The nuclear family nature prompted to reduce exposure to traditional
knowledge transfer from mother to daughter compared to
previous extended family system. The lack of scientific and comprehensive
information on childbirth preparation contributed to
increased worries related to pregnancy. Though these educated
women look for available in formations through magazines, media
and friends which were neither comprehensive nor complete,
rather it triggered their increased pregnancy-specific anxiety. The
public hospitals in Kerala neither have a formal childbirth preparation
classes nor a comprehensive hand-out on childbirth