Volume 25, Issue 4 (11-2017)                   Avicenna J Nurs Midwifery Care 2017, 25(4): 114-120 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Yosefvand M, Khorsandi M, Roozbahani N, Ranjbaran M. Affecting Factors Fear of Childbirth Based on the Theory of Planned Behavior in Pregnant Women in Aleshstar in 2015. Avicenna J Nurs Midwifery Care 2017; 25 (4) :114-120
URL: http://nmj.umsha.ac.ir/article-1-1633-en.html
1- Student Research Committee, School of Health, Arak University of Medical Sciences, Arak, Iran , yosefvand.20@gmail.com
2- Department of Health Education and Health Promotion, Associate Professor, School of Health, Arak University of Medical Sciences, Arak, Iran
3- School of Health, Arak University of Medical Sciences, Arak, Iran
4- Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran
Abstract:   (8017 Views)
Background: Fear of childbirth in pregnant women is a common problem that often leads to the demand for cesarean section. Due to the complications of cesarean delivery for mother and baby, doing researches on factors predicting fear of childbirth is essential.
Method: This is a cross-sectional analytical study. 200 pregnant women were selected in Aleshtar city by simple random sampling in 2015. Data collection tools included two questionnaires. One researcher-made questionnaire, including structures of planned behavior theory including attitudes, subjective norms, perceived behavioral control and behavioral intention; this was a standardized questionnaire for fear of childbirth. To analyze the data, software Spss20, one-way ANOVA and Pearson correlation and regression were performed.
Results: 71 of the 200 women (35.5 percent) were going to do a cesarean section. As a result, an inverse correlation was observed between attitude structures and perceived behavioral control with fear of childbirth.  Attitude was the most important predictor of pregnant women’s fear (Beta=-0.29). In terms of fear, attitude, subjective norm and perceived behavioral control between the women who wanted natural childbirth, and women who wanted a cesarean section, there were statistically significant differences.
Conclusion: It is suggested to emphasize on factors such as positive attitude and perceived behavioral control, at the time of designing educational interventions for reducing the childbirth fear and unnecessary caesarean.
Persian Full-Text [PDF 295 kb]   (1318 Downloads)    
Type of Study: Systematic Review | Subject: Midwifery
Received: 2016/11/7 | Accepted: 2017/05/7 | Published: 2017/07/17

1. Storksen HT, Eberhard‐Gran M, Garthus‐Niegel S, Eskild A. Fear of childbirth; the relation to anxiety and depression. Acta obstetricia et gynecologica Scandinavica. 2012;91(2):237-42. [DOI] [PubMed]
2. Spice K, Jones SL, Hadjistavropoulos HD, Kowalyk K, Stewart SH. Prenatal fear of childbirth and anxiety sensitivity. Journal of Psychosomatic Obstetrics & Gynecology. 2009;30(3):168-74. [DOI] [PubMed]
3. Kingdon C, Neilson J, Singleton V, Gyte G, Hart A, Gabbay M, et al. Choice and birth method: mixed‐method study of caesarean delivery for maternal request. BJOG: An International Journal of Obstetrics & Gynaecology. 2009;116(7):886-95. [DOI] [PubMed]
4. Waldenström U, Hildingsson I, Ryding E-L. Antenatal fear of childbirth and its association with subsequent caesarean section and experience of childbirth. BJOG: An International Journal of Obstetrics & Gynaecology. 2006;113(6):638-46. [DOI] [PubMed]
5. Hamilton A, Fraser D, Cooper M. Assisted births. Myles Textbook for Midwives 15th ed London: Churchill Livingstone. 2009:607-23.
6. Haines HM, Rubertsson C, Pallant JF, Hildingsson I. The influence of women's fear, attitudes and beliefs of childbirth on mode and experience of birth. BMC Pregnancy and childbirth. 2012;12(1):1. [DOI] [PubMed]
7. Alipour Z, Lamyian M, Hajizadeh E, Vafaei MA. The association between antenatal anxiety and fear of childbirth in nulliparous women: a prospective study. Iranian journal of nursing and midwifery research. 2011;16(2):169. [PubMed]
8. Ojengbede OA, Morhason-Bello IO, Adedokun BO. Maternal demand for cesarean section: perception and willingness to request by Nigerian antenatal clients. International Journal of Women's Health. 2012;4:141-8. [PubMed]
9. Ebrahimi F, Sobhaniyan K, Sotodeniya A. Denfortns-obsteries and gynecology. RS G, editor. Tehran: Nasle Farda Press; 2005.578.
10. Mikki N, Abu Rmeileh N, Wick L, Abu Asab N, Hassan Bitar S. Caesarean delivery rates, determinants and indications in Makassed Hospital, Jerusalem 1993 and 2002. 2009.
11. The risk of cesarean section: A coalition for improving maternity services (CIMS) fact sheet; 2010.
12. Mohammadpourasl A, Asgharian P, Rostami F, AZIZI A, Akbari H. Investigating the choice of delivery method type and its related factors in pregnant women in Maragheh. 2009.
13. Chaillet N, Dubé E, Dugas M, Francoeur D, Dubé J, Gagnon S, et al. Identifying barriers and facilitators towards implementing guidelines to reduce caesarean section rates in Quebec. Bulletin of the World Health Organization. 2007;85(10):791-7. [DOI] [PubMed]
14. Cesarian in iran. Available at : http://www.selection.behdasht.gov.ir [cited 2 may 2017].
15. Y.VS: Increased number of caesarean sections without medical indications - inspite of the risks: Lakartid-ningen 2006.
16. Cesarian in lorestan. Available at : http://www.it.lums.ac.ir [cited 20 April 2015].
17. Saffar M S, Ghofranipour F, Heydarnia A.R, Pakpour A. Healtheducation&promotion: Theories, models, methods. Firs ed: Sobhan Pub; 2009. 76-82.
18. Sharma M. Theoretical foundations of health education and health promotion: Jones & Bartlett Publishers; 2016.
19. McKenzie JF, Neiger BL, Thackeray R. Planning, implementing, & evaluating health promotion programs: A primer: Pearson Higher Ed; 2012.
20. Shahraki Sanavi F, Navidian A, Rakhshani F, Ansari-Moghaddam A. The effect of education on base the Theory of Planned Behavior toward normal delivery in pregnant women with intention elective cesarean. Bimonthly Journal of Hormozgan University of Medical Sciences. 2014;17(6):531-9.
21. Lowe NK. Maternal confidence for labor: Development of the childbirth self‐efficacy inventory. Research in nursing & health. 1993;16(2):141-9. [DOI]
22. RahmatiNajarkolaei F , Eshraghi T , Dopeykar N , Zamani O. Determinants of delivery type selection by using theory of planned behaviors (TPB). J Urmia Nurs Midwifery Fac. 2015;12(12):1062-70.
23. Bartlett EE. The contribution of school health education to community health promotion: what can we reasonably expect? American Journal of Public Health. 1981;71(12):1384-91. [DOI] [PubMed]
24. Sharifirad GR, Fathian Z, Tirani M, Mahaki B. Study on Behavioral Intention Model (BIM) to the attitude of pregnant women toward normal delivery and cesarean section in province of Esfahan–Khomeiny shahr-1385. 2007.
25. Toohill J, Fenwick J, Gamble J, Creedy DK. Prevalence of childbirth fear in an Australian sample of pregnant women. BMC pregnancy and childbirth. 2014;14(1):1. [DOI] [PubMed]
26. Movahed M, Enayat H, Ghaffarinasab E, Alborzi S, Mozafari R. Related factors to choose cesarean rather than normal delivery among Shirazian pregnant women. Journal of Fasa University of Medical Sciences. 2012;2(2):78-83.

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2023 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb