The effect of individual counseling on attitudes and decisional conflict in the choice of delivery among nulliparous women
نویسندگان
1 Assistant Professor of Family Counseling, Ferdowsi University of Mashhad, Mashhad, Iran
2 Professor, Department of Biostatistics, Research Center for Health Sciences, Faculty of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran
3 Department of Midwifery, Evidence‑Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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چکیده
BACKGROUND: The most important reasons for choosing cesarean include negative attitude ofpregnant women toward natural childbirth, and it is not easy for many women to make a decisionabout the choice of delivery, Midwives as responsible individuals, play an important role in providingmaternal counseling and care during pregnancy and childbirth and the postpartum period. This studywas carried out to determine the effect of individual counseling on attitudes and decisional conflictin the choice of delivery among nulliparous women.MATERIALS AND METHODS: This clinical trial was performed on 90 nulliparous women with28–30 weeks of gestational age, who were referred to health‑care centers in Mashhad. They weredivided randomly into intervention and control groups. The intervention group received the counselingprogram individually during three sessions, while the control group received routine care, childbirthattitudes, and decisional conflict on choice of delivery were compared on women of 34–36 weeksof pregnancy. Data collection tools included demographic details form, Childbirth Attitudes Scaleand Decisional Conflict Scale; data were analyzed using Chi‑square tests, Fisher’s exact test,Mann–Whitney test, t‑test, parried t‑test, and ANCOVA in SPSS v. 16, and P < 0.05 was consideredstatistically significant.RESULTS: After consultation, there was a significant difference in attitude score between theintervention group (86.577 ± 13.531) and the control group (69.955 ± 19.858) (P < 0.001), And therewas a significant difference in decisional conflict score between the intervention group (0.614 ± 0.626)and the control group (1.216 ± 0.949) (P < 0.001), and there were significant differences betweenthe two groups in terms of preferred delivery (P < 0.001).CONCLUSION: According to the results of this randomized control trial, individual counseling innulliparous women during pregnancy leads to a positive attitude toward natural childbirth, informeddecision‑making, and increase in the selection of natural childbirth.
