Volume 9, Issue 4 (2021)
Health Educ Health Promot 2021, 9(4): 437-443 |
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Attarian S, Feyzi Z, Jamali J, Firoozi M. Influence of Individual Consulting based on Fogg's Behavior Model on Choosing Vaginal Birth after Caesarean. Health Educ Health Promot 2021; 9 (4) :437-443
URL: http://hehp.modares.ac.ir/article-5-53332-en.html
URL: http://hehp.modares.ac.ir/article-5-53332-en.html
1- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2- Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
4- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran ,firoozim@mums.ac.ir
2- Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
4- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran ,
Abstract: (1116 Views)
Aims: Due to the high rate of repeat cesarean complications, the previous cesarean section mothers need to change their behavior on the mode of birth. Counseling can be effective in changing mothers' behavior. This study assesses the effect of individual counseling based on the Fogg model on this behavior.
Materials & Methods: In a randomized clinical trial, 62 pregnant cesarean section mothers in Mashhad Health Centers in 2020 were randomly entered into intervention and control groups. Two individual counseling based on Fogg's behavior model in 28-30 weeks of pregnancy for 45-60 minutes and one online session in Telegram channel in the intervention group were presented. The control group had routine care. Data were collected by personnel and obstetric questionnaire and Fogg's behavior model checklist to assess the intention to choose vaginal birth after cesarean at the beginning, two and four weeks after the end of the intervention. Data were analyzed by independent t-test, paired t-test, Mann-Whitney, and Kruskal-Wallis tests in SPSS 25.
Findings: There was a statistically significant difference in the mean score of Fogg's questionnaire between the two groups (p<0.05). There was a statistically significant difference in choosing vaginal birth after cesarean in the counseling group before and after the intervention (p<0.05) and also the rate of intention to choose between two groups after the intervention (p<0.05).
Conclusion: The significant increase in planning to choose vaginal birth after cesarean section in the counseling group based on the Fogg model indicates this approach can be used in counseling to choose vaginal birth after cesarean section and other methods.
Materials & Methods: In a randomized clinical trial, 62 pregnant cesarean section mothers in Mashhad Health Centers in 2020 were randomly entered into intervention and control groups. Two individual counseling based on Fogg's behavior model in 28-30 weeks of pregnancy for 45-60 minutes and one online session in Telegram channel in the intervention group were presented. The control group had routine care. Data were collected by personnel and obstetric questionnaire and Fogg's behavior model checklist to assess the intention to choose vaginal birth after cesarean at the beginning, two and four weeks after the end of the intervention. Data were analyzed by independent t-test, paired t-test, Mann-Whitney, and Kruskal-Wallis tests in SPSS 25.
Findings: There was a statistically significant difference in the mean score of Fogg's questionnaire between the two groups (p<0.05). There was a statistically significant difference in choosing vaginal birth after cesarean in the counseling group before and after the intervention (p<0.05) and also the rate of intention to choose between two groups after the intervention (p<0.05).
Conclusion: The significant increase in planning to choose vaginal birth after cesarean section in the counseling group based on the Fogg model indicates this approach can be used in counseling to choose vaginal birth after cesarean section and other methods.
Keywords: Consultation [MeSH], Choice Behavior [MeSH], Cesarean section [MeSH], Vaginal Birth after Cesarean [MeSH]
Article Type: Original Research |
Subject:
Family Health Education/Promotion
Received: 2021/06/15 | Accepted: 2021/08/26 | Published: 2021/12/7
Received: 2021/06/15 | Accepted: 2021/08/26 | Published: 2021/12/7
References
1. Johanson R, Newburn M, Macfarlane A. Has the medicalisation of childbirth gone too far? Bmj. 2002;324(7342):892-5. [Link] [DOI:10.1136/bmj.324.7342.892] [PMID] [PMCID]
2. Alimohamadian M, Shariat M, Mahmoodi M, Ramezanzadeh F. The influence of maternal request on the elective cesarean section rate in maternity hospitals in Tehran, Iran. Iran Inst Health Sci Res. 2003;2(2):137-42. [Persian] [Link]
3. Crowther CA, Dodd JM, Hiller JE, Haslam RR, Robinson JS, Group BACS. Planned vaginal birth or elective repeat caesarean: Patient preference restricted cohort with nested randomised trial. PLoS Med. 2012;9(3):e1001192. [Link] [DOI:10.1371/journal.pmed.1001192] [PMID] [PMCID]
4. Harrison MS, Pasha O, Saleem S, Ali S, Chomba E, Carlo WA, et al. A prospective study of maternal, fetal and neonatal outcomes in the setting of cesarean section in low‐and middle‐income countries. Acta Obstet Gynecol Scand. 2017;96(4):410-20. [Link] [DOI:10.1111/aogs.13098] [PMID] [PMCID]
5. Pakdaman R, Firoozi M. Vaginal birth after cesarean section in Iran: A narrative review. J Midwifery Reprod Health. 2021;9(2):2642-51. [Link]
6. Sharma S, Dhakal I. Cesarean vs vaginal delivery: An institutional experience. JNMA J Nepal Med Assoc. 2018;56(209):535-9. [Link] [DOI:10.31729/jnma.3467] [PMID]
7. Darmian ME, Yousefzadeh S, Fathi Najafi T, Javadi SV. Comparative study of teaching natural delivery benefits and optimism training on mothers' attitude and intention to select a type of delivery: An educational experiment. Electronic Physician. 2018;10(7):7038-45. [Link] [DOI:10.19082/7038] [PMID] [PMCID]
8. Folsom S, Esplin MS, Edmunds S, Metz TD, Jackson GM, Porter TF, et al. Patient counseling and preferences for elective repeat cesarean delivery. Am J Perinatol Rep. 2016;6(02):e226-e31. [Link] [DOI:10.1055/s-0036-1584529] [PMID] [PMCID]
9. Chen SW, Hutchinson AM, Nagle C, Bucknall TK. Women's decision-making processes and the influences on their mode of birth following a previous caesarean section in Taiwan: A qualitative study. BMC Pregnancy Childbirth. 2018;18(1):13. [Link] [DOI:10.1186/s12884-018-1661-0] [PMID] [PMCID]
10. Black M, Entwistle VA, Bhattacharya S, Gillies K. Vaginal birth after caesarean section: Why is uptake so low? Insights from a meta-ethnographic synthesis of women's accounts of their birth choices. Obstet Gynaecol. 2016;6:e008881. [Link] [DOI:10.1136/bmjopen-2015-008881] [PMID] [PMCID]
11. Firoozi M, Tara F, Ahanchian MR, Latifnejad Roudsari R. Health care system barriers to vaginal birth after cesarean section: a qualitative study. Iran J Nurs Midwifery Res. 2020;25(3):202-11. [Link] [DOI:10.4103/ijnmr.IJNMR_150_19] [PMID] [PMCID]
12. Mohebi S, Sharifirad G, Feizi A, Botlani S, Hozori M, Azadbakht L. Can health promotion model constructs predict nutritional behavior among diabetic patients? J Res Med Sci. 2013;18(4):346-59. [Link]
13. Baghianimoghadam MH, Zolghadar R, Moghadam BB, Darayi M, Jozy F. Related factors to choose normal vaginal delivery by mothers based on health belief model. J Educ Health Promot. 2012;1:17. [Link] [DOI:10.4103/2277-9531.99216] [PMID] [PMCID]
14. 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. [Link]
15. Homer CSE, Besley K, Bell J, Davis D, Adams J, Porteous A, et al. Does continuity of care impact decision making in the next birth after a caesarean section (VBAC)? A randomised controlled trial. BMC Pregnancy Childbirth. 2013;13(140). [Link] [DOI:10.1186/1471-2393-13-140] [PMID] [PMCID]
16. Hemminki E, Long Q, Zhang WH, Wu Z, Raven J, Tao F, et al. Impact of financial and educational interventions on maternity care: Results of cluster randomized trials in rural China, CHIMACA. Matern Child Health J. 2013;17(2):208-21. [Link] [DOI:10.1007/s10995-012-0962-6] [PMID]
17. Hoseini Haji SZ, Firoozi M. Shared decision-making about birth after cesarean: Review study. Iran J of Obstet Gynecol Infertil. 2020;23(4):89-97. [Link]
18. Hoseini Haji SZ, Firoozi M, Asghari Pour N, Shakeri MT. Impact of motivational interviewing on women's knowledge, attitude and intention to choose vaginal birth after caesarean section: A randomized clinical trial. J Midwifery Reprod Health. 2020;8(1):2115-25. [Link]
19. Moeini B, Besharati F, Hazavehei M, Moghimbeigi A. Women's attitudes toward elective delivery mode based on the theory of planned behavior. J Guilan Univ Med Sci. 2011;20(79):68-76. [Link]
20. Fogg BJ. Tiny habits: The small changes that change everything. Boston: Mariner Books; Illustrated edition; 2020. [Link]
21. Yang Q, Wen SW, Oppenheimer L, Chen XK, Black D, Gao J, et al. Association of caesarean delivery for first birth with placenta praevia and placental abruption in second pregnancy. BJOG. 2007;114(5):609-13. [Link] [DOI:10.1111/j.1471-0528.2007.01295.x] [PMID]
22. Turkestani F, Abedini MD, Radpouyan L, Heimighasbe S, Hadipour Jahromi L, Bakhshande M, et al. National guide to midwifery and maternity services. 3rd ed. Tehran: The Ministry of Health and Medical Education; 2017. p:179-83. [Persian] [Link]
23. Firoozi M, Tara F, Ahanchian MR, Latifnejad Roudsari R. Clinician's and women's perceptions of individual barriers to vaginal birth after cesarean in Iran: A qualitative inquiry. Caspian J Intern Med. 2020;11(3):259-66. [Link]
24. Yousefzadeh S, Esmaeili Darmiyan M, Asadi Younesi M, Shakeri M. The effect of a training program during pregnancy on the attitude and intention of nulliparous women to choose the delivery mode. J Midwifery Reprod Health. 2016;4(3):704-11. [Link]
25. Chinkam S, Ewan J, Koeniger-Donohue R, Hawkins JW, Shorten A. The effect of evidence‐based scripted midwifery counseling on women's choices about mode of birth after a previous cesarean. J Midwifery Womens Health. 2016;61(5):613-20. [Link] [DOI:10.1111/jmwh.12466] [PMID]
26. Najafi-Sharjabad F, Keshavarz P, Moradian Z. Survey on the prevalence and influencing factors for choosing normal vaginal delivery among pregnant women in Bushehr city, 2015. J Community Health. 2017;11(1):20-9. [Persian] [Link]
27. Hamzekhani M, Hamidzadeh A, Vasegh Rahimparvar SF, Montazeri A. Effect of computerized educational program on self-efficacy of pregnant women to cope with childbirth. Knowl Health. 2014;9(1):13-20. [Persian] [Link]
28. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Adv Behav Res Ther. 1978;1(4):139-61. [Link] [DOI:10.1016/0146-6402(78)90002-4]
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