Applying the Theory of Planned Behavior in Predicting Factors Influencing the Choice of the Type of Delivery of Pregnant Women Referring to Comprehensive Health Centers

Ahmadzadeh Tori, Neda; Rajabzadeh, Rezvan; Jafari, Yasaman; Shokrallahi, Nazi; Hosseini, Seyed Hamid

doi:10.22034/12.1.5

[Home ] [Archive]

[ فارسی ]

Iranian Journal of Health Education and Health Promotion

فصلنامه آموزش بهداشت و ارتقاء سلامت ایران

Main Menu

Home

Journal Information

Articles archive

For Authors

Publication Ethics

Editorial policy

Contact us

Site Facilities

Reviewe

Citation Impact

Search in website

Receive site information

COPE Membership

Creative Commons Licence

Open access

Volume 12, Issue 1 (3-2024)

Iran J Health Educ Health Promot 2024, 12(1): 63-72

Back to browse issues page

Applying the Theory of Planned Behavior in Predicting Factors Influencing the Choice of the Type of Delivery of Pregnant Women Referring to Comprehensive Health Centers

Neda Ahmadzadeh Tori

, Rezvan Rajabzadeh

, Yasaman Jafari

, Nazi Shokrallahi

, Seyed Hamid Hosseini ^*

Abstract: (255 Views)

Background and objectives: The high prevalence of caesarean section is a global health concern, especially in Iran. Considering the possibility of complications caused by cesarean section and the importance of identifying the development process of this delivery method, the present research was conducted with the aim of determining the factors influencing the behavioral intention and the choice of the type of delivery by pregnant women of Bojnord city based on the theory of planned behavior.

Materials and Methods: The current cross-sectional study was conducted in 2021 on 369 pregnant women first abdomen who referred to comprehensive health centers in Bojnurd city. The sampling method was multi-stage. The data collection tool was a questionnaire based on the theory of planned behavior. The data were analyzed by SPSS 21 software by using t-test, Mann-Whitney, and Chi-square tests.

Results: 72.6% of the participants wanted to give birth naturally and 27.4% had a cesarean birth. People who intended to have a natural birth significantly had better knowledge, a more positive attitude towards natural birth, and a better perceived behavioral control (P<0.001). The two constructs of attitude (β=-0.234) and perceived behavioral control (β=-0.215) had the most negative and significant predictors of the behavioral intention to perform cesarean delivery (P<0.001). The results of the subjective norms showed that the doctor's opinion and the mass media had the greatest and least influence on the choice of the type of delivery in pregnant women, respectively. The constructs of the theory of planned behavior together predicted 17.2 of the variance of natural childbirth intention in pregnant women.

Conclusion: The theory of planned behavior can be effective by identifying the factors of pregnant women's intention in choosing natural delivery. It is suitable with training and interventions to reduce the rate of cesarean section for pregnant women using this theory.

Keywords: Vaginal delivery, Cesarean section, Pregnant women, Theory of planned behavior

Full-Text [PDF 305 kb] (107 Downloads)

Type of Study: Research | Subject: Health Education & Health Promotion
Received: 2023/07/24 | Accepted: 2024/02/5

References

1. Naghibi SA, Khazaee-Pool M, Moosazadeh M. The Iranian version of theory-based intention for cesarean section (IR-TBICS) scale: development and first evaluation. BMC Pregnancy Childbirth. 2021;21(1):5. https://doi.org/10.1186/s12884-020-03498-3 [DOI:10.1186/s12884-020-03498-3.] [PMID] []

2. Khazar N, Jalili Z, Nazary manesh L. The Effect of Educational Intervention Based on Health Belief Model on Nurses' Stress Management in Intensive Care Units. ranian J Heal Educ Heal Promot. 2019;7(4):300-11. doi:10.29252/ijhehp.7.4.300 . [DOI:10.29252/ijhehp.7.4.300]

3. Betrán A, Torloni M, Zhang J, Bjog AG-. WHO statement on caesarean section rates. ncbi.nlm.nih.gov. 2016;123(5):667-70. doi: 10.1111/1471-0528.13526. [DOI:10.1111/1471-0528.13526] [PMID] []

4. Betrán AP, Ye J, Moller A-B, Zhang J, Gülmezoglu AM, Torloni MR. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PLoS One. 2016;11(2):148-343. doi: 10.1371/journal.pone.0148343. [DOI:10.1371/journal.pone.0148343] [PMID] []

5. Kjerulff KH, Brubaker LH. New mothers' feelings of disappointment and failure after cesarean delivery. Birth. 2018;45(1):19-27. doi: 10.1111/birt.12315. [DOI:10.1111/birt.12315] [PMID] []

6. Health at a Glance 2019. OECD; 2019. (Health at a Glance).

7. Lindstad Løvåsmoen EM, Nyland Bjørgo M, Lukasse M, Schei B, Henriksen L. Women's preference for caesarean section and the actual mode of delivery - Comparing five sites in Norway. Sex Reprod Healthc. 2018;16:206-12. doi: 10.1016/j.srhc.2018.04.009. [DOI:10.1016/j.srhc.2018.04.009] [PMID]

8. Shirzad M, Shakibazadeh E, Hajimiri K, Betran AP, Jahanfar S, Bohren MA, et al. Prevalence of and reasons for women's, family members', and health professionals' preferences for cesarean section in Iran: a mixed-methods systematic review. Reprod Health. 2021;18(1):1-30. https://doi.org/10.1186/s12978-020-01047-x [DOI:10.1186/s12978-020-01047-x.] [PMID] []

9. Jalali N, Hadavand S, Jafari F, Rabiee M, Shojaie KK. Pregnant Women's Views on the Type of Delivery: Determinants and Relationships. J Holist Nurs Midwifery. 2019;29(3):167-75. [DOI:10.32598/JHNM.29.3.167]

10. Rúger-Navarrete A, Vázquez-Lara JM, Antúnez-Calvente I, Rodríguez-Díaz L, Riesco-González FJ, Palomo-Gómez R, Gómez-Salgado J, Fernández-Carrasco FJ. Antenatal Fear of Childbirth as a Risk Factor for a Bad Childbirth Experience. Healthcare (Basel). Healthcare. 2023;11(3):297. doi: 10.3390/healthcare11030297. [DOI:10.3390/healthcare11030297] [PMID] []

11. Shafai FS, Mazandaran SK. Comparing maternal outcomes in nulliparous women in labor in physiological and conventional labor: a randomized clinical trial. jmums.mazums.ac.ir. 2013;22(97):122-31. URL: http://jmums.mazums.ac.ir/article-1-1814-en.htm.

12. Attarian S, Feyzi Z, Jamali J, Firoozi M. The effect of motivation and ability to choice of delivery type on the labor self-efficacy in women with previous cesarean section. Iran J Obstet Gynecol Infertil. 2022;25(2):44-51.

13. Zahra Abbaspoor, Lida Moghaddam-Banaem, Fazlollah Ahmadi, Anoshirvan Kazemnejad. Women's fear of childbirth and its impact on selection of birth method: a qualitative study. Payesh. 2014;13(5):575-87. URL: http://payeshjournal.ir/article-1-278-en.html.

14. Yaghobi Z, Mohaddes Hakkak H, Tavak- oli Ghoochani H, Joveini H, Maheri M, Taherpour M, Hosseini S.H. Factors Affe- cting the Intention to Choose the Natural vaginal delivery based on the Theory of Planned Behavior among Primigravidae. Iran Journal of Edu. 2019;6(3):169-76. doi: 10.29252/jech.6.3.169. [DOI:10.29252/jech.6.3.169]

15. Azami-Aghdash S, Ghojazadeh M, Dehdilani N, Mohammadi M, Asl R, Abad A. Prevalence and Causes of Cesarean Section in Iran: Systematic Review and Meta-Analysis. Iran J Public Health. 2014;43(5):545-55.

16. Ajzen I. The theory of planned behavior. Vol. 50, Organizational Behavior and Human Decision Processes. Academic Press; 1991. 179-211 p. https://doi.org/10.1016/0749-5978(91)90020-T [DOI:10.1016/0749-5978(91)90020-T.]

17. Zare Z, Hakkak HRM, Yaghobi Z, Ghoochani HT, Joveini H, Hosseini SH. The Impact of an Educational Intervention Based on Theory Of Planned Behavior on Selecting Mode of Delivery in Primigravidae Women With Intention of Elective Cesarean Section. J Midwifery Reprod Heal. 2021;9(2):2652-60.

18. Moeini B, Besharati F, Hazavehei M, Moghimbeigi A. Women's attitudes toward elective delivery mode based on the theory of planned behavior. Journal of Guilan university of medical sciences. 2011;20(79):68-76.

19. Shahraki Sanavi F, Navidian A, Rakhshani F, Ansari-Moghaddam A. The effect of education on base the Theory of Planned Behavior toward normal delivery in pregnant women with intention elective cesarean. Hormozgan Med J. 2012 Sep 19;17(6).

20. Ghadimi R, Izadpanah F, Zarghami2 A, Rajabi M, Baleghi M, Basirat Z. Effective Factors for Choosing the Delivery Method in Primiparous Women in Babol, Iran. J Babol Univ Med Sci 2013; 15 (6) :52-58. doi:10.18869/acadpub.jbums.15.6.52.

21. Koohbor M, Davati A, Garshasbi A, Torkestani F. Evaluation of effective factors on the choice of delivery method by nulliparous pregnant women referring to Shaheed Mostafa Khomeini hospital in Tehran. Daneshvar Med. 2022;29(6):14-23.doi: 10.22070/daneshmed.2021.15211.1128.

22. Majlesi M, Montazeri A, Rakhshani F, Nouri-Khashe-Heiran E, Akbari N. "No to unnecessary caesarean sections": Evaluation of a mass-media campaign on women's knowledge, attitude and intention for mode of delivery. PLoS One. 2020;15(8). https://doi.org/10.1371/journal.pone.0235688 [DOI:10.1371/journal.pone.0235688.] [PMID] []

23. Rahmati Najarkolaei F, Eshraghi T, Dopeykar N, Zamani O. Determinants of delivery type selection by using theory of planned behaviors (TPB). UNMF. 2015 Mar 1;12(12):1062-70. URL: http://unmf.umsu.ac.ir/article-1-1724-en.html.

24. Andaroon N, Kordi M, Kimiaee SA, Esmaeili H. The effect of individual counseling on attitudes and decisional conflict in the choice of delivery among nulliparous women. J Educ Heal Promot. 2020;9(35). doi: 10.4103/jehp.jehp_472_18.

25. Soheili B, Mirzaei A, Sayehmiri K, Montazeri A, Araban M, Ghazanfari Z. A Randomized Controlled Trial of a Theory-Based Health Education on Prevention of Elective Cesareans in Iran. mdrsjrns. 2021;9(1):61-6. URL: http://hehp.modares.ac.ir/article-5-47306-en.html.

Send email to the article author

Add your comments about this article

‎ 10.22034/12.1.5

Ethics code: IR.NKUMS.REC.1398.076

Mendeley

Zotero

RefWorks

Ahmadzadeh Tori N, Rajabzadeh R, Jafari Y, Shokrallahi N, Hosseini S H. Applying the Theory of Planned Behavior in Predicting Factors Influencing the Choice of the Type of Delivery of Pregnant Women Referring to Comprehensive Health Centers. Iran J Health Educ Health Promot 2024; 12 (1) :63-72
URL: http://journal.ihepsa.ir/article-1-2474-en.html

Rights and permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Volume 12, Issue 1 (3-2024)

Back to browse issues page

Persian site map - English site map - Created in 0.05 seconds with 44 queries by YEKTAWEB 4645