Evaluation of the Effectiveness of Behavioral Change Strategies on Choosing Delivery Method in Nulliparous Pregnant Women

  • J Malakouti
  • H Mohaddesi
  • N SattarzadehJahdi
  • Mohammad Asghari Jafarabadi
  • H SalehiPourmehr
  • N Alidoost
Keywords: Education, Knowledge, Attitude, peer education, Delivery Method, Nulliparous


Purpose: To assess the effect of peer education on knowledge, attitude and the choice of delivery methods
among nulliparous pregnant women.
Methods: In this randomized controlled trial, 300 nulliparous women (gestational age 24 to 32 W) in Boukan district during Feb to Aug in 2014, without normal vaginal delivery (NVD) ban, were randomly allocated into control and training groups with equal size of 95. Four weekly educational sessions were held for training groups. In the first intervention group, educational sessions were held by researcher and in the second intervention group, the participants were trained by the researcher and the experiences of their peers. A validated Questionnaire was used for data collection on primary outcomes of knowledge, attitude and performance concerning the choosing the delivery methods. Paired and independent t tests and analysis of covariance at the significance level of 5% were used to compare mean scores among groups.
Results: The results showed that, before education and in the researcher trained intervention group, 28.6% had a certain plan for vaginal birth, and 7.7% had a certain plan for caesarean, that after education increased to 66% and decreased to 4% respectively (P < 0.001). In the peer wducation intervention group, the education increased certain plan for vaginal delivery from 33% to 57% and decreased the certain plan for caesarean from 16% to 3%, (P < 0.001).In the control group, these changes were not significant (P>0.05).
Conclusion: Peer education intervention could be effective to increase the knowledge, to improve attitudes and to increase the intention of pregnant women choosing natural delivery method.
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