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Effect of an Interventional Program on Pregnant Women’s Knowledge and Attitude Toward Mode of Delivery at Beni -Suef City, Egypt

Received: 3 January 2017     Accepted: 13 January 2017     Published: 27 February 2017
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Abstract

Background: The rate of caesarean section (CS) has been increasing among women in Egypt, However, it is selected by pregnant women without medical rationales and justification, thus the wrong concepts and knowledge can play a role on decision for selecting CS as the easier mode of delivery. Aim: To evaluate the effect of an interventional program on pregnant women’s knowledge and attitude toward mode of delivery at Beni -Suef city. Methods: A quasi-experimental research design was used in this study composed of 287 primiparous women with normal pregnancy at 34–36 weeks of gestational age and with no indication to cesarean section was selected from antenatal clinic at Beni Suef general Hospital. The study was conducted from April to September 2016. Data collection tools: a structured interview questionnaires part I, Socio- demographic characteristics, part II; Knowledge Test regarding mode of delivery, and part III, Attitude Test regarding normal and cesarean delivery. Results: the study findings was reported that significantly higher total scores of pregnant women’s knowledge (P=0.00) toward caesarian section after intervention compared with before intervention program. As regard to attitude of women toward cesarean section significantly decreased scores indicating lower positive attitude to cesarean section after intervention (P=0.00). Conclusion: based on the study findings and Hypothesis there were improvement of pregnant women’s knowledge toward the mode of delivery. Recommendations: Based on the results study recommended that urgent preventive measures should be taken to reduce the high rate of cesarean deliveries by improving women’s knowledge toward the advantage and disadvantage for different modes of delivery which can lead to positive attitude.

Published in American Journal of Nursing Science (Volume 6, Issue 2)
DOI 10.11648/j.ajns.20170602.18
Page(s) 135-140
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Knowledge, Attitude, Vaginal Delivery, Caesarian Section, Educational Program

References
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[2] Gita, A. Caesarean section: Evaluation, guidelines and recommendations. Indian Journal of Medical Ethics. 2008; 5 (3).
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[4] Langer A, Villar J. promoting evidence based practice in maternal care. BMJ. 2002; 324: 928-9.
[5] Wagner M. Choosing cesarean section. Lancet. 2000; 356 (11): 1677-80.
[6] Aisien A, Lawson J, Adebayo A. A five year appraisal of cesarean section in a Northen Nigeria University Teaching Hospital. Niger Postgrad Med J. 2002; 9 (3): 146-50.
[7] Asenova D, Stambolov B. Incidence and indications for cesarean section in the obstetrics clinic in the university hospital of obstetrics and gynecology “Maichin Dom” in Sofia. Akush Ginekol. 2005; 3: 15-7.
[8] Sims C, Meyn L, Caruana R, Rao R, Mitchell T, krohn M. Predicting cesarean delivery with decision tree models. Am J Obstet Gynaecol. 2000; 183 (5): 1-12.
[9] Sanavi, A. A. Moghaddam, M. F. Shovey, et al. Effective education to decrease elective caesarean section. J Pak Med Assoc; 2014 Vol. 64, 500-505.
[10] Sufang, G., Padmadas, S. S., Fengmin, Z., Brown, J. J., & Stones, R. W. Delivery settings and caesarean section rates in China: Bulletin of the World Health Organization, 2007; 85, 755–762.
[11] Johanson R., Newburn M., Macfarlane A. Has the medicalization of childbirth gone too far?. BMJ. 2002; 24: 892-5.
[12] Sharifirad G, Rezaeian M, Soltani R, Javaheri S, Mazaheri MA. A survey on the effects of husbands' education of pregnant women on knowledge, attitude, and reducing elective cesarean section. J Educ Health Promot. 2013 Sep 30; 2: 50.
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[14] Ghotbi F, Akbari Sene A, Azargashb E, Shiva F, Mohtadi M, Zadehmodares S, Farzaneh F, Yasai FAWomen's knowledge and attitude towards mode of delivery and frequency of cesarean section on mother's request in six public and private hospitals in Tehran, Iran, J Obstet Gynaecol Res. 2014 May; 40 (5): 1257-66.
[15] Tschudin S, Alder J, Hendriksen S, Bitzer J, Popp KA, Zanetti R, Hösli I, Holzgreve W, Geissbühler V. Pregnant women's perception of cesarean section on demand. J Perinat Med. 2009; 37 (3): 251-6.
[16] Labib NY, Mortada MM, Guirguis WW, Abd El-Aziz HM. Cesarean section deliveries in one health insurance hospital in Alexandria. J Egypt Public Health Assoc. 2007; 82 (3-4): 299-317.
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[18] Naeimi N, GHolami M, Qasemi A. A study of awareness and attitudes of pregnant women admitted to social security hospital in zahedan toward cesarean section. International Journal of Analytical, Pharmaceutical and Biomedical Sciences. 2015, Volume: 4: Issue-4.
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Cite This Article
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    Safaa Soliman Ahmed Mohamed, Hanan Fawzy Elsayed Ali, Abeer Mohammed Elmaghawry, Eman Hessien Heggy. (2017). Effect of an Interventional Program on Pregnant Women’s Knowledge and Attitude Toward Mode of Delivery at Beni -Suef City, Egypt. American Journal of Nursing Science, 6(2), 135-140. https://doi.org/10.11648/j.ajns.20170602.18

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    ACS Style

    Safaa Soliman Ahmed Mohamed; Hanan Fawzy Elsayed Ali; Abeer Mohammed Elmaghawry; Eman Hessien Heggy. Effect of an Interventional Program on Pregnant Women’s Knowledge and Attitude Toward Mode of Delivery at Beni -Suef City, Egypt. Am. J. Nurs. Sci. 2017, 6(2), 135-140. doi: 10.11648/j.ajns.20170602.18

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    AMA Style

    Safaa Soliman Ahmed Mohamed, Hanan Fawzy Elsayed Ali, Abeer Mohammed Elmaghawry, Eman Hessien Heggy. Effect of an Interventional Program on Pregnant Women’s Knowledge and Attitude Toward Mode of Delivery at Beni -Suef City, Egypt. Am J Nurs Sci. 2017;6(2):135-140. doi: 10.11648/j.ajns.20170602.18

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  • @article{10.11648/j.ajns.20170602.18,
      author = {Safaa Soliman Ahmed Mohamed and Hanan Fawzy Elsayed Ali and Abeer Mohammed Elmaghawry and Eman Hessien Heggy},
      title = {Effect of an Interventional Program on Pregnant Women’s Knowledge and Attitude Toward Mode of Delivery at Beni -Suef City, Egypt},
      journal = {American Journal of Nursing Science},
      volume = {6},
      number = {2},
      pages = {135-140},
      doi = {10.11648/j.ajns.20170602.18},
      url = {https://doi.org/10.11648/j.ajns.20170602.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170602.18},
      abstract = {Background: The rate of caesarean section (CS) has been increasing among women in Egypt, However, it is selected by pregnant women without medical rationales and justification, thus the wrong concepts and knowledge can play a role on decision for selecting CS as the easier mode of delivery. Aim: To evaluate the effect of an interventional program on pregnant women’s knowledge and attitude toward mode of delivery at Beni -Suef city. Methods: A quasi-experimental research design was used in this study composed of 287 primiparous women with normal pregnancy at 34–36 weeks of gestational age and with no indication to cesarean section was selected from antenatal clinic at Beni Suef general Hospital. The study was conducted from April to September 2016. Data collection tools: a structured interview questionnaires part I, Socio- demographic characteristics, part II; Knowledge Test regarding mode of delivery, and part III, Attitude Test regarding normal and cesarean delivery. Results: the study findings was reported that significantly higher total scores of pregnant women’s knowledge (P=0.00) toward caesarian section after intervention compared with before intervention program. As regard to attitude of women toward cesarean section significantly decreased scores indicating lower positive attitude to cesarean section after intervention (P=0.00). Conclusion: based on the study findings and Hypothesis there were improvement of pregnant women’s knowledge toward the mode of delivery. Recommendations: Based on the results study recommended that urgent preventive measures should be taken to reduce the high rate of cesarean deliveries by improving women’s knowledge toward the advantage and disadvantage for different modes of delivery which can lead to positive attitude.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Effect of an Interventional Program on Pregnant Women’s Knowledge and Attitude Toward Mode of Delivery at Beni -Suef City, Egypt
    AU  - Safaa Soliman Ahmed Mohamed
    AU  - Hanan Fawzy Elsayed Ali
    AU  - Abeer Mohammed Elmaghawry
    AU  - Eman Hessien Heggy
    Y1  - 2017/02/27
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ajns.20170602.18
    DO  - 10.11648/j.ajns.20170602.18
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 135
    EP  - 140
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20170602.18
    AB  - Background: The rate of caesarean section (CS) has been increasing among women in Egypt, However, it is selected by pregnant women without medical rationales and justification, thus the wrong concepts and knowledge can play a role on decision for selecting CS as the easier mode of delivery. Aim: To evaluate the effect of an interventional program on pregnant women’s knowledge and attitude toward mode of delivery at Beni -Suef city. Methods: A quasi-experimental research design was used in this study composed of 287 primiparous women with normal pregnancy at 34–36 weeks of gestational age and with no indication to cesarean section was selected from antenatal clinic at Beni Suef general Hospital. The study was conducted from April to September 2016. Data collection tools: a structured interview questionnaires part I, Socio- demographic characteristics, part II; Knowledge Test regarding mode of delivery, and part III, Attitude Test regarding normal and cesarean delivery. Results: the study findings was reported that significantly higher total scores of pregnant women’s knowledge (P=0.00) toward caesarian section after intervention compared with before intervention program. As regard to attitude of women toward cesarean section significantly decreased scores indicating lower positive attitude to cesarean section after intervention (P=0.00). Conclusion: based on the study findings and Hypothesis there were improvement of pregnant women’s knowledge toward the mode of delivery. Recommendations: Based on the results study recommended that urgent preventive measures should be taken to reduce the high rate of cesarean deliveries by improving women’s knowledge toward the advantage and disadvantage for different modes of delivery which can lead to positive attitude.
    VL  - 6
    IS  - 2
    ER  - 

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Author Information
  • Maternal and Newborn Health Nursing, Nursing Faculty, Beni-sueif University, Beni-Suef City, Egypt

  • Maternal and Newborn Health Nursing, Nursing Faculty, Helwan University, Helwan City, Egypt

  • Community and Family Health Nursing, Nursing Faculty, Beni-Suef University, Beni-Suef City, Egypt

  • Medical Surgical Nursing, Nursing Faculty, Mansoura University, Mansoura City, Egypt

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