The effect of motivation and ability to choice of delivery type on the labor self-efficacy in women with previous cesarean section

Document Type : Original Article


1 M.Sc. of Consulting in Midwifery, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 PhD in Health Psychology, Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Assistant professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

4 PhD in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Assistant Professor, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Labor self-efficacy has an important role in increasing the ability of mother to adapt to childbirth and decreasing the tendency for cesarean section. This study was performed aimed to determine the effect of motivation and ability to select mode of delivery on labor self-efficacy in previous cesarean section mothers.
Methods: This two-group clinical trial study was performed in 2020 on 62 pregnant women with previous cesarean section referred to Mashhad Comprehensive Health Centers. The subjects were randomly divided into intervention and control groups. In the intervention group, individual counseling based on Fogg model was performed at 28-30 weeks of pregnancy. The two groups completed the demographic characteristics form and the researcher-made questionnaire on motivation and ability of the Fogg model and the delivery self-efficacy questionnaire at the beginning and two weeks after the end of the intervention. Data were analyzed by SPSS software (version 25) and independent t-test, paired t-test and Mann-Whitney test. P<0.05 was considered statistically significant.
Results: There was a statistically significant difference in the mean score of motivation and ability in 34-36 weeks of pregnancy in the intervention (2.79±0.52) and control (2.33±0.31) groups (p <0.001). There was a statistically significant difference in the mean score of labor self-efficacy in the groups of intervention before (4.17±2.08) and after (4.92±2.10) the intervention (p =0.012).
Conclusion: Increasing the level of motivation and the ability to choose mode of delivery increases the labor self-efficacy.         


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