Document Type : Original Article


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


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.


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