The purpose of this study was to examine the effect of a hospital-based childbirth class on fear of childbirth, anticipation regarding the birth experience, birth preferences and perception of the birth experience among first-time mothers. Expectant mothers (N = 207) completed an investigator-designed questionnaire before and after attending a prenatal hospital-based childbirth class held in the hospital where they intended to give birth. Statistically, significant changes postintervention included a decrease in fearfulness and an increase in birth anticipation. Shifts also occurred in birth preferences. Data collected from an open-ended question revealed the participants' increased excitement about birth. Findings provide evidence that attending hospital-based childbirth classes may influence women's perceptions and preferences regarding birth.