Effect of Healthy Instructions on Reducing Pregnant Women’s Fear of Normal Delivery and Preferences for Cesarean Delivery
American Journal of Nursing Science
Volume 6, Issue 3, June 2017, Pages: 176-184
Received: Feb. 5, 2017; Accepted: Feb. 25, 2017; Published: Mar. 11, 2017
Views 240      Downloads 43
Nahed Fikry Hassan Khedr, Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt
Maher Shams Eldeen, Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Article Tools
Follow on us
Childbirth is physiological process that needs no intervention. Cesarean delivery should only conduct when normal delivery is contraindicated to protect mothers and infant’s health. Nowadays, a Cesarean Section has become a culture for escaping pain. Therefore this study aimed to evaluate the effect of healthy instructions on reducing pregnant women’s fear of normal delivery and preferences for cesarean delivery. A quasi-experimental design was used. A purposive sample of 64 pregnant women was selected and divided randomly into two equal groups, 32 in each group. The study was carried out at Antenatal clinics of Obstetrics and Gynecology Center of Mansoura City. Three tools were utilized for data collection; an interviewing questionnaire and Childbirth Attitudes, Childbirth Fear Associated Factors Questionnaires to assess degree of women's fear of normal delivery and preferences for cesarean delivery. Level of fear was assessed pre and post healthy instructions. The study findings revealed that both groups were significantly different regarding the fear of normal delivery after intervention. It was obvious that before intervention more than half of both groups had preference for Cesarean Section while after intervention, vaginal delivery was the first preference of both groups. This study concluded that, healthy instructions by video and lecture educational methods were effective in making a decision on normal delivery, lessening the fear of normal labor, and diminished the incidence of elective cesarean delivery. The present study recommended to apply healthy instructions by video and lecture educational methods for raising their awareness to distinguish among normal delivery and cesarean section on large number of pregnant women for reducing fear from normal delivery and preferences for cesarean delivery.
Healthy Instructions, Fear of Childbirth, Decision, Mode of Delivery
To cite this article
Nahed Fikry Hassan Khedr, Maher Shams Eldeen, Effect of Healthy Instructions on Reducing Pregnant Women’s Fear of Normal Delivery and Preferences for Cesarean Delivery, American Journal of Nursing Science. Vol. 6, No. 3, 2017, pp. 176-184. doi: 10.11648/j.ajns.20170603.15
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Besharati, F., Hazavhei, S., Moeini, B., Beigi, A. (2011): Effect of educational interventions based on theory of planned behavior (TPB) in selecting delivery mode among pregnant women referred to rasht healthy centers. J Zanjan Univ Med Sci.; 19: 94–106.
Ford, E., and Ayers, S. (2009): Stressful events and support during birth: the effect on anxiety, mood and perceived control. Journal of Anxiety Disorders. (23): 260–268.
Bertucci, V., Boffo, M., Mannarini, S. (2011): Assessing the perception of the childbirth experience in italian women: a contribution to the adaptation of the childbirth perception questionnaire. Midwifery. (28): 265–274.
Helal, A., Warda, O. (2013): Rising Rates of Caesarean Delivery at Mansoura University Hospital. A Reason for Concern. Gynecol Obstet. 3: 146.
Shakeri, M., Mazlomzade, S., Mohamadian, F. (2008): Factors affecting the rate of cesarean section in Zanjan maternity hospitals in J ZanjanUniv Med Sci. 2012; 20: 98–104.
Zamani-Alavijeh, F., Shahry, P., Kalhory, M., Haghighizadeh, M., Sharifi-Rad, G., Khorsandi, M. (2012): Identification of factors related to elective cesarean labor: a theory-based study. SciResear J ShahedUni (Daneshvar); 19: 1-11.
Mikki, N., Abu-Rmeileh, N., Wick, L., Abu-Asab, N., Bitar, S. (2009): Cesarean delivery rates, determinants and indications in Makassed Hospital, Jerusalem, 15: 868-79.
Salmani, N. (2007): Assessment of the pregnant women view's in relation to affecting causes in select of delivery method in shohadakargar hospital of Yazd. J OrumiyeNurs Midwifery Fac.; 5: 156–61.
Malhotra, N., and Puri, R. (2012): Donald School Manual of Practical Problems in Obestetrics. 1st ed. Replika Press, London.
World Healthy Organization (2010): The Global Numbers and Costs of Additionally Needed and Unnecessary Caesarean Sections Performed per Year. Overuse as a barrier to universal coverage. pp. 30.
Zakerihamidi, M., Latifnejad, R., MerghatiKhoei, E. (2015): Vaginal Delivery vs. Cesarean Section: A Focused Ethnographic Study of Women's Perceptions in the North of Iran. Int J Community Based Nursing Midwifery. 3 (1): 39-50.
Hamilton, B., Martin, J., Ventura, S. (2012): Births: preliminary data for 2011. Natl Vital Stat Rep. Oct 3; 61 (5): 1-18.
Lewis, J. and Leach, J., (2006): Discussion of socio-scientific issues: The role of science knowledge. Int J Sci Educ.; 28: 1267–87.
Prokop, P., Lešková, A., Kubiatko, M., Diran, C. (2007): students’ knowledge of and attitudes toward biotechnology. Int J Sci Educ.; 29: 895–907.
Melender, R. (2002): Experiences of fears associated with pregnancy and childbirth: A study of 329 pregnant women. Birth.; 29: 101–11.
Sanavi, F., Navidian, A., Rakhshani, F., Ansari-Moghaddam, A. (2012): The effect of education on base the Theory of Planned Behavior toward normal delivery in pregnant women with intention elective cesarean. J HormozganUniv Med Sci.; 7: 531–9.
El-Zanaty, F., and Ann, A. (2015): Egypt Demographic and Healthy Survey. Calverton, Maryland: Ministry of Healthy and Population [Arab Republic of Egypt], El-Zanaty and Associates, and Macro International.
Kjærgaard, H., Wijma, K., Dykes, A., Alehagen, S. (2008): Fear of childbirth in obstetrically low-risk nulliparous women in Sweden and Denmark. Journal of Reproductive and Infant Psychology, 26: (4), 340-350.
Hofberg, K., and Ward, M. (2007): TokophobiaTokophobia: A Profound Dread and Avoidance of Childbirth (When Pathological Fear Effects the Consultation). In Psychological Challenges in Obstetrics and Gynecology, Springer, London.
Abd El-Aziz, S., Mansour, S., Hassan, N. (2017): Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section- Journal of Nursing Education and Practice 2017, Vol. 7, No. 1, pp 133-146.
Spaich, S., Welzel, G., Berlit, S., et al. (2013): Mode of delivery and its influence on women's satisfaction with childbirth. Eur J ObstetGynecolReprod Biol. 170 (2): 401-6.
Toohill, J., Fenwick, J., Gamble, J. and Creedy, D. (2014): Prevalence of childbirth fear in an Australian sample of pregnant women. BMC Pregnancy Childbirth, 14: (1), 275.
Adams, S., Eberhard-Gran, M. and Eskild, A. (2012): Fear of childbirth and duration of labor: a study of 2206 women with intended vaginal delivery. BJOG: An International Journal of Obstetrics & Gynaecology, 119: (10), 1238-1246.
Haines, H., Rubertsson, C., Pallant, J. and Hildingsson, I. (2012): The influence of women’s fear, attitudes and beliefs of childbirth on mode and experience of birth. BMC pregnancy and childbirth, 12: (1), 1-14.
Kızılırmak, A. and Başer, M. (2016): The effect of education given to primigravida women on fear of childbirth. Applied Nursing Research, 29: 19-24.
Fouad, S., Fathy, T. & El-nemer, A. 2015. Women’s Satisfaction and Preferences Following Vaginal Birth After Caesarean Section and Caesarean Section after Vaginal Birth. Mansoura Nursing Journal, 2 (2).
Elfeshawy, M., Elmashad, M. and El-Nemer, A. (2015): Feasibility and Acceptability of Labor Companionship at Mansuora University Hospital/Egypt. ISOR Journal of Nursing and Healthy Science, 4 (5).
Mohammad, A., Tabatabaei, S., Mohammad, N. and Yazdani, M. (2009): Factors influencing cesarean delivery method in Shiraz hospitals. Iran journal of nursing, 21: (56), 37-45.
Gholami, A. and Salarilak, S. (2013): Why do some pregnant women prefer cesarean delivery in first pregnancy? Iranian journal of reproductive medicine, 11 (4) 301-308.
Yilmaz, D., Bal, D., Beji, K. and Uludag, S. (2013): Women’s Preferences of Method of Delivery and Influencing Factors. Iranian Red Crescent Medical Journal, 15 (8) 683-689.
Faisal, I., Matinnia, N., Hejar, A. and Khodakarami, Z. (2014): Why do primigravidae request caesarean section in a normal pregnancy? A qualitative study in Iran. Midwifery, 30: (2), 227-233. (5).
El-Nemer, A. (2015): Effect of Childbirth Counseling on Pregnant Women Requested for Cesarean Delivery. IOSR Journal of Nursing and Healthy Science (IOSR-JNHS), 4: (4), 24:29.
Mohamed, L. and El Fouly, H. (2016): Women’s Preferences for Mode of Delivery in Upper and Lower Egypt: A Comparative Study. IOSR Journal of Nursing and Healthy Science (IOSR-JNHS), 5: (3), 35-45.
Pang, W., Leung, N., Lau, K. & Hang Chung, K. (2008): Impact of First Childbirth on Changes in Women’s Preference for Mode of Delivery: Follow-up of a Longitudinal Observational Study. Birth, 35 (2) 121-128.
Serçekuş, P. and Okumuş, H. (2009): Fears associated with childbirth among nulliparous women in Turkey. Midwifery, 25 (2) 155-162.
Bako, B., Geidam, D., Sanusi, M et al. (2014): Vaginal birth or repeat cesarean section: Women’s preferred mode of delivery after a primary cesarean section in Maiduguri, Nigeria. International Journal of Medicine and Medical Sciences. 6 (11): 230-235.
Maryam, Navaee,, Zahra, Abedia (2015): Effect of role play education on primiparous women’s fear of natural delivery and their decision on the mode of delivery. Iranian Journal of Nursing and Midwifery Research | January-February | Vol. 20 | Issue 1. pp 45-40.
Science Publishing Group
NEW YORK, NY 10018
Tel: (001)347-688-8931