A total of 324 women were informed about the study protocol at the hospital. The 134 (41.4%) did not wish to participate. Common concerns of the first time delivery was the most frequent reason for nonparticipation. The women in the two randomized groups were similar with respect to age, parity, abortion, gestational age, body mass index, cervical dilatation, use of oxytocin, intravenous fluids, and analgesia, infant’s birth weight, and episiotomy