. Laleh Hassani; . Teamur Aghamolaei; . Amin Ghanbarnejad; . Sakineh Dadipoor
Volume 6, Issue 1 , 2016, , Pages 1-5
Abstract
Introduction: Although cesarean section has saved many mothers’ and infants’ lives,the problem is in its increasing prevalence. According to recent statistics, the current ...
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Introduction: Although cesarean section has saved many mothers’ and infants’ lives,the problem is in its increasing prevalence. According to recent statistics, the current rateof cesarean in Iran is in fact 3–4 times as more than the standard rate defined by WHO.Therefore, the present study is aimed to estimate the effect of an instructional program basedon health belief model on reducing cesarean rate among primiparous pregnant women.Materials and Methods: In this semi‑experimental research, 60 primiparous women whohad visited Bandar Abbas Healthcare Centers were selected as the subjects. They were intheir 26–30th week of pregnancy. They were selected in a multi‑stage cluster sampling method(a combination of clustering and simple randomization), and were divided into two groups,subjects and control group. The data were gathered using a valid and reliable questionnaire.The instructional intervention was done after the completion of the pretest questionnaire basedon the sub‑constructs of the health belief model in six instructional sessions. 1 month after theintervention, posttest questionnaires were completed by the subjects in both groups. The datawere analyzed using descriptive statistics, standard deviation, independent t‑test, and pairedt‑test. The significance level was set at <0.05. Results: Two groups had a significant differencebetween awareness score, perceived sensitivity, intensity, benefits, barriers, self‑efficacy, andthe performance (P < 0.001). In the experimental group, nine subjects (30%) had a naturaldelivery. Conclusion: According to the findings of the current research, an instructional programilluminated (designed) by the health belief model can significantly influence pregnant women’sawareness, intention, and choice of delivery type.