Effect of an Interactive Training on Choosing Delivery Method among Primiparous Pregnant Women: An Interventional Study

  • Nahid Zarifsanaiey Ph.D. Virtual School, Shiraz University of Medical Sciences, Shiraz, Iran. Email: sanaieyn@sums.ac.ir. Corresponding author.
  • Alireza Bagheri M.Sc. Bushehr University of Medical Sciences, Bushehr, Iran. Email: bagheri54@yahoo.com
  • Faezeh Jahanpour Nurse, Ph.D. Nursing and Midwifery School, Bushehr University of Medical Sciences, Bushehr, Iran. Email: f_jahanpour@yahoo.com
  • Samaneh Nematollahi M.Sc. Shiraz University of Medical Sciences, Shiraz, Iran. Email: samane.nematolahi@yahoo.com
  • Parviz Azodi Nurse, M.Sc. Paramedical Faculty, Bushehr University of Medical Sciences, Bushehr, IR Iran. Email: azodi.parviz@gmail.com
Keywords: Pregnancy, parity, cesarean section, delivery, obstetric, unnecessary procedures


Objective. To evaluate the effect of interactive training conducted during pregnancy on choosing delivery method among primiparous women.

Methods. Quasi-experimental study carried out in 2017 in two hospitals in the city of Bushehr (Iran), with the participation of 108 primiparous pregnant women in an educational program consisting of eight 2-hour sessions every two weeks in which interactive training activities were performed (group discussions, classroom sessions, and delivery of printed educational material) on themes related with physiological delivery, painless vaginal delivery methods, and complications of cesarean delivery without indication, among others. Before and after the intervention, the Knowledge and Preferred Method of Delivery Questionnaire by Moradabadi et al., was used to obtain information.

Results. The results indicated that the level of knowledge in the group of mothers increased significantly between the pre-intervention and post-intervention assessment (13.2 versus 19.4, of 20 possible maximum points; p <0.001). Additionally, significant difference was observed in the selection of the vaginal delivery method before and after the intervention (74.1% versus 98.1%; p<0.001).

Conclusion. Implementation of interactive training increased knowledge of pregnant women on the delivery and induced a positive effect to encourage the primiparous mothers to have a vaginal delivery.

How to cite this article: Zarifsanaiey N, Bagheri A, Jahanpour F, Nematollahi S, Azodi P. Effect of an Interactive Training on Choosing Delivery Method among Primiparous Pregnant Women: An Interventional Study. Invest. Educ. Enferm. 2020; 38(1):e04.

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(1) Tunçalp Ӧ, Were WM, MacLennan C, Oladapo OT, Gülmezoglu AM, Bahl R, et al. Quality of care for pregnant women and newborns—the WHO vision. BJOG. 2015; 122(8):1045-9.

(2) O'donovan C, O'donovan J. Why do women request an elective cesarean delivery for non‐medical reasons? A systematic review of the qualitative literature. Birth. 2018; 45(2):109-19.

(3) Kim SJ, Han KT, Kim SJ, Park EC, Park HK. Impact of a diagnosis-related group payment system on cesarean section in Korea. Health Policy. 2016; 120(6):596-603.

(4) Banaei M, Pormehr-Yabandeh A, Roozbeh N. Evaluation of the cesarean section rate and its reasons in Shariati Hospital of Bandar Abbas in 2015. J. Adv. Pharm. Edu. Res. 2018; 8(S2):24-7.

(5) Yousefzadeh S, Esmaeili DM, Asadi YM, Shakeri MT. Effects of Training about the Benefits of Natural Childbirth during Pregnancy on the Attitude and Intentions to Select the Mode of Delivery in Nulliparous Women. J. Midwifery Reprod. Health. 2016; 4(3): 704-11.

(6) Magne F, Puchi Silva A, Carvajal B, Gotteland M. The elevated rate of cesarean section and its contribution to non-communicable chronic diseases in Latin America: the growing involvement of the microbiota. Front. Pediatr. 2017; 5:192.

(7) Molina G, Weiser TG, Lipsitz SR, Esquivel MM, Uribe-Leitz T, Azad T, et al. Relationship between cesarean delivery rate and maternal and neonatal mortality. JAMA. 2015; 314(21):2263-70.

(8) Piroozi B, Moradi G, Esmail N, Ghasri H, Farshadi S, Farhadifar F. Evaluating the effect of health sector evolution plan on cesarean rate and the average costs paid by mothers: A case study in Kurdistan province between 2013-2015. J. Hayat. 2016; 22(3):245-54.

(9) Moghadam ZB, Khiaban MO, Esmaeili M, Salsali M. A Review of the High Level of Education and Reduced Fertility in Iranian Women: Have Women Been Empowered? Int. J. Womens Health Reprod. Sci. 20181; 6(2):106-12.

(10) Ulloa IM, Muñoz L. Care from the cultural perspective in women with physiological pregnancy: a meta-ethnography. Invest. Educ. Enferm. 2019; 37(1):e03.

(11) Osorio-Castaño JH, Carvajal-Carrascal G, Rodríguez-Gázquez M. Preparation for motherhood during Pregnancy: a Concept Analysis. Invest. Educ. Enferm. 2017; 35(3):06.

(12) Carter EB, Temming LA, Akin J, Fowler S, Macones GA, Colditz GA, Tuuli MG. Group prenatal care compared with traditional prenatal care: a systematic review and meta-analysis. Obstet. Gynecol. 2016; 128(3):551.

(13) Navaee M, Abedian Z. Effect of role play education on primiparous women's fear of natural delivery and their decision on the mode of delivery. Iran. J. Nurs. Midwifery Res. 2015; 20(1):40.

(14) Darsareh F, Aghamolaei T, Rajaei M, Madani A, Zare S. The differences between pregnant women who request elective caesarean and those who plan for vaginal birth based on Health Belief Model. Women Birth. 2016 1;29(6):e126-32.

(15) Safari-Moradabadi A, Mehraban M, Alavi A, Pormehr-Yabandeh A, Ghiaspour T, Dadipoor S. Investigating the delivery type among primiparous women in Bandar Abbas according to the health belief model. World fam. Med. 2018; 16(1):121-6.

(16) Laluei A, Kashanizadeh N, Teymouri M. The influence of academic educations on choosing preferable delivery method in obstetrics medical team: investigating their viewpoints. Iran. J. Med. Educ. 2009; 9(1):69-78.

(17) Quick KK, Blue CM. Using Situated Learning Theory to Build an Interactive Learning Environment to Foster Dental Students’ Professionalism: An Ignite Project. J. Dent. Educ. 2019; 83(3):334-41.

(18) O. Nyumba T, Wilson K, Derrick CJ, Mukherjee N. The use of focus group discussion methodology: Insights from two decades of application in conservation. Methods Ecol. Evol. 2018; 9(1):20-32.

(19) Cox SN, Guidera KE, Simon MJ, Nonyane BA, Brieger W, Bornman MS, Kruger PS. Interactive malaria education intervention and its effect on community participant knowledge: the malaria awareness program in Vhembe district, Limpopo, South Africa. Int. Q. Community Health Educ. 2018; 38(2):147-58.

(20) Gingras-Charland ME, Côté AM, Girard P, Grenier A, Pasquier JC, Sauvé N. Pre-eclampsia Educational Tool Impact on Knowledge, Anxiety, and Satisfaction in Pregnant Women: A Randomized Trial. J. Obstet. Gynecol. Can. 2019; 41(7):960-70.

(21) Kızılırmak A, Başer M. The effect of education given to primigravida women on fear of childbirth. Appl. Nurs. Res. 2016; 29:19-24.

(22) Kjærgaard H, Wijma K, Dykes AK, Alehagen S. Fear of childbirth in obstetrically low‐risk nulliparous women in Sweden and Denmark. J. Reprod. Infant Psychol. 2008; 26(4):340-50.

(23) Kosan Z, Kavuncuoglu D, Calıkoglu EO, Aras A. Delivery preferences of pregnant women: Do not underestimate the effect of friends and relatives. J Gynecol. Obstet. Hum. Reprod. 2019; 48(6):395-400.

(24) Sotoodeh Jahromi A, Rahmanian K, Madani A. Relation of Knowledge about Cesarean Disadvantages and Delivery Mode Selection in Women with First Pregnancy; South of Iran. J. Res. Med. Dent. Sci. 2018; 6(2):550-6.

How to Cite
Zarifsanaiey, N., Bagheri, A., Jahanpour, F., Nematollahi, S., & Azodi, P. (2020). Effect of an Interactive Training on Choosing Delivery Method among Primiparous Pregnant Women: An Interventional Study. Investigación Y Educación En Enfermería, 38(1). https://doi.org/10.17533/udea.iee.v38n1e04