Strong sense of coherence in pregnant women halves the likelihood of experiencing caesarean section compared to women with low sense of coherence.

Sense of coherence is a modifiable predictor of women׳s childbearing health.

Childbearing women׳s sense of coherence is raised by birth satisfaction and lowered by birth dissatisfaction, assisted vaginal birth and epidural anaesthesia.

Midwifery attention should be focused on strengthening women׳s SOC in pregnancy.

Salutogenic antenatal education has the potential to lower caesarean section rates.