The effect of education on base the Theory of Planned Behavior toward normal delivery in pregnant women with intention elective cesarean

AUTHORS

Fariba Shahraki Sanavi 1 , Ali Navidian 2 , Fatemeh Rakhshani 3 , * , Alireza Ansari-Moghaddam 4

1 MSc of Health Education, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

2 Associate Professor Department of Family Counseling, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

3 Professor Department of Health Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

4 Associate Professor Depatrtment of Counseling and Statistics, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

How to Cite: Shahraki Sanavi F, Navidian A, Rakhshani F, Ansari-Moghaddam A. The effect of education on base the Theory of Planned Behavior toward normal delivery in pregnant women with intention elective cesarean, Hormozgan Med J. 2014 ; 17(6):e88264.

ARTICLE INFORMATION

Hormozgan Medical Journal: 17 (6); e88264
Published Online: September 19, 2012
Article Type: Research Article
Received: February 05, 2012
Accepted: September 19, 2012

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Abstract

Introduction: Finding an appropriate training method for encouraging pregnant women
toward performing vaginal delivery is necessary because of increasing growth of cesarean
and its associated complications.
Methods: This semi- experimental study was carried out on a sample of 200 pregnant
women who referred to the obstetrics offices of Zahedan during winter 2010 to summer
2011 by using non- probability sampling. Intervention group received training according to
theory of planned behavior. After doing pretest using a validated and reliable questionnaire
in both groups. Post- test was conducted after one month in both study groups. T-test, Chi-
Square and Logestic regression were used for data analysis.
Results: Findings showed a significant statistical differences between two groups’
knowledge, attitude and perceived behavior control, subjective norms and behavior scores
after intervention (P<0.001). Regression analysis revealed that behavioral intention and
perceived control were two greatest predictors of behavior. Overall, natural delivery was
seen in 22% of women in intervention group compared with 4% in control group.
Conclusion: The study finding showed that, education based on theory of planned behavior
significantly increased natural delivery among study participants. Accordingly, it is
recommended to adapt a policy which pregnant women to receive elective cesarean section
training packages according to this theory and attend related group discussions.

Keywords

Pregnant Women - Delivery - Cesarean

© 2014, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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