Introduction and objective:
Antenatal schools reduce anxiety by preparing women for the birth process, promote vaginal delivery, and strengthen maternal–infant adaptation. The literature indicates that prenatal education preserves pelvic floor health, stabilizes haemogram values, and decreases neonatal risks. The aim of the study is to examine the effects of antenatal school participation in term nulliparous pregnant women on episiotomy degree, haemogram changes, caesarean section indication, and neonatal intensive care unit (NICU) requirement, and to investigate the role of urban–rural settlement differences in educational access and birth outcomes.

Material and methods:
A total of 50 nulliparous pregnant women (25 participants, 25 non-participants) were compared. Episiotomy, haemogram, caesarean section, and NICU data were analyzed using Fisher’s Exact, Chi-square, t-test, and Mann–Whitney U test (p < 0.05).

Results:
In the participant group, gestational age was longer, haemogram values were higher, episiotomy degrees milder, and NICU requirement was lower (p < 0.05). Although birth weight and Apgar scores did not show significant differences, values were slightly higher in the participant group. Moreover, easier access to education among urban residents positively influenced outcomes, whereas limited access in rural areas created disadvantages.

Conclusions:
Antenatal education demonstrates protective effects on haemogram, reduces episiotomy degree, and decreases NICU requirement. Urban–rural differences are decisive in educational access and birth outcomes.