Background: Birth plans have different formats to help women gain better
experiences of child birth. Aim: To evaluate the effect of implementing a self-prepared birth
plan on obstetrical outcome of primiparous women. Design: A quasi-experimental
comparative design (study and control group). Subjects: A purposive sample of 120
pregnant women and have been divided into two groups (the study group who entered in a
birth plan to receive plan care during childbirth, a control group who received the routine
hospital care) 60 pregnant women for each group. Setting: The study was carried out at
antenatal clinic and labour unit in Obstetrics & Gynaecology Department at Kafr-El Sheikh
General Hospital. Tools: A structured interview questionnaire, Birth plan fulfillment
checklist, Childbirth outcomes sheets, and childbirth satisfaction rating scale. Results: That
there was a highly significant difference in all stages of birth plan form during 1st, 2nd and 3rd
stages between the study and the control group at (P≤.000), and there was a highly
statistically difference between control and study group regarding maternal outcome (p ˃.000)
the bottom line after implementation, there was a highly statistically significant differences
regarding women satisfaction and experiences (P≤.000). Conclusion: The pursuance of birth
plan has a significantly effect on childbirth outcomes, women satisfaction and women
experiences. The birth plan reported a better effect on childbirth (maternal and fetal)
outcomes among the study group compared to the control group. Recommendation:
Spreading awareness of labour ward and encourage them to provide health instructions about
the use of birth plan on increasing
level of women's satisfaction and improve maternal &
neonatal outcomes.