Abstract
Childbirth is physiological process that needs no intervention. Cesarean delivery should only conduct when normal delivery is contraindicated to protect mothers and infant’s health. Nowadays, a Cesarean Section has become a culture for escaping pain. Therefore this study aimed to evaluate the effect of healthy instructions on reducing pregnant women’s fear of normal delivery and preferences for cesarean delivery. A quasi-experimental design was used. A purposive sample of 64 pregnant women was selected and divided randomly into two equal groups, 32 in each group. The study was carried out at Antenatal clinics of Obstetrics and Gynecology Center of Mansoura City. Three tools were utilized for data collection; an interviewing questionnaire and Childbirth Attitudes, Childbirth Fear Associated Factors Questionnaires to assess degree of women's fear of normal delivery and preferences for cesarean delivery. Level of fear was assessed pre and post healthy instructions. The study findings revealed that both groups were significantly different regarding the fear of normal delivery after intervention. It was obvious that before intervention more than half of both groups had preference for Cesarean Section while after intervention, vaginal delivery was the first preference of both groups. This study concluded that, healthy instructions by video and lecture educational methods were effective in making a decision on normal delivery, lessening the fear of normal labor, and diminished the incidence of elective cesarean delivery. The present study recommended to apply healthy instructions by video and lecture educational methods for raising their awareness to distinguish among normal delivery and cesarean section on large number of pregnant women for reducing fear from normal delivery and preferences for cesarean delivery.
Highlights
Pregnancy is the most important physiological phenomenon which ends with childbirth, associated with the fear and worries [1]
Table 3. reveals that factors of childbirth fear was the highest factor associated with childbirth fear with mean ± standard deviation (SD) 8.4 ± 1.3 and cesarean section factor was the lowest factor associated with childbirth fear with mean ± SD 1.9 ± 0.8
This aim was supported by the present study hypothesis because the study results highlighted changing in women's preference from cesarean delivery to normal vaginal delivery after their acquired knowledge regarding differentiation between normal labor and cesarean delivery through video and lecture
Summary
Pregnancy is the most important physiological phenomenon which ends with childbirth, associated with the fear and worries [1]. Childbirth is one of the most important events in a woman’s life. The entire process of pregnancy and childbirth has significant physical and emotional effects. The perceptions of labor and its experience will have an impact on woman’s life at various interpersonal levels including her family and children [2, 3 and 4]. Normal delivery fear is a condition that appears clearly before giving birth, it ranges from worries to sever fear interfering with daily life activities throughout pregnancy until the approaching delivery. Normal delivery fear is a strong reason for Cesarean birth preference [5]
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