Volume 4, Issue 1 (Spring 2017)
J Educ Community Health 2017, 4(1): 59-65 |
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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
URL: http://jech.umsha.ac.ir/article-1-294-en.html
URL: http://jech.umsha.ac.ir/article-1-294-en.html
1- Fertility and Infertility Research Center, School of Public Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
2- Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
3- Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Social Determinants in Health Promotion Research Center, School of Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran , alisafari_31@yahoo
2- Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
3- Department of Public Health, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Social Determinants in Health Promotion Research Center, School of Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran , alisafari_31@yahoo
Abstract: (2480 Views)
Background and Objectives: Cesarean section is the most widespread birth-related surgery throughout the world, the mortality rate of which is seven times as high as that of vaginal delivery. The present study aimed to compare the Health Belief Model (HBM) constructs based on the selected birth type among the primiparous pregnant women in Bandar Abbas, Iran.
Materials and Methods: This descriptive-analytical, cross-sectional study was carried out on 210 primiparous women referring to the health care centers of Bandar Abbas in 2016. The study population was performed using a combination of cluster and simple random sampling methods. The data were collected by means of a questionnaire consisting of three parts, namely demographic data, awareness, and HBM constructs. The data were analyzed in SPSS software (version 18) using descriptive statistics, Chi-square test, and one-way ANOVA.
Results: The mean age of the participants was 24.56±4.96 years.Furthermore, 36.2% and 63.8% of the mothers had undergone cesarean section and normal delivery, respectively. The mean score of maternal awareness regarding the advantages and disadvantages of delivery methods was 6.63%. In addition, there was a significant statistical difference in all HBM constructs between the mothers of different delivery types (P<0.05).
Conclusion: Based on the findings of the present study, the number of the unessential cesarean sections can be reduced by undertaking some measures. These actions include the consistent implementation of educational courses on the side effects and hazards of cesarean section by the health care centers as well as identification and removal of the barriers to mothers’ choice of vaginal delivery with the aim of attracting the mothers' trust for undergoing this delivery.
Materials and Methods: This descriptive-analytical, cross-sectional study was carried out on 210 primiparous women referring to the health care centers of Bandar Abbas in 2016. The study population was performed using a combination of cluster and simple random sampling methods. The data were collected by means of a questionnaire consisting of three parts, namely demographic data, awareness, and HBM constructs. The data were analyzed in SPSS software (version 18) using descriptive statistics, Chi-square test, and one-way ANOVA.
Results: The mean age of the participants was 24.56±4.96 years.Furthermore, 36.2% and 63.8% of the mothers had undergone cesarean section and normal delivery, respectively. The mean score of maternal awareness regarding the advantages and disadvantages of delivery methods was 6.63%. In addition, there was a significant statistical difference in all HBM constructs between the mothers of different delivery types (P<0.05).
Conclusion: Based on the findings of the present study, the number of the unessential cesarean sections can be reduced by undertaking some measures. These actions include the consistent implementation of educational courses on the side effects and hazards of cesarean section by the health care centers as well as identification and removal of the barriers to mothers’ choice of vaginal delivery with the aim of attracting the mothers' trust for undergoing this delivery.
References
1. Liu NH, Mazzoni A, Zamberlin N, Colomar M, Chang OH, Arnaud L, et al. Preferences for mode of delivery in nulliparous Argentinean women: a qualitative study. Reprod Health. 2013;10(1):2. [DOI] [PubMed]
2. Fathian Z, Sharifirad G. Effect of behavioral intention model-based education on cesarean reduction amon pregnant women of Komeinishahr in 2005. [Master Thesis]. Isfahan: School of Health, Isfahan University of Medical Sciences; 2004. P. 39.
3. Zamani-Alavijeh F, Shahry P, Kalhory M, Haghighizadeh M, Sharifirad G, Khorsandi M. Identification of factors related to elective cesarean labor: a theory-based study. Sci Res J Shahed Univ. 2012;19(96):1-11. [Persian]
4. Badakhsh MH, Seifoddin M, Khodakarami N, Gholami R, Moghimi S. Rise in cesarean section rate over a 30-year period in a public hospital in Tehran, Iran. Arch Iran Med. 2012;15(1):4.-7. [DOI] [PubMed]
5. Kozhimannil KB, Law MR, Virnig BA. Cesarean delivery rates vary tenfold among US hospitals; reducing variation may address quality and cost issues. Health Aff. 2013;32(3):527-35. [DOI] [PubMed]
6. Dadipoor S, Alavi A, Safari Moradabadi A. A survey of the growing trend of caesarian section in Iran and the world: a review article. Iran J Obstet Gynecol Infert. 2016;19(27):8-17. [Persian]
7. Safari Moradabadi A, Alavi A, Eqbal Eftekhaari T, Dadipoor S. The reproductive behavior of families with Thalassemic children in Hormozgan. J Reprod Infertil. 2015;16(3):167-70. [PubMed]
8. Ghasemi F. Investigating the abundance of saesarean section and its reason in Yazd in 2009. SSU J. 2012;20(2):229-36. [Persian]
9. 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.
10. Afshari A, Ghafari M. A survey on selection of delivery method by nulliparous pregnant women using health belief model in Semirom, Iran, 2012. Iran J Obstet Gynecol Infertil. 2013;16(47-48):22-9. [Persian]
11. Fenwick J, Hauck Y, Downie J, Butt J. The childbirth expectations of a self-selected cohort of Western Australian women. Midwifery. 2005;21(1):23-35. [DOI] [PubMed]
12. Mohammadpourasl A, Asgharian P, Rostami F, Azizi A, Akbari H. Investigating the choice of delivery method type and its related factors in pregnant women in Maragheh. Knowl Health. 2009;4(1):36-9. [Persian]
13. Dietz H, Lanzarone V, Simpson J. Predicting operative delivery. Ultrasound Obstet Gynecol. 2006;27(4):409-15. [DOI] [PubMed]
14. Alidosti M, Sharifirad GR, Hemate Z, Delaram M, Najimi A, Tavassoli E. The effect of education based on health belief model of nutritional behaviors associated with gastric cancer in housewives of Isfahan city. Daneshvar Med. 2011;18(94):1-11. [Persian]
15. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. New Jersey: John Wiley & Sons; 2008.
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;5:1. [DOI] [PubMed]
17. Mohammad BA, Tabatabaee S, Mohammad SN, Yazdani M. Factors influencing cesarean delivery method in Shiraz hospitals. Iran J Nurs. 2009;21(56):37-45. [Persian]
18. Farzan A, Javaheri S. Cesarean section and related factors in governmental and private hospitals of Isfahan. Health Syst Res. 2010;6(1):79-84. [Persian]
19. Chong ES, Mongelli M. Attitudes of Singapore women toward cesarean and vaginal deliveries. Int J Gynecol Obstet. 2003;80(2):189-94. [PubMed]
20. Graham WJ, Hundley V, McCheyne AL, Hall MH, Gurney E, Milne J. An investigation of women's involvement in the decision to deliver by caesarean section. Br J Obstet Gynaecol. 1999;106(3):213-20. [PubMed]
21. Yarandi F, Rezaee Z, Eftekhar Z, Saadat H, Ansari Jafari M. The knowledge and attitude of pregnant women about delivery methods in health centers in Tehran. J Guilan Univ Med Sci. 2002;11(42):15-20. [Persian]
22. Sharghi A, Kamran A, Sharifirad G. Factors influencing delivery method selection in primiparous pregnant women referred to health centers in Ardabil, Iran. Health Syst Res. 2011;7(3):264-72. [Persian]
23. Ghaffari M, Sharifirad G, Akbari Z, Khorsandi M, Hassanzadeh A. Health belief model-based education & reduction of cesarean among pregnant women: An interventional study. Health Syst Res. 2011;7(2):200-8. [Persian]
24. Faramarzi M, Pasha H, Bakhtiari A. Knowledge and attitudes of women toward natural childbirth. J Babol Univ Med Sci. 2001;3(4):39-42. [Persian]
25. Sharifirad GR, Fathian Z, Tirani M, Mahaki B. Study on Behavioral Intention Model (BIM) to the attitude of pregnant women toward normal delivery and cesarean section in province of Esfahan–Khomeiny shahr-2006. J Ilam Univ Med Sci. 2007;15(1):19-23. [Persian]
26. Pakenham S, Chamberlain SM, Smith GN. Women’s views on elective primary caesarean section. J Obstet Gynaecol Can. 2006;28(12):1089-94. [DOI] [PubMed]
27. Fuglenes D, Øian 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(1):48. e1-8. [DOI] [PubMed]
28. 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(3):161-8. [Persian]
29. Bagheri A, Masoodi-Alavi N, Abbaszade F. Effective factors for choosing the delivery method among the pregnant women in Kashan. Feyz J Kashan Univ Med Sci. 2012;16(2):150-2. [Persian]
30. Khorsandi M, Ghofranipour F, Heydarnia A, Faghihzade S, Akbarzade A, Vafaei M. Survey of perceived self-efficacy in pregnant women. J Med Council Islam Republic Iran. 2008;26(1):89-95. [Persian]
31. Dilks FM, Beal JA. Role of self-efficacy in birth choice. J Perinat Neonat Nurs. 1997;11(1):1-9. [PubMed]
32. Ridley RT, Davis PA, Bright JH, Sinclair D. What influences a woman to choose vaginal birth after cesarean? J Obstet Gynecol Neonatal Nurs. 2002;31(6):665-72. [PubMed]
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