Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women
Objectives: Despite the fact that cesarean delivery does not offer significant health benefits for either mother or newborn, there has been a noticeable upward trend in elective cesarean births in Iran, over the last two decades. This study aims to examine whether knowledge, perception of health thr...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Oman Medical Specialty Board
2013-11-01
|
| Series: | Oman Medical Journal |
| Subjects: | |
| Online Access: | http://www.omjournal.org/fultext_PDF.aspx?DetailsID=443&type=fultext |
| _version_ | 1818542260023721984 |
|---|---|
| author | Sepideh Hajian Mohammad Shariati Khadijeh Mirzaii Najmabadi Masud Yunesian Mohammad Esmaeel Ajami |
| author_facet | Sepideh Hajian Mohammad Shariati Khadijeh Mirzaii Najmabadi Masud Yunesian Mohammad Esmaeel Ajami |
| author_sort | Sepideh Hajian |
| collection | DOAJ |
| description | Objectives: Despite the fact that cesarean delivery does not offer significant health benefits for either mother or newborn, there has been a noticeable upward trend in elective cesarean births in Iran, over the last two decades. This study aims to examine whether knowledge, perception of health threats, efficacy, and personal beliefs act as psychological predictors towards the intention of women to have a normal vaginal delivery.Methods: The mixed-method approach was used as quantitative and qualitative design. Simultaneously, 290 pregnant women who visited prenatal clinics participated in the study. Quantitative and qualitative data were collected using a structured questionnaire based on Witte’s Extended Parallel Process Model, and four focus groups, respectively.Results: Women perceived lower personal risk but higher levels of efficacy. Perceived self-efficacy, severity, and response efficacy emerged as significant predictors of intention to experience vaginal birth. The participants’ insufficient knowledge and misconceptions about birth methods were prevalent. Major themes were identified and divided into negative and positive beliefs about vaginal birth.Conclusion: This educational model is useful for understanding women’s intention to undergo a vaginal birth, especially when it is combined with a qualitative approach. Maternal care providers should acknowledge their clients’ beliefs and intended childbirth methods prior to offering medical intervention. |
| first_indexed | 2024-12-11T22:19:45Z |
| format | Article |
| id | doaj.art-7e8062132ba94eb5b8f8939f2dbc7818 |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-12-11T22:19:45Z |
| publishDate | 2013-11-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-7e8062132ba94eb5b8f8939f2dbc78182022-12-22T00:48:29ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042013-11-0128639540310.5001/omj.2013.115Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian WomenSepideh HajianMohammad ShariatiKhadijeh Mirzaii NajmabadiMasud YunesianMohammad Esmaeel AjamiObjectives: Despite the fact that cesarean delivery does not offer significant health benefits for either mother or newborn, there has been a noticeable upward trend in elective cesarean births in Iran, over the last two decades. This study aims to examine whether knowledge, perception of health threats, efficacy, and personal beliefs act as psychological predictors towards the intention of women to have a normal vaginal delivery.Methods: The mixed-method approach was used as quantitative and qualitative design. Simultaneously, 290 pregnant women who visited prenatal clinics participated in the study. Quantitative and qualitative data were collected using a structured questionnaire based on Witte’s Extended Parallel Process Model, and four focus groups, respectively.Results: Women perceived lower personal risk but higher levels of efficacy. Perceived self-efficacy, severity, and response efficacy emerged as significant predictors of intention to experience vaginal birth. The participants’ insufficient knowledge and misconceptions about birth methods were prevalent. Major themes were identified and divided into negative and positive beliefs about vaginal birth.Conclusion: This educational model is useful for understanding women’s intention to undergo a vaginal birth, especially when it is combined with a qualitative approach. Maternal care providers should acknowledge their clients’ beliefs and intended childbirth methods prior to offering medical intervention.http://www.omjournal.org/fultext_PDF.aspx?DetailsID=443&type=fultextNormal vaginal deliveryExtended Parallel Process Modelmixed methods. |
| spellingShingle | Sepideh Hajian Mohammad Shariati Khadijeh Mirzaii Najmabadi Masud Yunesian Mohammad Esmaeel Ajami Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women Oman Medical Journal Normal vaginal delivery Extended Parallel Process Model mixed methods. |
| title | Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women |
| title_full | Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women |
| title_fullStr | Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women |
| title_full_unstemmed | Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women |
| title_short | Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women |
| title_sort | psychological predictors of intention to deliver vaginally through the extended parallel process model a mixed method approach in pregnant iranian women |
| topic | Normal vaginal delivery Extended Parallel Process Model mixed methods. |
| url | http://www.omjournal.org/fultext_PDF.aspx?DetailsID=443&type=fultext |
| work_keys_str_mv | AT sepidehhajian psychologicalpredictorsofintentiontodelivervaginallythroughtheextendedparallelprocessmodelamixedmethodapproachinpregnantiranianwomen AT mohammadshariati psychologicalpredictorsofintentiontodelivervaginallythroughtheextendedparallelprocessmodelamixedmethodapproachinpregnantiranianwomen AT khadijehmirzaiinajmabadi psychologicalpredictorsofintentiontodelivervaginallythroughtheextendedparallelprocessmodelamixedmethodapproachinpregnantiranianwomen AT masudyunesian psychologicalpredictorsofintentiontodelivervaginallythroughtheextendedparallelprocessmodelamixedmethodapproachinpregnantiranianwomen AT mohammadesmaeelajami psychologicalpredictorsofintentiontodelivervaginallythroughtheextendedparallelprocessmodelamixedmethodapproachinpregnantiranianwomen |