The effect of educational intervention based on Theory of Reasoned Action (TRA) on selected delivery method, for selective cesarean section in pregnant women

Document Type : Original Article


1 Ph.D. Student of Health Education and Health Promotion, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran.

2 Associate professor, Department of Health Education, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran.

3 M.Sc. Student of Midwifery, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.

4 General Practitioner, Sabzevar Health Center, Sabzevar University of Medical Sciences, Sabzevar, Iran.

5 Assistant professor, Department of Health Education, Faculty of Health, Sabzevar University of Medical Sciences, sabzevar, Iran.


Introduction: Ceasarean rate for non-medical reasons, despite its high complication, is rising. Behavioral science theories to understand and assess the relevant factors and its reduction can also be beneficial. This study examined the effect of intervention based on Theory of Reasoned Action (TRA) in selection of vaginal delivery on pregnant women.
Materials and Methods: This prospective quasi-experimental study conducted on 90 pregnant women want selective cesarean section, refered to Health centers of Sabzevar in 2012. 45 participants in case group received educational intervention based on TRA and 45 participants in control group received routine educational intervention. The effect of intervention were evaluated through the kind of delivery were reported in family files. Data were analyzed by SPSS software (version16), using Chi-square, Mann-Whitney, Wilcoxon, Independent T, and paired T tests. P Value less than 0.05 were considered significant.
Results: 7 women (15.6%) in case group and No one (0%) In control group, definitely had the intention of vaginal delivery selection. 21 women (46.7%) and 29 women (64.6%) of control and case groups probably intended the selection of vaginal delivery after intervention (p<0.001).
Conclusion: Intervention based on Theory of Reasoned Action might be effective in increasing pregnant women's intention to vaginal delivery selection. More studies about Related factors of vaginal delivery selection ،specially from behavioral intention up to behavior suggested.


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