Stress of the first presence in the clinical setting, stress in learning new skills, and fear of hurting the patients which were discovered in our participants, have also been mentioned in other studies on medical sciences students.40-42 However, neither of these studies portray the heavy stress displayed by our students during their first birth experience. One explanation would be that the participants of this study were young, direct entry students who had no exposure to clinical environments before. These findings highlight the importance of appropriate and adequate preparation of students before entering the clinical setting.