Your pregnancy

NHS vs NCT antenatal classes

4 min read

Discover the differences between NHS and NCT antenatal classes and how they help to prepare you for labour, birth and parenthood.

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In most parts of the UK, the NHS runs antenatal classes for expectant parents. There are private options available too, including NCT classes, if you want a more comprehensive course in a smaller group.

We take you through what you can expect from NHS and NCT antenatal classes, and how to find one in your local area.

NHS antenatal classes

What will I learn during an NHS antenatal class?

  • The NHS class will focus on health during pregnancy and labour and how to look after your baby after the birth.
  • You may have the opportunity to get to know the other mums and dads-to-be in the class.
  • You’ll talk about your options for where and how to give birth. Find out what pain relief options and facilities there are available at your local hospital or birth centre by searching for your local maternity unit.
  • You might get a tour of the maternity unit – find out what to ask during the visit with our checklist.

Who runs the NHS antenatal classes?

  • Midwives will usually run the NHS classes, and you might even meet the midwife who will look after you when it comes to giving birth.

How many NHS antenatal classes will I get?

  • The NHS course can be anything from a single two-hour session to a series of classes over several weeks. Hospitals tend to arrange and fund the NHS classes themselves and so the set-up of the classes can vary between different areas. Ask your midwife what’s available where you live.
  • NHS classes typically start when you’re around 30 to 32 weeks pregnant, but they may start earlier if you’re expecting twins.
  • Book into the classes early in pregnancy to secure a place.

Do I have to pay for NHS antenatal classes?

  • No, NHS classes are free.

How can I find an NHS antenatal class in my local area?

  • If you’re receiving NHS antenatal care, your midwife will be able to tell you what classes are available where you live and what the classes will cover.

How much do antenatal classes cost

NCT antenatal classes

What will I learn during an NCT antenatal class?

  • The NCT classes cover pregnancy and birth, practical baby care, baby feeding, physical and mental health and relationships and support.
  • The longer NCT course (Signature) has a focus on labour and birth, and includes an optional two-hour session on breastfeeding.
  • The shorter course (Essentials) is focused on caring for the baby and life as a parent.
  • Because the classes typically last longer than the NHS classes, parents more often form lasting friendships. For both courses, there is a reunion session after all the babies have been born. This is important to bear in mind if the social aspect is important to you when choosing between different classes.

Sarah went to NCT classes during her pregnancy:

It gives you a peer group of people going through similar things. It arranges a reunion but our group actually started meeting up right away and we bonded well.

Who runs the NCT antenatal classes?

  • The NCT’s classes aren’t run by midwives, but by people who have trained to be antenatal practitioners.

How many hours are the NCT antenatal classes?

  • There are two course options: the longer ‘Signature’ course runs over several weeks and is 18 hours in total, while the shorter ‘Essentials’ course is 12 hours long and split into six sessions.
  • You’ll typically start your course when you’re around 30-35 weeks pregnant, although you’re encouraged to sign up to the classes a lot sooner 

Do I have to pay for NCT antenatal classes?

  • Yes. The cost depends on the type of course you choose, where you live and if you’re eligible for concessions.
  • The ‘Signature’ course costs from £159 for a mum-to-be and her birth partner (£266 in London). The shorter ‘Essentials’ course costs from £136 for two people (£228 in London), but £75 if the mother wants to go on her own.
  • For both courses, concessions of up to 90% of the course fee are available for teenagers, students and expectant parents on certain benefits or with a low household income.

How can I find an NCT antenatal class in my local area?

Parents' reasons for paying for antenatal classes

Other private antenatal classes

There are a host of other private antenatal classes that you can choose to attend. You can take private classes instead of or in addition to the NHS or NCT classes if you want to and can afford to do so.

Some private classes are focused on specific techniques to help you cope with labour, such as hypnobirthing, and others teach you exercises you can do while pregnant.

Read more about hypnobirthing if this is a method you’re considering for your labour.

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