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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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Using theory of planned behavior for prediction of delivery mode among pregnant women: a theory-based cross-sectional research

Mohtasham Ghaffari
  • Environmental and Occupational Hazards Control Research Center, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Atefeh Afshari / Sakineh Rakhshanderou
  • Environmental and Occupational Hazards Control Research Center, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Bahram Armoon
  • Corresponding author
  • Infertility and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Phone/Fax: +982122432040-41
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-11-23 | DOI: https://doi.org/10.1515/ijamh-2017-0106

Abstract

Background

Nowadays, in Iran cesarean rates have increased from the recommended level of the World Health Organization (WHO).

Objectives

The objective of the present study was to determine which theory of planned behavior (TPB) constructs predict intentions and delivery mode among pregnant women.

Methods

One hundred and four pregnant nulliparous women in their third trimesters of pregnancy referred to Semirom health care centers were investigated based on census reports. The data were collected by valid and reliable questionnaire based on the TPB constructs and analyzed by SPSS16.

Results

In examining predictors using linear regression analysis to choose normal vaginal delivery (NVD), all constructs of TPB, including attitude toward NVD (p < 0.0001), subjective norms (p < 0.05) and perceived behavioral control (p < 0.001) were significantly correlated. Finally, after telephone follow-up with the women who had delivered newborns on their delivery method, it was found that 71.15% had a NVD and 28.14% had a cesarean delivery.

Conclusions

Regarding the effect of attitude to NVD, subjective norms and perceived behavioral control in NVD intention and its crucial role in anticipating the final delivery method, it is recommended considering these constructs in designing educational interventions for safe delivery in the investigated area.

Keywords: cesarean; normal vaginal delivery; theory of planned behavior

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About the article

Received: 2017-06-27

Accepted: 2017-07-16

Published Online: 2017-11-23


Compliance with ethical standards

Conflict of interests: All other authors had no conflicts of interest to be declared.

Informed consent: Informed consent was obtained from all individual participants included in the study.

Ethical approval: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This study was approved by the Ethical Committee of Shahid Beheshti University of medical sciences (code:116).

Authors’ contributions: MGh and BA helped in study design. SR and AL helped in analysis and interpretation of data. AA and BA drafted the manuscript. SR and MGh helped in critical revision of the manuscript.


Citation Information: International Journal of Adolescent Medicine and Health, 20170106, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0106.

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