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...

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Main Authors: Somayeh Attarian, Zhaleh Feyzi, Jamshid Jamali, Mahboobeh Firoozi
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
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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
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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
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