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Effect of Healthy Instructions on Reducing Pregnant Women’s Fear of Normal Delivery and Preferences for Cesarean Delivery

Received: 5 February 2017     Accepted: 25 February 2017     Published: 11 March 2017
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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.

Published in American Journal of Nursing Science (Volume 6, Issue 3)
DOI 10.11648/j.ajns.20170603.15
Page(s) 176-184
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Healthy Instructions, Fear of Childbirth, Decision, Mode of Delivery

References
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  • APA Style

    Nahed Fikry Hassan Khedr, Maher Shams Eldeen. (2017). Effect of Healthy Instructions on Reducing Pregnant Women’s Fear of Normal Delivery and Preferences for Cesarean Delivery. American Journal of Nursing Science, 6(3), 176-184. https://doi.org/10.11648/j.ajns.20170603.15

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    ACS Style

    Nahed Fikry Hassan Khedr; Maher Shams Eldeen. Effect of Healthy Instructions on Reducing Pregnant Women’s Fear of Normal Delivery and Preferences for Cesarean Delivery. Am. J. Nurs. Sci. 2017, 6(3), 176-184. doi: 10.11648/j.ajns.20170603.15

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    AMA Style

    Nahed Fikry Hassan Khedr, Maher Shams Eldeen. Effect of Healthy Instructions on Reducing Pregnant Women’s Fear of Normal Delivery and Preferences for Cesarean Delivery. Am J Nurs Sci. 2017;6(3):176-184. doi: 10.11648/j.ajns.20170603.15

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  • @article{10.11648/j.ajns.20170603.15,
      author = {Nahed Fikry Hassan Khedr and Maher Shams Eldeen},
      title = {Effect of Healthy Instructions on Reducing Pregnant Women’s Fear of Normal Delivery and Preferences for Cesarean Delivery},
      journal = {American Journal of Nursing Science},
      volume = {6},
      number = {3},
      pages = {176-184},
      doi = {10.11648/j.ajns.20170603.15},
      url = {https://doi.org/10.11648/j.ajns.20170603.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170603.15},
      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.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Effect of Healthy Instructions on Reducing Pregnant Women’s Fear of Normal Delivery and Preferences for Cesarean Delivery
    AU  - Nahed Fikry Hassan Khedr
    AU  - Maher Shams Eldeen
    Y1  - 2017/03/11
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ajns.20170603.15
    DO  - 10.11648/j.ajns.20170603.15
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
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    EP  - 184
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20170603.15
    AB  - 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.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Woman's Health and Midwifery Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt

  • Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt

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