The Effect of Shared Decision Making on Anxiety and Satisfaction of Decision about Mode of Delivery in Pregnant Women with A History of Previous Cesarean Section: A Randomized Clinical Trial
Background & aim: Anxiety in pregnant women can have negative perinatal consequences. The aim of this study was to determine the effect of shared decision making on anxiety and satisfaction of decision about mode of delivery in pregnant women with a history of previous cesarean section.Methods:...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2022-04-01
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| Series: | Journal of Midwifery & Reproductive Health |
| Subjects: | |
| Online Access: | https://jmrh.mums.ac.ir/article_19919_d841232e6a15260d7e29daccc8663ad9.pdf |
| _version_ | 1818043139124887552 |
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| author | Faezeh Ghorayshi Fatemeh Hadizadeh Talasaz Roghayeh Rahmani Huaran Ahmadi Fatemeh Mohammadzadeh |
| author_facet | Faezeh Ghorayshi Fatemeh Hadizadeh Talasaz Roghayeh Rahmani Huaran Ahmadi Fatemeh Mohammadzadeh |
| author_sort | Faezeh Ghorayshi |
| collection | DOAJ |
| description | Background & aim: Anxiety in pregnant women can have negative perinatal consequences. The aim of this study was to determine the effect of shared decision making on anxiety and satisfaction of decision about mode of delivery in pregnant women with a history of previous cesarean section.Methods: In this clinical trial, 78 pregnant women with previous cesarean section referred to the community health centers in Torbat-e Jam, Iran were selected and randomly assigned to the intervention and control groups. The Spielberger Anxiety Inventory was completed by the pregnant women at 24-30 weeks of pregnancy. In the experimental group, in addition to routine care, a counseling session based on three-stage shared decision making was held by a midwife and a supplementary counseling session by a gynecologist. The Anxiety Inventory was completed at 35-37 weeks of gestation and the Decision Satisfaction Questionnaire was completed 8 weeks after delivery for mothers in both groups in the community health centers and questions were asked about mode of delivery. Data were analyzed using Mann-Whitney, Chi-square, student t-test and paired t-test.Results: After the intervention, the total anxiety score of pregnant women in the intervention group was lower than the control group and the difference between the two groups was significant (70.35±11.90 vs. 75.51±6.64; P=0.02). The score of decision satisfaction two months after delivery was higher in the intervention group than the control group and there was a statistically significant difference between the two groups (21.87±3.18 vs. 19.94±3.13; P=0.008).Conclusions: Shared decision making as a practical and effective approach can reduce the anxiety score and increase the score of decision satisfaction in pregnant women with a history of previous cesarean section. |
| first_indexed | 2024-12-10T08:57:27Z |
| format | Article |
| id | doaj.art-99003d04c444437da01770f90cdf2d45 |
| institution | Directory Open Access Journal |
| issn | 2345-4792 |
| language | English |
| last_indexed | 2024-12-10T08:57:27Z |
| publishDate | 2022-04-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Midwifery & Reproductive Health |
| spelling | doaj.art-99003d04c444437da01770f90cdf2d452022-12-22T01:55:22ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922022-04-011023229323910.22038/jmrh.2022.62768.178919919The Effect of Shared Decision Making on Anxiety and Satisfaction of Decision about Mode of Delivery in Pregnant Women with A History of Previous Cesarean Section: A Randomized Clinical TrialFaezeh Ghorayshi0Fatemeh Hadizadeh Talasaz1Roghayeh Rahmani2Huaran Ahmadi3Fatemeh Mohammadzadeh4MSc in Midwifery, Department of Midwifery, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Irana) Assistant Professor, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran b) Department of Midwifery, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Irana) Assistant Professor, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran b) Department of Midwifery, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, IranGynecologist, Department of Obstetrics and Gynecology, School of Medical Sciences, Torbat Jam School of Medical Sciences and Health Servicesa) Assistant Professor, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran b) Department of Epidemiology & Biotatistics, Faculty of Health, Gonabad University of Medical Sciences, Gonabad, IranBackground & aim: Anxiety in pregnant women can have negative perinatal consequences. The aim of this study was to determine the effect of shared decision making on anxiety and satisfaction of decision about mode of delivery in pregnant women with a history of previous cesarean section.Methods: In this clinical trial, 78 pregnant women with previous cesarean section referred to the community health centers in Torbat-e Jam, Iran were selected and randomly assigned to the intervention and control groups. The Spielberger Anxiety Inventory was completed by the pregnant women at 24-30 weeks of pregnancy. In the experimental group, in addition to routine care, a counseling session based on three-stage shared decision making was held by a midwife and a supplementary counseling session by a gynecologist. The Anxiety Inventory was completed at 35-37 weeks of gestation and the Decision Satisfaction Questionnaire was completed 8 weeks after delivery for mothers in both groups in the community health centers and questions were asked about mode of delivery. Data were analyzed using Mann-Whitney, Chi-square, student t-test and paired t-test.Results: After the intervention, the total anxiety score of pregnant women in the intervention group was lower than the control group and the difference between the two groups was significant (70.35±11.90 vs. 75.51±6.64; P=0.02). The score of decision satisfaction two months after delivery was higher in the intervention group than the control group and there was a statistically significant difference between the two groups (21.87±3.18 vs. 19.94±3.13; P=0.008).Conclusions: Shared decision making as a practical and effective approach can reduce the anxiety score and increase the score of decision satisfaction in pregnant women with a history of previous cesarean section.https://jmrh.mums.ac.ir/article_19919_d841232e6a15260d7e29daccc8663ad9.pdfshared decision makingvaginal birth after cesareananxietydecision satisfaction |
| spellingShingle | Faezeh Ghorayshi Fatemeh Hadizadeh Talasaz Roghayeh Rahmani Huaran Ahmadi Fatemeh Mohammadzadeh The Effect of Shared Decision Making on Anxiety and Satisfaction of Decision about Mode of Delivery in Pregnant Women with A History of Previous Cesarean Section: A Randomized Clinical Trial Journal of Midwifery & Reproductive Health shared decision making vaginal birth after cesarean anxiety decision satisfaction |
| title | The Effect of Shared Decision Making on Anxiety and Satisfaction of Decision about Mode of Delivery in Pregnant Women with A History of Previous Cesarean Section: A Randomized Clinical Trial |
| title_full | The Effect of Shared Decision Making on Anxiety and Satisfaction of Decision about Mode of Delivery in Pregnant Women with A History of Previous Cesarean Section: A Randomized Clinical Trial |
| title_fullStr | The Effect of Shared Decision Making on Anxiety and Satisfaction of Decision about Mode of Delivery in Pregnant Women with A History of Previous Cesarean Section: A Randomized Clinical Trial |
| title_full_unstemmed | The Effect of Shared Decision Making on Anxiety and Satisfaction of Decision about Mode of Delivery in Pregnant Women with A History of Previous Cesarean Section: A Randomized Clinical Trial |
| title_short | The Effect of Shared Decision Making on Anxiety and Satisfaction of Decision about Mode of Delivery in Pregnant Women with A History of Previous Cesarean Section: A Randomized Clinical Trial |
| title_sort | effect of shared decision making on anxiety and satisfaction of decision about mode of delivery in pregnant women with a history of previous cesarean section a randomized clinical trial |
| topic | shared decision making vaginal birth after cesarean anxiety decision satisfaction |
| url | https://jmrh.mums.ac.ir/article_19919_d841232e6a15260d7e29daccc8663ad9.pdf |
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