The Effects of Social Support on Pregnant Women's Choice of Delivery Method: Application of an Expanded Theory of Planned Behavior

Marzieh Otogara; Akram Karimi-Shahanjarini; Seyed Mohammad Mehdi Hazavehei; Jalal Poorolajal; Nahid Radnia; Maryam Seyed Tabib

E-ISSN : 2148-9696

Crescent Journal of
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Jul 2018, Vol 5, Issue 3

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Original Article
The Effects of Social Support on Pregnant Women's Choice of Delivery Method: Application of an Expanded Theory of Planned Behavior
Marzieh Otogara¹, Akram Karimi-Shahanjarini², Seyed Mohammad Mehdi Hazavehei³, Jalal Poorolajal⁴, Nahid Radnia⁵, 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, 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 Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
CJMB 2018; 5: 181–188 Viewed : 4328 times Downloaded : 25495 times. Keywords : Social support, Theory of planned behavior, Women"s choice of delivery method
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Abstract

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 pregnant women’s choice of delivery method. Materials and Methods: This prospective cohort study was conducted on pregnant women referred to Fatimah hospital in Hamadan, Iran, from 2015 to 2016. A total of 206 nulliparous pregnant women, who referred to Fatimah hospital, completed a self-report questionnaire including measures of intentions, attitudes, subjective norms, perceived behavioral control and social support. These women were followed up until the end of their pregnancy. Results: On the basis of structural equation modeling, adding social support variable improved the indices of the model slightly, but this variable cannot be regarded as a predictor of behavior. A gap between intention and behavior and other factors together with social factor may be the reason. The perceived behavioral control of the individuals was a signifcantly effective predictor for selecting the type of delivery. Conclusions: Attitude, subjective norms, perceived behavior control, and social support were distinguished as signifcant predictors of the choice of delivery type. Therefore, it seems that designing an intervention with emphasis and focus on making changes in these variables and considering different dimensions of social support can increase people’s intention towards natural delivery by providing facilities in the childbirth environment.