rearding obstetric results , we expected greater differences between the two groups, namely , a lower percentage of cesarean sections in the group of pregnant women with a birth plan. this was the primary purpose of our study and the basis of the wower analysis that determined sample size. there are mixed resulte in the literature on the relationships between cesarean births and birth plans.our obstetric results are similar to the findings from deering,heller ,mcgaha,heaton,and satin and ludgren, berg,and lindmark in which no significant differences were found for cesarean births, eutocic births,bepisiotomies, or third/fourth-degree tears between women whith a birth plan and women without a birth plan. However, in other studies, significant differences were found in these obstetric results between women with a birth plan and women without a birth plan