The effectiveness of training based on the theory of planned behavior on the choice of type of delivery; A review article

The effectiveness of training based on the theory of planned behavior on the choice of type of delivery; A review article
Zahra Zare ,^1,* Mojtaba Laal Ahangar,²
1. Department of Midwifery, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
2. Msc of Nursing, Sabzevar University of Medical Sciences, Sabzevar , Iran
Introduction: Over the past decade, an unprecedented and continuous increase in the rate of cesarean has caused Controversy and concern among experts, health caregivers and politicians. Reducing the rate of cesarean with the aim of improving the health indicators of mothers and infants is one of the goals of the health system evolution plan. In many cases, only medical reasons do not determine the type of delivery, Awareness, beliefs, behaviors and misconceptions about natural delivery are also decisive. One of the most important theories of predicting and understanding behavior is the theory of planned behavior (TPB). The aim of this study was determination the effect of education based on the theory of planned behavior on the Selection of type of delivery in pregnant women.
Methods: This review study articles on the related topic (Education, theory of planned behavior , delivery, pregnancy) were searched in the following databases Google scholar, SID, Magiran , Iranmedex , Scopus, PubMed, Science direct. A total of 13 related research papers, between 2010 – 2020 were included in this study.
Results: The result of the study showed the main reasons for selective cesarean delivery are low level of knowledge and attitude about normal delivery. One of the most effective factors in predicting the choice of delivery method was the subjective norms and perceived behavioral control. So in the women that subjective norms supported natural delivery and had high perceived behavior control were more likely to choose natural delivery than other women. The results of this study showed the effectiveness of training based on the theory of planned behavior on the structures of attitude, perceived behavioral control, subjective norms and behavioral intention related to the selection of delivery method.
Conclusion: Designing an educational intervention based on the structures of the theory of planned behavior can be an effective strategy to change the positive perceptions of pregnant women about cesarean delivery and ultimately reduce the intention of cesarean delivery.
Keywords: Education, theory of planned behavior , delivery, pregnancy