IMR Press / CEOG / Volume 45 / Issue 6 / DOI: 10.12891/ceog4430.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Development of a tailored intervention to promote normal vaginal delivery among primigravida women: a formative study
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1 Health Education and Promotion, Yasuj University of Medical Sciences, Yasuj, Iran
2 Health Education, Yasuj University of Medical Sciences, Yasuj, Iran
3 Epidemiology, Yasuj University of Medical Sciences, Yasuj, Iran
4 Reproductive Health, Yasuj University of Medical Sciences, Yasuj, Iran
5 Midwifery Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
Clin. Exp. Obstet. Gynecol. 2018, 45(6), 886–892; https://doi.org/10.12891/ceog4430.2018
Published: 10 December 2018
Abstract

Purpose of Investigation: This study aimed to develop a tailored intervention to promote normal vaginal delivery among primigravida. Materials and Methods: This cross-sectional formative research was done in Boyer-Ahmad County, Iran. Qualitative data were collected through individual in-depth interviews with healthcare providers and focus group discussions with primigravida women. Quantitative data were collected using a questionnaire based on the Theory of Planned Behavior among all primigravida women. Results: The most important barriers of normal vaginal delivery were: unpleasant delivery in maternity, fear of child birth, others’ recommendations, and negative experiences of referring to maternity services. The interventions recommended for increasing normal vaginal delivery were: education, counseling services, and making the process of normal vaginal delivery more pleasant. The authors found that 44.3% of urban women and 9.4% among the rural women intended to undergo cesarean section (CS). Attitude, subjective norms, place of residence, and the spouse’s job were the main predictors of selecting the types of birth. Conclusion: The main elements of the tailored intervention were: target audiences’ education, telephone counseling services, and brief interventions.
Keywords
Tailored intervention
Normal vaginal delivery
Formative research
Primigravida
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