Antenatal education programmes have been implemented in many settings around the world. There is, however, uncertainty about their effectiveness. Many studies have failed to show a benefit for women in terms of birth outcomes. A systematic review in The Cochrane Database of Systematic Reviews included nine trials (2,284 women). The findings were inconclusive with inconsistent results and small sample sizes. The authors of the Cochrane Review stated that the “effects of general antenatal education for childbirth or parenthood, or both, remain largely unknown.”1 Few large well-conducted randomised controlled trials have been undertaken which make the study by Maimburg and colleagues particularly exciting.