Document Type : Original Article
Authors
- . Masoumeh Kordi
- . Sahar Riyazi
- . Marziyeh Lotfalizade 1
- . Mohammad Taghi Shakeri 2
- . Hoseyn Jafari Suny 3
1 Gynecology and Obstetrics,
2 Biostatistics, School of Medicine, Mashhad University of Medical Sciences
3 Department of Educational Sciences, School of Education and Psychology, Ferdowsi University, Mashhad, Iran
Abstract
BACKGROUND AND GOAL: Screening of fetal anomalies is assumed as a necessary
measurement in antenatal cares. The screening plans aim at empowerment of individuals to
make the informed choice. This study was conducted in order to compare the effect of group and
face‑to‑face education and decisional conflicts among the pregnant females regarding screening
of fetal abnormalities.
METHODS: This study of the clinical trial was carried out on 240 pregnant women at <10‑week
pregnancy age in health care medical centers in Mashhad city in 2014. The form of
individual‑midwifery information and informed choice questionnaire and decisional conflict scale
were used as tools for data collection. The face‑to‑face and group education course were held
in two weekly sessions for intervention groups during two consecutive weeks, and the usual
care was conducted for the control group. The rate of informed choice and decisional conflict
was measured in pregnant women before education and also at weeks 20–22 of pregnancy in
three groups. The data analysis was executed using SPSS statistical software (version 16), and
statistical tests were implemented including Chi‑square test, Kruskal–Wallis test, Wilcoxon test,
Mann–Whitney U‑test, one‑way analysis of variance test, and Tukey’s range test. The P < 0.05
was considered as a significant.
RESULTS: The results showed that there was statically significant difference between three groups
in terms of frequency of informed choice in screening of fetal abnormalities (P = 0.001) in such
a way that at next step of intervention, 62 participants (77.5%) in face‑to‑face education group,
64 members (80%) in group education class, and 20 persons (25%) in control group had the informed
choice regarding screening tests, but there was no statistically significant difference between two
individual and group education classes. Similarly, during the postintervention phase, there was a
statistically significant difference in mean score of decisional conflict scale among pregnant women
regarding screening tests in three groups (P = 0.001).
DISCUSSION AND CONCLUSION: With respect to effectiveness of group and face‑to‑face
education methods in increasing the informed choice and reduced decisional conflict in pregnant
women regarding screening tests, each of these education methods may be employed according
to the clinical environment conditions and requirement to encourage the women for conducting the
screening tests.
Keywords
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