Repository of Research and Investigative Information

Repository of Research and Investigative Information

Hormozgan University of Medical Sciences

The differences between pregnant women who request elective caesarean and those who plan for vaginal birth based on Health Belief Model

(2016) The differences between pregnant women who request elective caesarean and those who plan for vaginal birth based on Health Belief Model. Women and Birth.

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Abstract

Background Although vaginal birth is the safest type of childbirth, sometimes caesarean is necessary for the safety of the mother or the infant. The problem is that low-risk, healthy women are choosing caesarean as a birth option despite the fact that it is fraught with possible complications. Aim To determine the differences and identify the predictors for the way women plan their childbirth based on Health Belief Model. Methods A cross-sectional study was conducted in Bandar abbas city, Iran, from May to October 2015. The study recruited eligible women who self identified themselves as requesting a caesarean or vaginal birth in their response to a questionnaire. Findings Of 470 recruited women, 183 (38.9) planned to have a caesarean without medical indication. Maternal characteristics (age, level of education, occupational status, involvement in a medical profession, and household income) and obstetric variables (health provider type, place of prenatal care, and the number of children planned for the future) influenced the decisions made by the women. There was a significant difference between women planning a caesarean and those planning vaginal birth in terms of childbirth knowledge. Significant differences were observed regarding maternal self-efficacy, with women planning a caesarean reporting significantly lower self-efficacy than women planning a vaginal birth. Women planning a caesarean birth were also significantly less likely to perceive themselves as being at risk for caesarean-related side effects than women planning a vaginal birth. Conclusion Comprehensive childbirth knowledge can lead to positive maternal attitude towards vaginal birth and may improve birth confidence. © 2016 Australian College of Midwives

Item Type: Article
Additional Information: cited By 0
Keywords: adult; Article; cesarean section; childbirth; cross-sectional study; elective surgery; female; health belief; Health Belief Model; human; Iran; Iranian (citizen); maternal welfare; patient education; pregnant woman; prenatal care; priority journal; self concept; vaginal delivery; young adult; attitude to health; birth; elective surgery; obstetric delivery; patient preference; pregnancy; pregnant woman; procedures; psychology; questionnaire, Adult; Cesarean Section; Cross-Sectional Studies; Delivery, Obstetric; Elective Surgical Procedures; Female; Health Knowledge, Attitudes, Practice; Humans; Iran; Parturition; Patient Preference; Pregnancy; Pregnant Women; Prenatal Care; Surveys and Questionnaires
Subjects: WQ Obstetrics > WQ 300-330 Labor
Divisions: Education Vice-Chancellor Department > Faculty of Medicine > Departments of Clinical Sciences > Department of Obstetrics and Gynecology
Depositing User: مهندس هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/3877

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