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Assessing the Effectiveness of an Educational Approach on Antenatal Mothers' Insight and Attitude Toward Spontaneous Vaginal Delivery

Gauri Manohar, Chintamani Chauhan

Abstract


Giving birth is a significant life event for expectant mothers. A research study was undertaken to evaluate the effectiveness of an educational approach in enhancing understanding and attitudes toward spontaneous vaginal delivery among expectant mothers in a chosen community area within the Indore Division. The rising prevalence of Caesarean sections is a significant worldwide issue. In India, there has also been a rise in the number of Caesarean section deliveries, coinciding with an increase in deliveries in healthcare facilities. As per the findings from a district-level household survey carried out by the Ministry of Health and Family Welfare, Government of India, and published in BMC Public Health in 2018, there is roughly a threefold higher rate of Caesarean sections in private healthcare facilities in comparison to public health institutions. To tackle this concern, it is recommended that the Government of India strengthen the current public health infrastructure and guarantees that Caesarean sections are conducted in both public and private healthcare establishments when medically justified. The reasons behind the elevated rates of Caesarean sections among privileged individuals remain unclear, raising concerns about the preference for natural childbirth. Although this survey and other sources do not offer direct information regarding the reasons behind the increasing rate of Caesarean sections among privileged classes, Dr. C. Z Guilmoto suggests in an email to The Hindu that several factors might contribute to the high prevalence of caesarean sections. These factors include a woman's attitude toward spontaneous vaginal delivery, the health education she receives during the first trimester, participation in antenatal classes for normal vaginal delivery, her determination to step out of her comfort zone, and the support provided by healthcare professionals throughout her antenatal period.


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Jama BD. Knowledge Attitude and Perception of Somali Pregnant Women Towards C-Section Delivery in Berbera Town, Somaliland: Facility Based Study. Research Paper. Hargeisa, Somaliland: University of Hargeisa; 2018.

Mulugeta AK, Giru BW, Berhanu B, Demelew TM. Knowledge about birth preparedness and complication readiness and associated factors among primigravida women in Addis Ababa governmental health facilities, Addis Ababa, Ethiopia, 2015. Reprod Health. 2020; 17 (1): 15.

Nosratabadi M, Hekmat K, Dencker A, Abbaspoor Z. Individual and group psycho-educational counseling on knowledge, attitude and preference for birth method in nulliparous women: a randomized controlled trial. J Family Reprod Health. 2018; 12 (2): 103–110.

Shakiba M, Navaee M, Hassanzei Y. The effect of motivational interviewing on attitude and practice about type of delivery in primigravid women requesting elective cesarean section referring to comprehensive health services centers. J Educ Health Promot. 2020; 9: 37.(n.d.). Retrieved December 6, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161677/

Barbara G, Pifarotti P, Facchin F, Cortinovis I, Dridi D, Ronchetti C, Calzolari L, Vercellini P. Impact of mode of delivery on female postpartum sexual functioning: spontaneous vaginal delivery and operative vaginal delivery vs cesarean section. J Sex Med. 2016; 13 (3): 393-401.

Bendangnaro M. A Quasi Experimental Study to Evaluate the Effectiveness of Video Assisted Teaching on Knowledge and Attitude Regarding Child Birth Preparation Among Primi Mothers in Selected Hospitals at Dindigul District. MSc Thesis. Chennai, India: Dr MGR University; 2015.

Blount AN. Influences of Decision-Making: A Qualitative Analysis of Primiparae's Birthing Plan Decisions. MA Thesis. Arlington, TX, USA: University of Texas at Arlington; 2011.

Bull S. Midwives, medicine and natural births: female agency in Scandinavian birthing shows. Crit Stud Televis 2016; 11 (2): 177–189.

Carla B. Natural birthing lessons from Nepal. Br J Midwifery. 2003; 11 (8): 492–495.

Gamble JA, Creedy DK. Women's preference for a cesarean section: incidence and associated factors. Birth. 2001; 28 (2): 101–110.

Gellman E, Goldstein MS, Kaplan S, Shapiro WJ. Vaginal delivery after cesarean section: experience in private practice. JAMA. 1983; 249 (21): 2935–2937.

Ghotbi F, Akbari Sene A, Azargashb E, Shiva F, Mohtadi M, Zadehmodares S, Farzaneh F, Yasai FAM. Women'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, 2012. J Obstet Gynaecol Res. 2014; 40 (5): 1257–1266.

Ganvir V. Effectiveness of planned teaching programme on knowledge regarding prevention of vitamin A deficiency among the mothers of under five children in selected rural areas of Vidharbha region. Int J Sci Res. 2016; 5 (4): 1660–1662.

Gupta A, Janu N, Punia R. Efficacy of yoga and anupreksha in natural birthing and reducing labor duration. Saudi J Humanities Soc Sci. 2018; 23 (4): 65–67.

Happel-Parkins A, Azim KA. At pains to consent: a narrative inquiry into women's attempts of natural childbirth. Women Birth. 2016; 29 (4): 310–320.

Mongan MF. Hypnobirthing: The Breakthrough Natural Approach to Safer, Easier, More Comfortable Birthing – The Mongan Method. New York, NY, USA: Simon & Schuster; 2015.

Moore SB. Reclaiming the body, birthing at home: knowledge, power, and control in childbirth. Humanity Soc. 2011; 35 (4): 376–389.

Mutryn CS. Psychosocial impact of cesarean section on the family: a literature review. Soc Sci Med. 1993; 37 (10): 1271–1281.

Negahban T, Ansari A. Does fear of childbirth predict emergency cesarean section in primiparous women? Hayat. 2009; 14 (3–4): 73–81.

Segeel IB, Du Plessis D. The childbirth and breastfeeding experiences of primigravidas who attended childbirth education classes. Health SA Gesondheid. 2006; 11 (2): 62–74.

Solnes Miltenburg A, Roggeveen Y, van Roosmalen J, Smith H. Factors influencing implementation of interventions to promote birth preparedness and complication readiness. BMC Pregnancy Childbirth. 2017; 17 (1): 1–17.

Shams-Ghahfarokhi Z, Khalajabadi-Farahani F. Intention for cesarean section versus vaginal delivery among pregnant women in Isfahan: correlates and determinants. J Reprod Infertil. 2016; 17 (4): 230.

Wilhelm SL, Stepans MBF, Hertzog M, Rodehorst TKC, Gardner P. Motivational interviewing to promote sustained breastfeeding. J Obstet Gynecol Neonatal Nurs. 2006; 35 (3): 340–348.

Tai CY. Development of an Investigator-Designed Questionnaire Concerning Childbirth Delivery Options Based on the Theory of Planned Behavior. PhD Dissertation. Tampa, FL, USA: University of South Florida; 2013..

Maleki M, Mousavizadeh A, Parhizkar S, Shamsi M. Promotion of normal vaginal delivery among primigravidae: an application of social marketing in the field of health. J Sch Public Health Inst Public Health Res. 2017; 15 (2): 110–120.

Chiarelli P, Campbell E. Incontinence during pregnancy: prevalence and opportunities for continence promotion. Aust NZ J Obstet Gynaecol. 1997; 37 (1): 66–73.


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