education program, while the control group received standard clinical care. Data were collected using the “Wijma Delivery Expectancy/Experience Questionnaire” and the “City Birth Trauma Scale” and were analyzed statistically.

RESULTS:
Before the intervention, there was no significant difference in childbirth fear between the two groups (p>0.05). However, after the intervention, the childbirth fear levels of the intervention group significantly decreased (p<0.05). In the postpartum period, PTSD symptoms in the intervention group were significantly lower compared to the control group (p<0.01). The vaginal birth rate in the intervention group (69.6%) was significantly higher than in the control group (24.4%) (p<0.000).

CONCLUSIONS:
Education based on the midwife-led continuity of care model was found to be effective in reducing childbirth fear, promoting vaginal birth, and minimizing postpartum trauma symptoms. Integrating this model into the healthcare system may improve women’s birth experiences and help reduce cesarean section rates.

KEY MESSAGE:
Midwife-led continuity of care education effectively reduces childbirth fear and postpartum trauma, while significantly increasing vaginal birth rates among first-time mothers. Poster session 2 (Group A)