Volume 9, Issue 2 (2021)
Health Educ Health Promot 2021, 9(2): 165-170 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Motlagh Z, Mombani A, Rakhshani T, Bizhani B, Tavakoli Ghouchani H. Effect of Education in Choosing the Type of Delivery in Primiparous Pregnant Women. Health Educ Health Promot 2021; 9 (2) :165-170
URL: http://hehp.modares.ac.ir/article-5-46775-en.html
URL: http://hehp.modares.ac.ir/article-5-46775-en.html
1- Department of Public Health, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2- Jondi Shapoor University of Medical Science, Ahvaz, Iran
3- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran ,virtualhealth20@gmail.com
4- Department of Health Education and Promotion, School of Public Health, North Khorasan University of Medical Sciences, Bojnord, Iran
2- Jondi Shapoor University of Medical Science, Ahvaz, Iran
3- Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran ,
4- Department of Health Education and Promotion, School of Public Health, North Khorasan University of Medical Sciences, Bojnord, Iran
Abstract: (1327 Views)
Aims: Nowadays, cesarean increased in most countries in the world, such as Iran, while cesarean is considered major surgery and it is often associated with very dangerous complications, like other major surgeries. This study aimed to determine the effect of education in choosing the type of delivery in primiparous pregnant women.
Materials & Methods: This randomized controlled trial was conducted on 190 primiparous pregnant women applicant cesarean in the third trimester of pregnancy, referred to health centers in Ramhormoz, Iran in 2018 (95 experimental groups and 95 control group). The educational program about cesarean was included four sections of 90min in the form of group education. The questionnaire written by Seyedeh Nouri & Jamshidi was used, and outcomes were included knowledge and attitude that were measured before and after the intervention. Data were analyzed by SPSS 19.0 using T and Chi-square tests.
Findings: The mean age of the experimental group was 27.37±0.00, and the control group was 27.91±0.00. There was no significant difference between the experimental and control groups in demographic variables (p>0.05). Before training, the mean of knowledge was not significantly different, but training was significantly different between the experimental and control groups. The mean scores of dimensions of the reasons for choosing cesarean section before training were not significantly different between the experimental group and control group (p>0.05), but after training, there were significant differences between the two groups (p<0.05).
Conclusion: Educational intervention used effectively enhanced the knowledge and attitude of pregnant women in choosing the type of delivery.
Materials & Methods: This randomized controlled trial was conducted on 190 primiparous pregnant women applicant cesarean in the third trimester of pregnancy, referred to health centers in Ramhormoz, Iran in 2018 (95 experimental groups and 95 control group). The educational program about cesarean was included four sections of 90min in the form of group education. The questionnaire written by Seyedeh Nouri & Jamshidi was used, and outcomes were included knowledge and attitude that were measured before and after the intervention. Data were analyzed by SPSS 19.0 using T and Chi-square tests.
Findings: The mean age of the experimental group was 27.37±0.00, and the control group was 27.91±0.00. There was no significant difference between the experimental and control groups in demographic variables (p>0.05). Before training, the mean of knowledge was not significantly different, but training was significantly different between the experimental and control groups. The mean scores of dimensions of the reasons for choosing cesarean section before training were not significantly different between the experimental group and control group (p>0.05), but after training, there were significant differences between the two groups (p<0.05).
Conclusion: Educational intervention used effectively enhanced the knowledge and attitude of pregnant women in choosing the type of delivery.
Article Type: Original Research |
Subject:
Family Health Education/Promotion
Received: 2020/10/13 | Accepted: 2021/03/12 | Published: 2021/07/13
Received: 2020/10/13 | Accepted: 2021/03/12 | Published: 2021/07/13
References
1. Cunningham FG, Leveno K, Bloom S, Spong C, Dashe J, Hoffman B, et al. Williams Obstetrics. New York: McGraw-Hill Education; 2018. [Link]
2. Bagheri A, Masoodi-Alavi N, Abbaszade F. Effective factors for choosing the delivery method among the pregnant women in Kashan. FEYZ. 2012;16(2):146-53. [Persian] [Link]
3. Zamani-Alavijeh F, Araban M, Hassanzadeh A, Makhouli K. Contributing factors of pregnant women's beliefs towards mode of delivery: A cross-sectional study from Iran. Matern Health Neonatol Perinatol. 2018;4:9. [Link] [DOI:10.1186/s40748-018-0077-1] [PMID] [PMCID]
4. Rafati F, Rafati SH, Madani A, Mashayekhi F, Pilevarzadeh M. Related factors to choose cesarean section among Jiroft pregnant women. J Prev Med. 2014;1(1):23-30. [Persian] [Link]
5. Li WY, Liabsuetrakul T, Stray-Pedersen B. Effect of mode of delivery on perceived risks of maternal health outcomes among expectant parents: A cohort study in Beijing, China. BMC Pregnancy Childbirth. 2014;14:12. [Link] [DOI:10.1186/1471-2393-14-12] [PMID] [PMCID]
6. Ghotbi F, Akbari Sene A, Azargashb E, Shiva F, Mohtadi M, Zadehmodares S, et al. Women's knowledge and attitude towards mode of delivery and frequency of cesarean section on mother's request in six public and private hospitals in Tehran, Iran, 2012. J Obstet Gynaecol Res. 2014;40(5):1257-66. [Link] [DOI:10.1111/jog.12335] [PMID]
7. Naghibi KH, Allameh K and Montazeri K. Which one is better? painless delivery or cesarean section. Isfahan Univ Med Sci. 2001;1(1):38-40. [Persian] [Link]
8. Iran data portal. Ministry of health and medical education [Internet] Tehran: Iran Data Portal; 2015 [Unknown Cited]. Available from: https://irandataportal.syr.edu/ministry-of-health-and-medical-education. [Link]
9. Signorelli C, Cattaruzza MS, Osborn JF. Risk factors for cesarean section in Italy: Resulted of multicenter study. Public Health. 1995;109(3):191-9. [Link] [DOI:10.1016/S0033-3506(05)80052-6]
10. Porreco RP. Meeting the challenge of the rising cesarean birth rate. Obstet Gynecol. 1990;75(1):133-6. [Link] [DOI:10.1016/0020-7292(90)90662-5]
11. Tully KP, Ball HL. Misrecognition of need: Women's experiences of and explanations for undergoing cesarean delivery. Soc Sci Med. 2013;85:103-11. [Link] [DOI:10.1016/j.socscimed.2013.02.039] [PMID] [PMCID]
12. Shahraki Sanavi F, Ansari-Moghaddam A, Rakhshan F, Navabi Rigi S. Two teaching methods to encourage pregnant women for performing normal vaginal delivery. Iran J Med Educ. 2012;12(3):184-92. [Persian] [Link]
13. Rezakhani Moghaddam H, Shojaeizadeh D, Taghdisi MH, Hamidzadeh Arbabi Y, Savadpour MT. The effect of education by community health volunteers on choice of delivery kind in pregnant women based on the Behavioral Intention Model (BIM). J Sch Public Health Inst Public Health Res. 2013;10(3):27-40. [Persian] [Link]
14. Lashgari MH, Delavari S, Markazi Moghadam N, Gorouhi F. Effects of training programs of pregnant women on their delivery type selection: A single blind, randomized control trial. Ann Mil Health Sci Res. 2005;3(4):679-84. [Persian] [Link]
15. Ryding EL, Persson A, Onell C, Kvist L. An evaluation of midwives' counseling of pregnant women in fear of childbirth. Acta Obstet Gynecol Scand. 2003;82(1):10-7. [Link] [DOI:10.1034/j.1600-0412.2003.820102.x] [PMID]
16. Fathian Z, Sharifi G, Hasanzadeh A, Fathian Z. The effect of education on knowledge, attitude and operation of pregnant women than vaginal delivery based on behavioral intention model in Khomein city, 2006. Zahedan J Res Med Sci. 2007;9(2):123-31. [Persian] [Link]
17. Seyedeh Nouri T, Jamshidi Yvanaki F. Evaluation of relationship between knowledge and attitude of pregnant women applicant for cesarean section with the reasons for choosing cesarean section by them referring to health center in Rasht. Guilan Univ Med Sci. 2006;15(59):75-84. [Persian] [Link]
18. Imami Afshar N, Torkzahrani S, Jalilvand P, Changizi N, Hejazi S, Khodakarami N, et al. Pregnancy training and preparation for delivery. Tehran: PAJHWAK ARMAN; 2009. [Persian] [Link]
19. Besharati F, Hazavehei SMM, Moeini B, Moghimbeigi A. Effect of educational interventions based on theory of planned behavior (TPB) in selecting delivery mode among pregnant women referred to Rasht health centers. J Adv Med Biomed Res. 2011;19(77):94-106. [Persian] [Link]
20. Asfia A, Azam K, Babaei Heydarabadi A, Gilasi HR, Ghanei Z, Dariyani A, et al. The effect of health education on knowledge and attitudes about cesarean in Tehrani women. Adv Nurs Midwifery. 2013;22(79). [Persian] [Link]
21. Litch CR, Walker JJ. The rise in cesarean section rate: The same indication but a lower threshold. Br J Obstet Gynaecol. 1998;105(6):621-6. [Link] [DOI:10.1111/j.1471-0528.1998.tb10176.x] [PMID]
22. Kananikandeh S. Persuading Iranian women toward normal vaginal delivery: Using pictorial perception of the labour process. Open Access Maced J Med Sci. 2018;6(6):1145-52. [Link] [DOI:10.3889/oamjms.2018.211] [PMID] [PMCID]
23. Khan-Jeihooni A, Shahidi F, Kashfi SM. Effectiveness of educational program based on the theory of reasoned action to decrease the rate of cesarean delivery among pregnant women in Fasa, southern Iran. J Educ Community Health. 2014;1(1):62-71. [Persian] [Link] [DOI:10.20286/jech-010162]
24. Toughyani R, Ramezani MA, Izadi M, shahidi S, Aghdak P, Motie Z, et al. The effect of prenatal care group education on pregnant mothers' knowledge, attitude and practice. Iran J Med Educ. 2008;7(2):317-24. [Persian] [Link]
25. Amidimazaheri M, Amiri M, Khorsandi M, Hasanzadeh A, Taheri Z. Does maternal education can reduce the cesarean section. PAYESH. 2015;14(5):577-86. [Persian] [Link]
26. Miri MR, Shafiee F, Haydaniya AR, Kazemnejad A. Study on behavioral intention model (BIM) to the attitude of tribermen towards family planning. J Mazandaran Univ Med Sci. 2002;12(37):67-75. [Persian] [Link]
27. Hopkins K. Are Brazilian women really choosing to deliver by cesarean. Soc Sci Med. 2000;51(5):725-40. [Link] [DOI:10.1016/S0277-9536(99)00480-3]
28. Lee LY, Holroyd E, Ng CY. Exploring factors influencing Chinese women's decision to have elective cesarean surgery. Midwifery. 2001;17(4):314-22. [Link] [DOI:10.1054/midw.2001.0274] [PMID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |