Document Type : Original Article
Authors
- . Gholamreza Sharifirad
- . Mohsen Rezaeian 1
- . Raheleh Soltani
- . Somayeh Javaheri 2
- . Maryam Amidi Mazaheri 3
1 Department of Social Medicine, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan,
2 Department of Public Health, School of Health, Isfahan University of Medical Sciences, Isfahan
3 Department of Health Education, Tarbiat Modares University, Tehran, Iran
Abstract
Background: Nowadays, cesarean section rate is increasing in Iran and throughout the
world. Cesarean section is one of the major surgical procedures, which carry serious and
rarely fetal risk for mother and child. This study was conducted to determine the effects of
health education on husbands of pregnant women in reducing elective cesarean section.
Materials and Methods: This study was a trial study, in which 88 pregnant women between
28‑32 weeks of pregnancy, who referred to the private clinics in Isfahan, were randomly
assigned into case and control groups. The husbands of the women within case group were
educated about cesarean and vaginal delivery. At the beginning of study and 4 weeks after
an educational intervention, the knowledge and attitude of 3 groups (cases, controls, and
husbands of case group) were determined. The type of delivery was determined by phone call.
Findings: Educational intervention on husbands caused a significant increase in the knowledge
and a positive attitude in mothers within case group towards vaginal delivery. Elective cesarean
section in case group was significantly lower than that of the control group (29.5% vs. 50%,
P < 0.05). Conclusion: The results of the present study showed that husbands’ education can
effectively increase the knowledge and improve the attitude of their wives, and reduce the rate
of elective cesarean section.
Keywords
women and health personnel toward normal delivery vs cesarean
section. J Ardabil Univ Med Sci Health Serv 2006;6:403‑8.
2. Nagibi K, Allameh Z, Montazeri K. Normal Delivery vs. Cesarean;
Which one is better. Isfahan: Isfahan University of Medical
Sciences; 2001.
3. Belizan JM, Althabe F, Barros FC, Alexander S. Rates and
implications of caesarean sections in Latin America: Cological study.
BMJ 1999;319:1397‑400.
4. Mukherjee SN. Rising cesarean section rate. J Obstet Gynecol India
2006;56:298‑300.
5. Ghazi Jahani B. Williams pregnancy and delivery. 22nd ed. Tehran:
Ghazi Jahani; 2005.
6. Ministry of Health and Medical Education. Population and health
view within the Islamic Republic of Iran. Tehran: Ministry of Health
and Medical Education; 2004. p. 254.
7. Ganji F, Raeisi R, Khosravi SH, Soltani P, Kasiri K, Jafarzadeh LA,
et al. Effect of a participatory intervention to reduce the number
of unnecessary cesarean sections performed in Shahrekord, Iran.
J ShareKord Univ Med Sci 2005;8:14‑8.
8. Leitch CR, Walker JJ. The rise in caesarean section rate: The
same indications but a lower threshold. Br J Obstet Gynaecol
1998;105:621‑6.
9. Tavvasoli M. The effects of Health education on reducing the
cesarean section among pregnant women. [MSc Thesis]. Tehran:
Tarbiat Moddaress University; 2001. p. 137‑41.
10. Mohammadi N. Health education comprehensive lesson. Tehran:
Mehr Ravash Publications; 2004. p. 143.
11. Amidy M, Akbarzadeh K. A survey on the effects of health education
on the knowledge and attitude of pregnant women towards the
cesarean section. J Ilam Univ Med Sci 2011;13:17‑25.
12. Fisher J, Smith A, Astbury J. Private health insurance and a
healthy personality: New risk factors for obstetric intervention?
J Psychosom Obstet Gynaecol 1995;16:1‑9.
13. Fathian Z, Sharifi rad Gh, Hasanzadeh A, Fathian Z. Study of the
effects of behavioral intention model education on reducing thecesarean rate among pregnant women of Khomeiny‑Shahr, Isfahan,
in 2006. Zahedan J Res Med Sci 2007;9:123‑31.
14. Lashgari MH, Delavari S, Markazi Moghaddam N, Gorouhi F. Effects
of training programs of pregnant women on their delivery type
selection: A single blind, randomized control trial. J Army Univ
Med Sci I.R. Iran 2005;3:679‑84.
15. Noori ST, Jamshidi AF. Survey the Relationship between knowledge
and attitude of pregnant women requesting cesarean section
referred to Rasht health centers and their choice reasons. J Med
Fac Guilan Univ Med Sci 2006;15:75‑84.
16. Irvine LM. Patient education is way to influence maternal requests
for caesarean section. BMJ 1999;319:190.
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