Prediction of Birth Type Based on the Health Belief Model
Abstract
Objective: To anticipate the type of childbirth according to the health belief model.
Materials and methods: The present cross-sectional research was conducted on 222 primiparous women visiting the healthcare center in Khorram Abad. A combination of simple randomization and clustering was used to do the sampling. The data collection instrument was a validated four-part questionnaire the first part of which contained demographic information. The second part was comprised of awareness questions while the third dealt with the constructs of the health belief model. The final part consisted of the behavioral intention derived from the logical action theory. SPSS 16 was used to statistically analyze the data and the significance level was set at p ˂ 0.05.
Results: The average age of the participants was 27.40 ± 6.07 years. Intention to go for a vaginal birth showed to be significantly correlated with awareness, perceived sensitivity, intensity, barriers and benefits (p ˂ 0.001) as well as self-efficacy (p = 0.025). The best predictor of the type of childbirth turned out to be the perceived barriers (OR = 1.153, p ˂ 0.001) and only then awareness (OR = 1.108, p ˂ 0.001).
Conclusion: Strategies to remove the barriers of preferring vaginal childbirth, raising women’s awareness of the side effects of C-section and the benefits of vaginal birth, strategies to enhance women’s beliefs in their capability of natural childbirth can be used to reduce the prevalence of unnecessary C-sections.
Emmett CL, Shaw AR, Montgomery AA, Murphy DJ; DiAMOND study group. Women's experience of decision making about mode of delivery after a previous caesarean section: the role of health professionals and information about health risks.BJOG 2006;113:1438-45.
Biglarifar F, veisani Y, delpisheh A. Women's knowledge and attitude towards choosing mode of delivery in the first pregnancy. The Iranian journal of obstetrics, Gynecology and Infertility 2015; 17: 19-24
Safari Moradabadi A, Hassani L, Ghanbarnejad A, Madani A, Rajaei I, Dadipoor S. The effect of education on knowledge and preferred method of delivery in nulliparous women. J Health Care. 2014;16(1):74-83.
Bukar M, Ibrahim S, Kawuwa M, Dabu B, Moruppa J, Ehailaye B, et al. Caesarean section on maternal request in north-eastern Nigeria: Women’s knowledge, perception and attitude. Int J Med Biomed Res 2014;3:11-6.
Moradabadi AS, Alavi A, Eftekhaari TE, Dadipoor S. The reproductive behavior of families with Thalassemic children in Hormozgan. Journal of reproduction & infertility. 2015;16(3):167.
Gibbons L, Belizán JM, Lauer JA, Betrán AP, Merialdi M, Althabe F. The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: overuse as a barrier to universal coverage. World health report 2010:3-8.
Fenwick J, Staff L, Gamble J, Creedy DK, Bayes S. Why do women request caesarean section in a normal, healthy first pregnancy? Midwifery 2010;26:394-400.
Hassani L, Aghamolaei T, Ghanbarnejad A, Madani A, Alizadeh A, Safari Moradabadi A. The effect of educational intervention based on BASNEF model on the students' oral health. Journal of Research & Health. 2016;5(4):36-44.
Dadipoor S, Aghamolaei T, Ramezankhani A, Safari-Moradabadi A. Comparison of Health Belief Model Constructs Based on Birth Type among Primiparous Pregnant Women in Bandar Abbas, Iran. J Educ Community Health. 2017;4(1):59-65.
Ghaffari M, Afshari A. Application of health belief model forpredicting delivery method among pregnant women of Semirom: a cross-sectional research. World Applied Sciences Journal2013; 22: 494-9.
Loke AY, Davies L, Li SF. Factors influencing the decision that women make on their mode of delivery: the Health Belief Model. BMC Health Serv Res 2015 20;15:274.
Dadipoor S, Madani A, Alavi A, Roozbeh N, Safari Moradabadi A. A survey of the growing trend of caesarian section in Iran and the world: a review article. The Iranian Journal of Obstetrics, Gynecology and Infertility 2016;19:8-17.
Ghaffari Mohtasham SG, Akbari Zeinab K, Hassanzadeh A. Health Belief Model-Based Education & Reduction Of Cesarean Among Pregnant Women: An Interventional Study. J Health Syst Res 2011;7:200-8.
Yousefzadeh S, Esmaeili Darmiyan M, Asadi Younesi M, Shakeri M. The Effect of a Training Program During Pregnancy on the Attitude and Intention of Nulliparous Women to Choose the Delivery Mode.Journal of midwifery and reproductive health 2016;4:704-11.
Buyukbayrak EE, Kaymaz O, Kars B, Karsidag AY, Bektas E, Unal O, et al.Caesarean delivery or vaginal birth: preference of Turkish pregnant women and influencing factors. J Obstet Gynaecol 2010;30:155-8.
Chong ES, Mongelli M. Attitudes of Singapore womentoward cesarean and vaginal deliveries. Int J Gynaecol Obstet 2003;80:189-94.
Lee SI, Khang YH, Lee MS. Women's attitudes toward mode of delivery in South Korea--a society with high cesarean section rates. Birth 2004 :31:108-16.
Anderson ET. Health and disease prevention. Nursing Outlook 1996;10:1105-252.
Sharifi Rad GR, Hazavei MM. effect of health education based on health belief model on preventive actions of smoking in grade one, middle school students. J Arak Univ Med Sci 2007:10:1-8.
Negahban T, Ansari Jaberi A, Kazemi M. Preference method of delivery and it's relevant causes in view of pregnant women referring to public and private clinics in Rafsanjan city. J Rafsanjan Univ Med Sci 2006;5:161-8.
Howharn C. Effects of childbirth preparation classes on self-efficacy in coping with labor pain. Doctor of philosophy thesis School of nursing, The university of Texas at Austin; 2008.
Nerum H, Halvorsen L, Sørlie T, Oian P. Maternal request for cesarean section due to fear of birth: can it be changed through crisis‐oriented counseling? Birth 2006; 33: 221-8.
Sharghi A, Kamran A, Sharifirad GR. [Assessing the factors influencing delivery method selection in primiparous pregnant women referred to health centers in Ardabil, 2010]. Hormozgan Medical Journal 2011; 15:234-42.
Fuglenes D, Oian P, Kristiansen IS. Obstetricians' choice of cesarean delivery in ambiguous cases: is it influenced by risk attitude or fear of complaints and litigation? Am J Obstet Gynecol 2009;200:48.e1-8.
Disney JA. The context of women's childbirth decisions regarding vaginal birth after cesarean section.Arizona:University of Arizona;1998:1-178.
Sharifirad GR, Baghiani Moghadam MH, Fathyian Z, Rezaeian M. The effect of health education using behavior intention model on of cesarean in Khomainy-shahr, Iran. Iran J Nurs Midwifery Res 2009;14.
Rahimikian F, Mirmohamadali M, Mehran A, Aboozari K, Barough S. Effect of Education Designed based on Health Belief Model on Choosing Delivery Mode. Hayat 2008;14.
Baghianimoghadam M, Baghianimoghadam M, Jozi F, Hatamzadah N, Mehrabbik A, Hashemifard F. The relationship between HBM constructs and intended delivery method. Toloo e Behdasht 2014;12:105-16.
Hassani L, Aghamolaei T, Ghanbarnejad A, Dadipoor S. The effect of an instructional program based on health belief model in decreasing cesarean rate among primiparous pregnant mothers. J Educ Health Promot 2016 23;5:1.
Kanani S, Allahverdipour H. Self-Efficacy of Choosing Delivery Method and Labor Among Pregnant Women in Pars-Abad City.Journal ofEducation and Community Health 2014;1:39-47.
Dilks FM, Beal JA. Role of self-efficacy in birth choice. J Perinat Neonatal Nurs 1997;11:1-9.
Khorsandi M, Ghofranipour F, Heydarnia A, Faghihzade S, Akbarzade A, Vafaei M. Survey of perceived self-efficacy in pregnant women. J Med Counc Islam Repub Iran 2008;26:89-95.
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Issue | Vol 11, No 3 (September 2017) | |
Section | Original Articles | |
Keywords | ||
Childbirth C-Section Primiparous Women Health Belief Model |
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