Persuading Iranian Women toward Normal Vaginal Delivery: Using Pictorial Perception of the Labour Process
DOI:
https://doi.org/10.3889/oamjms.2018.211Keywords:
Parturition, Pictorial Education, Pregnant WomenAbstract
BACKGROUND: Pictorial education could provide an innovative approach for health educators which help to increase health-related information, the attention of individuals, comprehension, and recall.
AIM: The purpose of this study was to determine the effect of pictorial perception of labour process by persuading Iranian women toward normal vaginal delivery.
MATERIALS AND METHODS: The pre and post non-randomized trial with control group carried out on non-probability sample consisted of 76 pregnant women during the third trimester of pregnancy in the four urban health care centres in Pars-Abad city, Iran, during 2014. Demographic, knowledge, attitude, subjective norms, outcome expectations, self-efficacy, and intention to do normal vaginal delivery variables were measured by using self-administered questionnaire and via the self-report method. Data analysis was performed using SPSS-21 software by Independent t-test, repeated measure, paired T-test, ANOVA, chi-square, Cochran’s Q, and McNemar test. Manipulation included a pictorial education program to persuade pregnant women toward selecting normal vaginal delivery.
RESULTS: The results showed significant improvement in mean scores of knowledge, attitudes, self-efficacy and behavioural intention of labour after manipulation in the intervention group (P < 0.001). It was found about 60% changes for intending to choose normal vaginal delivery, and 27/06% of women in the intervention group reported normal vaginal delivery versus the control group. And 10/81% of women did a cesarean section because of medical reasons during of delivery. Reduction of cesarean section was evident. Additionally, the annual rate of cesarean section decreased about 7% in comparison to the previous year.
CONCLUSION: Pictorial education could be effective on the intention of women to choose natural vaginal delivery among pregnant women, and it can be used as an effective training technique for developing health literacy, enhancing self-efficacy and decision-making power of women in the delivery.Downloads
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References
Karim F, Ghazi A, Ali T, et al. Trends and Determinants of Caesarean Section. JSP. 2011; 16(1): 22-27.
Runmei M, Terence TL, Yonghu S, et al. Practice audits to reduce caesareans in a tertiary referral hospital in south-western China. Bull World Health Organ. 2012; 90(7): 488-494. https://doi.org/10.2471/BLT.11.093369 PMid:22807594 PMCid:PMC3397701
Darvishi E, Mortazavi SS, Nedjat S, et al. Experiences of women and gynecologists on the choice of delivery method: A qualitative research. HSRJ. 2012; 8(1): 59-67.
Goldani MZ, Barbieri MA, Da Silva AAM, et al. Cesarean section and increased body mass index in school children: two cohort studies from distinct socioeconomic background areas in Brazil. Nutr J. 2013; 12: 104-110. https://doi.org/10.1186/1475-2891-12-104 PMid:23886115 PMCid:PMC3727942
Bahadori F, Hakimi S, Heidarzade M. The trend of caesarean delivery in the Islamic Republic of Iran. EMHJ. 2013; 19: 67-70. https://doi.org/10.26719/2013.19.Supp3.S67
Sharghi A, Kamran A, Sharifirad GR. Assessing the factors influencing delivery method selection in primiparous pregnant women referred to health centers in Ardabil, 2010. HMJ. 2011; 15(3): 234-242.
Kashfi SM, Khani Jeihooni A, Babaei Heydarabadi A, et al. Effect of behavioral intention model-based education on decrease the rate of caesarean delivery among pregnant women. JPS. 2014; 5(1): 16-23.
Besharati F, Hazavehei SMM, Moeini B, et al. Effect of educational interventions based on theory of planned behavior (TPB) in selecting delivery mode among pregnant women referred to Rasht health centers. ZUMSJ. 2012; 19(77): 94-106.
Shahraki Sanavi F, Ansari-Moghaddam A, Rakhshani F, et al. Two teaching methods to encourage pregnant women for performing normal vaginal delivery. IJME. 2012; 12(3): 184-192.
Myonghwa P. Effects of interactive pictorial education on community dwelling older adult's self-efficacy and knowledge for safe medication. J Korean Acad Nurs. 2011; 41(6): 795-804. https://doi.org/10.4040/jkan.2011.41.6.795 PMid:22310864
Katz MG, Kripalani S, Weiss BD. Use of pictorial aids in medication instructions: A review of the literature. AJHP. 2006; 63(23): 2391-2397. https://doi.org/10.2146/ajhp060162
Houts PS, Doak CC, Doak LG, et al. The role of pictures in improving health communication: A review of research on attention, comprehension, recall, and adherence. PEC. 2006; 61(2): 173-190. https://doi.org/10.1016/j.pec.2005.05.004
Ajh N, Sabet ghadam Sh, Unesyan M. The effect of health education on the rate of cesarean section. JQUMS. 2011; 14(4): 71-76.
Baghianimoghadam MH, Baghianimoghadam M, jozi F, et al. The relationship between HBM constructs and intended delivery method. TB. 2014; 12(4): 105-116.
Rahimikian F, Mirmohamdaliei M, Mehran A, et al. Effect of education designed based on Health Belief Model on choosing delivery mode. Hayat. 2009; 14 (4 and 3): 25-32. [Persian]
Tofighi Niaki M, Ramezani M, Izadi M, et al. The effect of prenatal care group education on pregnant mothers knowledge, attitude and practice. IJME. 2008; 7(2): 317-324.
Hashemian M. Education of health and communication. 2th ed. Tehran: Andishe Rfi; 2014. [Persian]
Saffari M, Shojaeizadeh D, Ghofranipour F. Health education and promotion theories, models, and methodes. 2th ed. Tehran: Asare Sobhan; 2012. [Persian]
Bandura A. Health promotion by social cognitive means. HEB. 2004; 31(2): 143-164. https://doi.org/10.1177/1090198104263660
Khorsandi m, Ghofranipour F, Heydarnia A, et al. The survey of perceived self-efficacy of labor in pregnant women. Journal of Medical Council of Iran 2009; 26(1): 89-95.
Salomonsson B, Bertero C, Alehagen S. Self-efficacy in pregnant women with severe fear of childbirth. JOGNN. 2013; 42(2): 191-202. https://doi.org/10.1111/1552-6909.12024 PMid:23488555
Schwarzer R. Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology. 2008; 57(1): 1-29. https://doi.org/10.1111/j.1464-0597.2007.00325.x
Tanglakmankhong K, Perrin NA, Lowe NK. Childbirth self-Efficacy inventory and childbirth attitudes questionnaire: psychometric properties of Thai language versions. J Adv Nurs. 2011; 67(1): 193-203. https://doi.org/10.1111/j.1365-2648.2010.05479.x PMid:21158905
Bandura A. Self-efficacy in changing societies. 1 ed. United Kingdem: Syndicate: Cambridge University Press, 1995.
Williams DM, Anderson ES, Winett RA. A review of the outcome expectancy construct in physical activity research. Ann Behav Med. 2005; 29(1): 70-79. https://doi.org/10.1207/s15324796abm2901_10 PMid:15677303
Tudoran AA, Scholderer J, Bruns K. Regulatory focus self-efficacy and outcome expectations as drivers of motivation to consume healthy food products. Appetite. 2012; 59(2): 243-251. https://doi.org/10.1016/j.appet.2012.05.002 PMid:22595287
Sexton TL, Tuckman BW. Self-beliefs and behavior: The role of self-efficacy and outcome expectation over time. Personality and Individual Differences. 1991; 12(7): 725-736. https://doi.org/10.1016/0191-8869(91)90228-4
Iannotti RJ, Schneider S, Nansel TR, et al. Self-Efficacy, outcome expectations, and diabetes self-management in adolescents with type 1 diabetes. J Dev Behav Pediatr. 2006; 27(2): 98-105. https://doi.org/10.1097/00004703-200604000-00003 PMid:16682872
Keller PA. Regulatory focus and efficacy of health messages. JCR. 2006; 33(1): 109-114. https://doi.org/10.1086/504141
Conner M. Cognitive Determinants of Health Behavior. In: United Kingdem: University of Leeds: Institute of Psychological Sciences; 2010. https://doi.org/10.1007/978-0-387-09488-5_2
Schwarzer R, Luszczynska A. How to overcome health-compromising behaviors: The health action process approach. European Psychologist. 2008; 13(2): 141-151. https://doi.org/10.1027/1016-9040.13.2.141
Sniehotta FF, Scholz U, Schwarzer R. Bridging the intention-behaviour gap: Planning, selfefficacy,and action control in the adoption and maintenance of physical exercise. Psychology & Health. 2005; 20(2): 143-160. https://doi.org/10.1080/08870440512331317670
Poss JE. Factors associated with participation by mexican migrant farmworkers in a tuberculosis screening program. Nurs Res. 2000; 49(1): 20-28. https://doi.org/10.1097/00006199-200001000-00004 PMid:10667625
Hajian S, Shariati M, Najmabadi KM, et al. Psychological predictors of intention to deliver vaginally through the extended parallel process model: A mixed-method approach in pregnant Iranian women. OMJ. 2013; 28(6): 395-403. https://doi.org/10.5001/omj.2013.115 PMid:24223242 PMCid:PMC3815863
Jamshidimanesh M, Oskouie F, Jouybary L, et al. The process of women's decision making for selection of cesarean delivery. IJN. 2009; 21(56): 55-67.
Diclemente RJ, Crosby RA, Kegler MC. Emerging theories in health promotion practice andresearch: strategies for improving public health. 1 ed. San Francisco: Jossey-Bass Wiley, 2002.
Moll J. Doctor-patient communication in rheumatology: studies of visual and verbal perception usingeducational booklets and other graphic material. Ann Rheum Dis. 1986; 45(3): 198-209. https://doi.org/10.1136/ard.45.3.198 PMid:3954469 PMCid:PMC1001852
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