Evidence map›Paper›PMID 40104366›Full record

ArticleJournal of education and health promotion2025

Can a theory-based intervention lead primiparous women to decide to have a normal vaginal delivery? A randomized controlled trial.

Rashin Pourashraf, Masoumeh Abbasi-Shavazi, Mahboubeh Valiani, Sara Jambarsang, Hossein Ali Sadeghian

Abstract read
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Article in Journal of education and health promotion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rashin PourashrafDepartment of Health Education and Health Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Masoumeh Abbasi-ShavaziDepartment of Health Education and Health Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mahboubeh ValianiDepartment of Nursing and Midwifery, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Sara JambarsangDepartment of Biostatistics and Epidemiology, School of Public Health, Center for Healthcare Data Modeling, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Hossein Ali SadeghianDepartment of Health Education and Health Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough cesarean section (CS) plays an important role in reducing the complications and mortality of childbirth, the increase in unnecessary CSs is an indicator of the improper functioning of the health system. This study aimed to measure the effect of an educational intervention based on the theory of planned behavior (TPB) on the intention and type of delivery of primiparous pregnant women. MATERIALS AND

methodsThis was conducted as a randomized controlled trial in Isfahan city, Iran. In total, 112 primiparous pregnant women participating in childbirth preparation classes were divided into two intervention and control groups by nonrandom sampling method. The intervention group received an educational intervention that included a combination of childbirth preparation classes based on TPB during the 16

resultsThe average score of attitude, subjective norms, and perceived behavioral control in the intervention group significantly increased after intervention (

conclusionReconstructing childbirth preparation classes based on TPB improved the intention and other predictive structures of TPB in the intervention group, but the final behavior of the two groups regarding the type of delivery was the same. It seems that the stressful conditions of delivery, along with the final opinion of the physicians, are effective in choosing the final type of delivery.

Indexed as

Cesarean sectionnormal vaginal deliveryrandomized controlled trialtheory of planned behavior

Identifiers

PMID40104366
PMCPMC11913197

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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.