The Effects of Attitude and Perceived Behavioral Control Program towards the Intention of Vaginal Delivery for Primigravida Women
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Abstract
Purpose: To examine the effect of attitude and perceived behavioral control program towards the intention of vaginal delivery for primigravida women.
Design: Two-group pre-test and post-test quasi-experimental study.
Methods: The participants consisted of forty-six primigravida women receiving antenatal care at Somdech Phra Pinklao Hospital divided equally into control and experimental groups with 23 each. The control group received standard nursing care, while the experimental group received the attitude and perceived behavioral control program toward the vaginal delivery. Data were collected using demographic characteristics and vaginal delivery intention questionnaires. Data was analyzed using descriptive statistics, Chi-square test, Fisher’s exact test, Mann-Whitney test, and Wilcoxon signed ranks test.
Main findings: The results showed that participants in the experimental group had a significantly higher vaginal birth intention score after completing the program than before starting it (Z = 3.53, p < .001). Additionally, participants in the experimental group had a significantly higher vaginal birth intention score than those in the control group (Z = 2.31, p = .021).
Conclusion and recommendations: The attitude and perceived behavioral control program increased their intention to choose vaginal delivery option. The results suggest that nurses should implement this program to promote vaginal birth by incorporating attitude change education, coping skills assessment, pain relief training, spousal support, and electronic manuals as learning aids.
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