The effect of individual counseling based on the Fogg model on the motivation and fear of natural childbirth in women with previous cesarean section
Background & Aim: Fear of childbirth is one of the reasons for choosing cesarean section. Given the consequences of repeated cesarean section, interventions that control the fear of childbirth are important in mother's decision for the mode of birth. The aim of the study is to assess the ef...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | fas |
Published: |
Tehran University of Medical Sciences
2022-10-01
|
Series: | حیات |
Subjects: | |
Online Access: | http://hayat.tums.ac.ir/article-1-4605-en.html |
_version_ | 1797978070870654976 |
---|---|
author | Somayeh Attarian Zhaleh Feyzi Jamshid Jamali Mahboobeh Firoozi |
author_facet | Somayeh Attarian Zhaleh Feyzi Jamshid Jamali Mahboobeh Firoozi |
author_sort | Somayeh Attarian |
collection | DOAJ |
description | Background & Aim: Fear of childbirth is one of the reasons for choosing cesarean section. Given the consequences of repeated cesarean section, interventions that control the fear of childbirth are important in mother's decision for the mode of birth. The aim of the study is to assess the effect of individual counseling based on the Fogg model on the motivation and the fear of natural childbirth in women with previous cesarean section.
Methods & Materials: In this clinical trial, 62 pregnant women with a previous cesarean section, referred to Mashhad Comprehensive Health Centers in 2020, were randomly assigned into intervention or control groups. In the intervention group, individual counseling based on the Fogg model was provided in two face-to-face 45-60 minute sessions biweekly and one non-face-to-face session on the Telegram channel at 28-30 weeks of pregnancy. Data was collected by a demographic form, the motivation questionnaire, and the Wijma expectation/ experience questionnaire at the beginning and two weeks after the intervention. Data analysis was performed using statistical tests by the SPSS software version 25 at a significance level of 0.05.
Results: The mean difference of the fear of childbirth score before and after the intervention was 15.84±20.07 for the intervention group and 6.06±23.28 for the control group. Counseling with the fog approach has significantly changed the fear of childbirth score in the intervention group compared to the control group (P<0.001), but the changes in motivation were not statistically significant.
Conclusion: Counseling with the Fogg approach reduced the fear of childbirth score. It is recommended to use this counseling method to reduce the fear of childbirth, and to use strategies to increase the motivation for natural childbirth after cesarean section.
Clinical trial registry: IRCT20200105046014N1 |
first_indexed | 2024-04-11T05:18:17Z |
format | Article |
id | doaj.art-4cc046c8a95e4ea39b50de3693858277 |
institution | Directory Open Access Journal |
issn | 1735-2215 2008-188X |
language | fas |
last_indexed | 2024-04-11T05:18:17Z |
publishDate | 2022-10-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | حیات |
spelling | doaj.art-4cc046c8a95e4ea39b50de36938582772022-12-24T05:03:30ZfasTehran University of Medical Sciencesحیات1735-22152008-188X2022-10-01283259271The effect of individual counseling based on the Fogg model on the motivation and fear of natural childbirth in women with previous cesarean sectionSomayeh Attarian0Zhaleh Feyzi1Jamshid Jamali2Mahboobeh Firoozi3 Dept. of Midwifery, School of Nursing and Midwifery, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran; Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Dept. of Statistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran Dept. of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran; Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Background & Aim: Fear of childbirth is one of the reasons for choosing cesarean section. Given the consequences of repeated cesarean section, interventions that control the fear of childbirth are important in mother's decision for the mode of birth. The aim of the study is to assess the effect of individual counseling based on the Fogg model on the motivation and the fear of natural childbirth in women with previous cesarean section. Methods & Materials: In this clinical trial, 62 pregnant women with a previous cesarean section, referred to Mashhad Comprehensive Health Centers in 2020, were randomly assigned into intervention or control groups. In the intervention group, individual counseling based on the Fogg model was provided in two face-to-face 45-60 minute sessions biweekly and one non-face-to-face session on the Telegram channel at 28-30 weeks of pregnancy. Data was collected by a demographic form, the motivation questionnaire, and the Wijma expectation/ experience questionnaire at the beginning and two weeks after the intervention. Data analysis was performed using statistical tests by the SPSS software version 25 at a significance level of 0.05. Results: The mean difference of the fear of childbirth score before and after the intervention was 15.84±20.07 for the intervention group and 6.06±23.28 for the control group. Counseling with the fog approach has significantly changed the fear of childbirth score in the intervention group compared to the control group (P<0.001), but the changes in motivation were not statistically significant. Conclusion: Counseling with the Fogg approach reduced the fear of childbirth score. It is recommended to use this counseling method to reduce the fear of childbirth, and to use strategies to increase the motivation for natural childbirth after cesarean section. Clinical trial registry: IRCT20200105046014N1http://hayat.tums.ac.ir/article-1-4605-en.htmlfogg modelfear of childbirthcesarean sectionvaginal birth after cesareanmotivation |
spellingShingle | Somayeh Attarian Zhaleh Feyzi Jamshid Jamali Mahboobeh Firoozi The effect of individual counseling based on the Fogg model on the motivation and fear of natural childbirth in women with previous cesarean section حیات fogg model fear of childbirth cesarean section vaginal birth after cesarean motivation |
title | The effect of individual counseling based on the Fogg model on the motivation and fear of natural childbirth in women with previous cesarean section |
title_full | The effect of individual counseling based on the Fogg model on the motivation and fear of natural childbirth in women with previous cesarean section |
title_fullStr | The effect of individual counseling based on the Fogg model on the motivation and fear of natural childbirth in women with previous cesarean section |
title_full_unstemmed | The effect of individual counseling based on the Fogg model on the motivation and fear of natural childbirth in women with previous cesarean section |
title_short | The effect of individual counseling based on the Fogg model on the motivation and fear of natural childbirth in women with previous cesarean section |
title_sort | effect of individual counseling based on the fogg model on the motivation and fear of natural childbirth in women with previous cesarean section |
topic | fogg model fear of childbirth cesarean section vaginal birth after cesarean motivation |
url | http://hayat.tums.ac.ir/article-1-4605-en.html |
work_keys_str_mv | AT somayehattarian theeffectofindividualcounselingbasedonthefoggmodelonthemotivationandfearofnaturalchildbirthinwomenwithpreviouscesareansection AT zhalehfeyzi theeffectofindividualcounselingbasedonthefoggmodelonthemotivationandfearofnaturalchildbirthinwomenwithpreviouscesareansection AT jamshidjamali theeffectofindividualcounselingbasedonthefoggmodelonthemotivationandfearofnaturalchildbirthinwomenwithpreviouscesareansection AT mahboobehfiroozi theeffectofindividualcounselingbasedonthefoggmodelonthemotivationandfearofnaturalchildbirthinwomenwithpreviouscesareansection AT somayehattarian effectofindividualcounselingbasedonthefoggmodelonthemotivationandfearofnaturalchildbirthinwomenwithpreviouscesareansection AT zhalehfeyzi effectofindividualcounselingbasedonthefoggmodelonthemotivationandfearofnaturalchildbirthinwomenwithpreviouscesareansection AT jamshidjamali effectofindividualcounselingbasedonthefoggmodelonthemotivationandfearofnaturalchildbirthinwomenwithpreviouscesareansection AT mahboobehfiroozi effectofindividualcounselingbasedonthefoggmodelonthemotivationandfearofnaturalchildbirthinwomenwithpreviouscesareansection |