Considering the high rate of c/s in Iran (3–4 times higher than what is accepted by the World Health Organization) and its growing trend, and the facts that fear of childbirth is one of the most common reasons for requesting c/s by nulliparous women and increased self-efficacy in pregnant women to cope with labor has a key role in reducing their fear and anxiety, good compat-ibility with labor pain and selection of the delivery method, presenting strategies to increase self-efficacy in pregnant women to cope with labor is necessary.