|Effects of Social Support on Pregnant Women"s Choice of Delivery Method: Application of an Expanded Theory of Planned Behavior|
|Marzieh Otogara, Akram Karimi-Shahanjarini2, Seyed Mohammad Mehdi Hazavehei3, Jalal Poorolajal4, Nahid Radnia, Maryam Seyed Tabib6|
|1Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
2Social Determinates of Health Research Center and Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
3Research Center for Health Sciences and Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
4Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
5Department of Gynecology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
6Department of Public Health, School of PublicHealth, Hamadan University of Medical Sciences, Hamadan
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Keywords : Social support; Theory of planned behavior; women"s choice of delivery method
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Objectives: The theory of planned behavior (TPB) has been used in pregnant women"s choice of delivery method and other health-related behaviors. This study extended TPB to predict the role of social support in Choice of Delivery Method of Pregnant Women.
Materials and Methods: This prospective cohort study was conducted on pregnant women referred to Fatimah hospital in Hamadan City, Iran, during 2015-2016.Two hundred and six nulliparous pregnant women,whowere referred to Fatimahhospital,completed a self-report questionnaire including measures of intentions, attitudes, subjective norms, perceived behavioral control and social support. These women were followed up untilthe end of pregnancy.
Result: On the basis of structural equation modeling, adding social support variable improved indices of the model slightly, but this variable cannot be regarded as a predictor of behavior. A gap between intention and behavior and other factorstogetherwith socialfactor may be the reason. The perceived behavioral control of Individuals was asignificantly effective predictorfor selecting the type of delivery.
Conclusion: Attitude, subjective norms, perceived behavior control, and social support were distinguished as significant predictors of the choice of delivery type. Therefore, it seems that designing an intervention with emphasis and focuses on making changes in these variables and considering different dimensions of social support, can increase people's intention towards natural delivery by providing childbirth environment facilities
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