ArticleOman medical journal2013
Psychological Predictors of Intention to Deliver Vaginally through the Extended Parallel Process Model: A Mixed-Method Approach in Pregnant Iranian Women.
Article in Oman medical journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Prevalence of and reasons for women's, family members', and health professionals' preferences for cesarean section in Iran: a mixed-methods systematic review.Reproductive health · 2021Pooled it
- Mapping the gendered dynamics of cesarean section: A scoping review.PLOS global public health · 2026Article
- Preference and determinants of delivery mode in pregnant women with one cesarean scar: a cross-sectional study in two urban Ugandan public hospitals.BMC pregnancy and childbirth · 2025Article
- Educational intervention based on the Extended Parallel Process Model in promoting preventive behaviors of arteriosclerosis in female high-school students.Journal of education and health promotion · 2025Article
- Effect of extended parallel process model training on enhancing physical activity of overweight pregnant women: A randomized controlled trial.Journal of education and health promotion · 2025Article
- The Iranian version of theory-based intention for cesarean section (IR-TBICS) scale: development and first evaluation.BMC pregnancy and childbirth · 2021Article
- Article
- Article
- Childbirth Fear and Associated Factors in a Sample of Pregnant Iranian Women.Oman medical journal · 2018Article
- Persuading Iranian Women toward Normal Vaginal Delivery: Using Pictorial Perception of the Labour Process.Open access Macedonian journal of medical sciences · 2018Article
- Prediction of Adequate Prenatal Care Utilization Based on the Extended Parallel Process Model.International journal of community based nursing and midwifery · 2017Article
- Pregnant women's preferences for mode of delivery questionnaire: Psychometric properties.Journal of education and health promotion · 2017Article
- Modeling the intention to choose natural vaginal delivery: using reasoned action and social cognitive theories.Health promotion perspectives · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDespite the fact that cesarean delivery does not offer significant health benefits for either mother or newborn, there has been a noticeable upward trend in elective cesarean births in Iran, over the last two decades. This study aims to examine whether knowledge, perception of health threats, efficacy, and personal beliefs act as psychological predictors towards the intention of women to have a normal vaginal delivery.
methodsThe mixed-method approach was used as quantitative and qualitative design. Simultaneously, 290 pregnant women who visited prenatal clinics participated in the study. Quantitative and qualitative data were collected using a structured questionnaire based on Witte's Extended Parallel Process Model, and four focus groups, respectively.
resultsWomen perceived lower personal risk but higher levels of efficacy. Perceived self-efficacy, severity, and response efficacy emerged as significant predictors of intention to experience vaginal birth. The participants' insufficient knowledge and misconceptions about birth methods were prevalent. Major themes were identified and divided into negative and positive beliefs about vaginal birth.
conclusionThis educational model is useful for understanding women's intention to undergo a vaginal birth, especially when it is combined with a qualitative approach. Maternal care providers should acknowledge their clients' beliefs and intended childbirth methods prior to offering medical intervention.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.