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
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Authors
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
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Abstract
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.
Keywords
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
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.
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