Abstract
The Behavioral Intention Model is one of the best and most widely models used regarding attitude of behavioral of pregnancy and decrease the rate of cesarean section (CS) among pregnant women, except effect of attitude and subjective norms on behavioral intention. Two variables of self-efficacy, and outcome expectation, relate to individual's behavior in an upcoming situation, and both of them are important at the development of behavior. The purpose of the present study was to develop a model to explain women's inten-tion to choose natural vaginal delivery (NVD). The variables of self-efficacy and outcome expectations, derived from Bandura's Social Cognitive Theory, and Behavioral Intention Model constructs were used to define the model. The study was descriptive and cross-sectional in nature and took place in Pars Abad, Iran in 2014. The non-probability sample consisted of 200 pregnant women who voluntarily participated in the study and provided the data. SPSS 21 and MPLUS 6.8 were employed to analyze the data. Self-efficacy, outcome expectations, and attitude toward NVD were associated with intention to choose the NVD. The study findings may play a role in designing educational interventions aimed at influencing the NVD and improving childbirth programs.
Highlights
Natural vaginal delivery (NVD) is the most secure and safest delivery method in the majority of cases for both the mother and the infant,[1] while cesarean section (CS) is generally considered as an alternate when natural vaginal delivery (NVD) is not possible to protect both the mother and infant.[2]
We found that: 1) the outcome expectations for NVD and self-efficacy were directly correlated with the intention to choose NVD, and 2) self-efficacy for NVD did not mediate the relationship between the outcome expectations for NVD and the intention to choose NVD
Our findings suggest that attitudes toward NVD are the main variable associated with NVD, alongside self-efficacy and outcome expectations, which relate to intention to choose NVD
Summary
Natural vaginal delivery (NVD) is the most secure and safest delivery method in the majority of cases for both the mother and the infant,[1] while cesarean section (CS) is generally considered as an alternate when NVD is not possible to protect both the mother and infant.[2]. Two variables of self-efficacy, and outcome expectation, relate to individual’s behavior in an upcoming situation, and both of them are important at the development of behavior. The purpose of the present study was to develop a model to explain women’s intention to choose natural vaginal delivery (NVD). The variables of self-efficacy and outcome expectations, derived from Bandura’s Social Cognitive Theory, and Behavioral Intention Model constructs were used to define the model. Results: Self-efficacy, outcome expectations, and attitude toward NVD were associated with intention to choose the NVD. Conclusion: The study findings may play a role in designing educational interventions aimed at influencing the NVD and improving childbirth programs
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