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Investigating the effectiveness of educational intervention based on the constructs of health belief model in reducing cesarean section in pregnant women

Authors: Mohammad Sarani and Soleyman Saravani

Int J Med Res Health Sci.630-635 | pdf PDF Full Text

Pregnancy and childbirth is a natural process that in case of lack of adequate knowledge, unhealthy behaviors, nontest
attitudes and beliefs determine the type of delivery. Cesarean section surgery, like all surgeries, is associated
with complications and outcomes. The present study aims to investigate the effectiveness of educational intervention
based on the constructs of health belief model in reducing cesarean section in pregnant women. The present study is
a quasi-experimental study that was conducted in Zabol city health centers. The sample included 132 pregnant
women, from which 66 were in the control group and 66 were in the intervention group. Sampling method was
random sampling. A researcher-made questionnaire consisting of four parts was used to collect the required data.
Prior to the intervention, two control and intervention groups completed the questionnaire. In the next step, the
intervention group participated underwent educational intervention based on health belief model presented during
35-minute sessions. The women in both groups recompleted the questionnaire 3 months after intervention. Collected
data were analyzed using SPSS version 18 software and analytical statistical tests. There was a significant
difference between mean scores of knowledge (p < .001), health belief model constructs including perceived
susceptibility (p < .004), perceived severity (p < .001), perceived benefits (p < .004), perceived barriers (p < .001),
perceived self-efficacy (p < .001), intention to choose the type of delivery (p < .001) and performance of pregnant
women (p < .001) between intervention and control groups after implementing the intervention procedure. The
effect of educational program based on health belief model on knowledge increase, attitude and practice of pregnant
women for choosing vaginal delivery shows that it is necessary to develop and present educational programs at
different levels of service delivery for pregnant women according to the health belief model by health education
authorities.

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