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Abstract Pregnancy & child birth and their consequence are still the leading causes of death, disease & disability among women of reproductive age in developing countries more than any other single health problem. Maternal mortality is unacceptably high; in the year 2010 about 287.000 women died during and following pregnancy and childbirth around the world every day. Almost all of these deaths occurred in low-resource settings, and most could have been prevented (Patton et al., 2009 and WHO, 2012). The WHO published the Standards for Maternal and Neonatal Care, which offered suggestions for pregnant women to practice good health behaviour during pregnancy. The suggestions were aimed at preventing, alleviating, and treating the health problems or diseases causing unfavourable outcomes of pregnancy. They also intended to provide women and their husband /families with adequate information on healthy pregnancy and emergency preparedness related to pregnancy (WHO, 2006). Antenatal classes are often used to give information regarding pregnancy, birth, breast feeding and parenting. However, antenatal education can encompass abroad concept of educational and supportive measures that help women and their husbands to under stand and explore their own social, emotional, psychological and physical needs during this time. It is often the aim of classes to develop self-awareness & confidence in their abilities, experience and birth more positively and adjust more successfully to the changes that parent hood brings (National institute for health and clinical excellences, 2008). The aim of this study were to Study the effect of antenatal counselling on pregnant women & pregnancy out come. The study population consisted of all pregnant women met inclusion criteria of this study. Tools of this study were prepared after reviewing the available and related literature. - I -Structured interview questionnaire: It was developed by the researcher and includes the following parts: Part 1:- Demographic characteristics for pregnant women consisted of age, educational level, occupation and gestational age. Part 2- Focused on an antenatal care including general, local examination and lab investigation during each visit. II: Pretest to assess the learning needs and the same pretest was given to pregnant women after counseling session to evaluate the effect of counseling. III: Health education booklet with simple Arabic language and contain picture to clarify the items that was developed by the researcher after extensive review of text books ,documents, and previous research articles that help to clarify the items of session. Scoring: the pre and post intervention were scored into three level these were poor knowledge, Good knowledge and Excellent Knowledge .They was respectively scored 0, 1, and 2 (Wafa, 2008). A total score was computed for each woman in the pre as well as in the post intervention •Poor 30-50. •Good >50 to 75. •.Excellent >75 |