Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jul 25;10(7):7038-7045.
doi: 10.19082/7038. eCollection 2018 Jul.

Comparative study of teaching natural delivery benefits and optimism training on mothers' attitude and intention to select a type of delivery: an educational experiment

Mahin Esmaeili Darmian  1 , Sedigheh Yousefzadeh  2 , Tahereh Fathi Najafi  3 , Seyyed Vahid Javadi  4
Affiliations

Comparative study of teaching natural delivery benefits and optimism training on mothers' attitude and intention to select a type of delivery: an educational experiment

Mahin Esmaeili Darmian et al. Electron Physician. .

Abstract

Background: Despite advantages of normal vaginal delivery (NVD) and disadvantages of caesarean section (C-section) and the increasing C-section rate Iran, appropriate training is essential in reducing this trend. Optimism is one of the important psychological determinants which is a combination of positive desire and attitude in people.

Objective: The purpose of this study was to determine the effects of optimism training as well as training the benefits of natural childbirth on attitude and intentions to choose the type of delivery.

Methods: In this experimental study, 96 primiparous women referring to health centers in Mashhad (Iran) in 2014 with pregnancy duration of 30 to 34 weeks and without indication of C-section, were selected and randomly divided into two training groups and one control group. Optimism training was provided during six 60-minute sessions, whereas training the benefits of NVD was conducted in four 60-minute sessions. Pre-test and post-test were performed using valid and reliable questionnaires, researcher-made questionnaire, attitude-measuring questions on NVD and C-section, and optimism-measuring standard questionnaires (LOT-R). Data were analyzed by IBM-SPSS version 22, using Kruskal-Wallis, Chi square, paired-samples t-test, Independent-samples t-test, Man-Whitney U, and Wilcoxon signed-rank test.

Result: There was a significant difference between the mean scores of attitudes towards natural delivery in the group that received both optimism and natural delivery advantages trainings compared with the group receiving only the latter (p>0.001). Frequency of intentions to choose the type of delivery after optimism and natural delivery advantages trainings compared with training the benefits of natural childbirth only, did not show a significant difference (p=0.135).

Conclusion: Optimism training combined with training the benefits of natural childbirth is more effective in creating positive attitude towards natural delivery in comparison with only the NVD advantages education, but it has no effect on selecting the type of delivery. Probably one of the most important reasons of failure of achieving a proper result is the low sample size.

Trial registration: The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the Irct ID: IRCT2015063022995N1.

Funding: This trial is funded by Mashhad University of Medical Sciences in collaboration with the Evidence-Based Research Center (Ref: research/930321/1/172).

Keywords: Attitude; Caesarean section; Education; Intention; Normal vaginal delivery; Optimism.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: There is no conflict of interest to be declared.

Figures

Figure 1
Figure 1
CONSORT 2010 Flow Diagram of the study
See this image and copyright information in PMC

References

    1. Sharghi A, Kamran A, Sharifi Rad GH. Factors affecting the choice of mode of delivery in nulliparous pregnant women referred to Ardabil health centers. Journal of the Research public health. 2011;3(7):364–73.
    1. Bani S, Seyyed Rasouli A, Ghoraishi Shams T, Ghoojazadeh M, Hasan Poor SH. Preferrenced perpetrators of Delivery about their delivery and type of delivery offered to pregnant women. Journal of Tabriz Nursing and Midwifery. 2012;5(11):629–635.
    1. Fathian Z, Sharifi Rad G, Hasanzade A. Study of the effects of Behavioral Intention Model education on reducing the cesarean rate among pregnant women of Khomeiny-Shahr. Journal of East Medico. 2006;9(2):123–31.
    1. Darvishi A, Mortazavi S, Nejat S, Halakubi K. Women’s views and experiences of Obstetricians and Gynecologists and the chosen delivery method. Journal of East Medico. 2011;8(1):1–9.
    1. Salehian T, Delaram M, Safdari F, Jazayeri F. Knowledge and attitudes of delivery in pregnant women referred to health centers of Shahrekord in 1385–1386. Sunrise Health. 2007;6(2):1–10.

LinkOut - more resources