BACKGROUND: The most important reasons for choosing cesarean include negative attitude of pregnant women toward natural childbirth, and it is not easy for many women to make a decision about the choice of delivery, Midwives as responsible individuals, play an important role in providing maternal counseling and care during pregnancy and childbirth and the postpartum period. ...MATERIALS AND METHODS: This clinical trial was performed on 90 nulliparous women with 28 30 weeks of gestational age, who were referred to health care centers in Mashhad. ...