Effect of Training Preparation for Childbirth on Fear of Normal Vaginal Delivery and Choosing the Type of Delivery Among Pregnant Women in Hamadan, Iran: A Randomized Controlled Trial

Objective: To examine effect of an educational program on pregnant women’s fear of normal vaginal delivery. Fear of natural childbirth during pregnancy may increase the risk of caesarean section. Educational programs may be effective in reducing women fear of natural childbirth. Materials and method...

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Main Authors: Seyedeh Zahra Masoumi, Farideh Kazemi, Khodayar Oshvandi, Mozhgan Jalali, Ali Esmaeili Vardanjani, Hossein Rafiei
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2016-12-01
Series:Journal of Family and Reproductive Health
Subjects:
Online Access:https://jfrh.tums.ac.ir/index.php/jfrh/article/view/432
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author Seyedeh Zahra Masoumi
Farideh Kazemi
Khodayar Oshvandi
Mozhgan Jalali
Ali Esmaeili Vardanjani
Hossein Rafiei
author_facet Seyedeh Zahra Masoumi
Farideh Kazemi
Khodayar Oshvandi
Mozhgan Jalali
Ali Esmaeili Vardanjani
Hossein Rafiei
author_sort Seyedeh Zahra Masoumi
collection DOAJ
description Objective: To examine effect of an educational program on pregnant women’s fear of normal vaginal delivery. Fear of natural childbirth during pregnancy may increase the risk of caesarean section. Educational programs may be effective in reducing women fear of natural childbirth. Materials and methods: This randomized controlled trial conducted from September 2012 to January 2013 in Hamadan, Iran. One hundred fifty eligible women were randomly assigned to group "A" (Intervention group, n = 75) or group "B" (Control group, n = 75). Women in group A, participated in an antenatal educations program for physiologic childbirth in 8 two-hour sessions. A self-designed questionnaire was used to examine women's fear of natural childbirth. Data were analyzed with SPSS.16 software. Results: Baseline characteristics of women were similar in both groups. After intervention the mean fear score in group A compared to group B was significantly reduced (51.7 ± 22.4 vs. 58.7 ± 21.7) (p = 0.007). Physiologic delivery was the first choice of type of child birth after training in pregnant women in group A (58.7%). But delivery in physiologic form had lowest rate in group A (8%). Conclusion: Results of present study showed that educational program could be serving as an important tool in reducing women fear from natural childbirth and in choosing of physiologic birth. And for delivery as a physiological, education and counseling of pregnant women, doctors and midwives are required.
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spelling doaj.art-5a1b626135594c3c8e50a9d7a1422da52022-12-21T20:03:39ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922016-12-01103359Effect of Training Preparation for Childbirth on Fear of Normal Vaginal Delivery and Choosing the Type of Delivery Among Pregnant Women in Hamadan, Iran: A Randomized Controlled TrialSeyedeh Zahra Masoumi0Farideh Kazemi1Khodayar Oshvandi2Mozhgan Jalali3Ali Esmaeili Vardanjani4Hossein Rafiei5Department of Midwifery, Mother & Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Midwifery & Reproductive Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Medical and Surgical Nursing, Mother & Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, IranSocial Security Organization, Atiyeh Hospitals, Hamadan, IranChronic Diseases (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Medical and Surgical Nursing, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, IranObjective: To examine effect of an educational program on pregnant women’s fear of normal vaginal delivery. Fear of natural childbirth during pregnancy may increase the risk of caesarean section. Educational programs may be effective in reducing women fear of natural childbirth. Materials and methods: This randomized controlled trial conducted from September 2012 to January 2013 in Hamadan, Iran. One hundred fifty eligible women were randomly assigned to group "A" (Intervention group, n = 75) or group "B" (Control group, n = 75). Women in group A, participated in an antenatal educations program for physiologic childbirth in 8 two-hour sessions. A self-designed questionnaire was used to examine women's fear of natural childbirth. Data were analyzed with SPSS.16 software. Results: Baseline characteristics of women were similar in both groups. After intervention the mean fear score in group A compared to group B was significantly reduced (51.7 ± 22.4 vs. 58.7 ± 21.7) (p = 0.007). Physiologic delivery was the first choice of type of child birth after training in pregnant women in group A (58.7%). But delivery in physiologic form had lowest rate in group A (8%). Conclusion: Results of present study showed that educational program could be serving as an important tool in reducing women fear from natural childbirth and in choosing of physiologic birth. And for delivery as a physiological, education and counseling of pregnant women, doctors and midwives are required.https://jfrh.tums.ac.ir/index.php/jfrh/article/view/432Child BirthCesarean SectionFearPregnant Women
spellingShingle Seyedeh Zahra Masoumi
Farideh Kazemi
Khodayar Oshvandi
Mozhgan Jalali
Ali Esmaeili Vardanjani
Hossein Rafiei
Effect of Training Preparation for Childbirth on Fear of Normal Vaginal Delivery and Choosing the Type of Delivery Among Pregnant Women in Hamadan, Iran: A Randomized Controlled Trial
Journal of Family and Reproductive Health
Child Birth
Cesarean Section
Fear
Pregnant Women
title Effect of Training Preparation for Childbirth on Fear of Normal Vaginal Delivery and Choosing the Type of Delivery Among Pregnant Women in Hamadan, Iran: A Randomized Controlled Trial
title_full Effect of Training Preparation for Childbirth on Fear of Normal Vaginal Delivery and Choosing the Type of Delivery Among Pregnant Women in Hamadan, Iran: A Randomized Controlled Trial
title_fullStr Effect of Training Preparation for Childbirth on Fear of Normal Vaginal Delivery and Choosing the Type of Delivery Among Pregnant Women in Hamadan, Iran: A Randomized Controlled Trial
title_full_unstemmed Effect of Training Preparation for Childbirth on Fear of Normal Vaginal Delivery and Choosing the Type of Delivery Among Pregnant Women in Hamadan, Iran: A Randomized Controlled Trial
title_short Effect of Training Preparation for Childbirth on Fear of Normal Vaginal Delivery and Choosing the Type of Delivery Among Pregnant Women in Hamadan, Iran: A Randomized Controlled Trial
title_sort effect of training preparation for childbirth on fear of normal vaginal delivery and choosing the type of delivery among pregnant women in hamadan iran a randomized controlled trial
topic Child Birth
Cesarean Section
Fear
Pregnant Women
url https://jfrh.tums.ac.ir/index.php/jfrh/article/view/432
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