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IRCT20200614047768N1 IRCT 2020-06-21 Mashhad University of Medical Sciences The impact of counseling on decision self-efficacy and intention VBAC The impact of supportive counseling on decision self-efficacy and intention to Vaginal Birth after Caesarean in prior cesarean section mothers 2020-07-20 anticipated 60 Complete https://irct.ir/trial/48909 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Random allocation of groups will be such that the names of the databases that are randomly selected and the names of the groups are written on separate papers and placed in two separate envelopes.Then the name of a database and a group of direct envelopes are selected simultaneously. Thus, one base from the center will be allocated to the intervention group and one base from each center will be allocated to the control group, and a total of two bases will be allocated to the control group and two bases to the intervention group. Then, sampling will be done inside each center. N/A vaginal birth after cesarean. Intervention 1: "Intervention Group" Consulting package based on the supportive counseling approach includes: 1- Two individual supportive counseling sessions for each session of 45 minutes and in the middle of the week and in person and face to face 2- Pamphlet and link of the messenger channel.Content of counseling sessions based on supportive counseling steps includes the first session: explanation (right to choose the type of delivery, natural childbirth mechanism, recurrent cesarean complications), reassurance (benefits of natural childbirth for mother and baby, comparison of benefits and losses of natural childbirth after cesarean section, amount The success of natural childbirth after cesarean section), the content of the second session: guidance (methods of awakening in Libra, relaxation techniques in Liber, different positions in Libra and childbirth, mobile support, helping to remove barriers to selection from his point of view), encouragement (experience Her mothers have had a back-to-back presentation of her statistics, her success rate, and leave for emotional discharge (listening to clients talk about their feelings, beliefs, experiences, and expectations about childbirth).At the end of the first session, the delivery of the pamphlet and the link of the messenger channel will be provided (channel content includes: showing cesarean section and natural childbirth animation (taken from the educational contents of the Ministry of Health and uploading the audio file of the interview with mothers who have had a successful back). Intervention 2: Control group: The "control group" receives routine counseling about vaginal birth after cesarean by midwives at health centers. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Mahboobeh Firoozi
No. 9,West Fajr, Baharan Ave., Faramarzabbasi Blvd
Mashhsd Iran (Islamic Republic of) 9137913199 0098 51 38591511-3 Firoozim@mums.ac.ir Mashhad University of Medical Sciences scientific Roghayeh Pakdaman
No.40,Karimi 1,Sardaran st.17 Shahrivar North.
Bojnourd Iran (Islamic Republic of) 9415658969 +98 58 3226 2332 pakdamanr971@ mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iranian and resident of Mashhad At least have the ability to read and write The interval between pregnancy and previous delivery is greater than 6 months Childbirth fear score less than 85 from Vijima questionnaire version A, which indicates no clinical fearand Single-pregnancy A live embryo and a cephalic display Amniotic fluid and placental placement are normal based on pregnancy ultra sonography in trimester 2 . The gestational age based on the LMP or the first trimester ultrasound is of 28-30 weeks BMI 19/8-29/9 History of once prior cesarean section Do not have a history of infertility Do not have a history of mental and medical illness No complication of midwifery(Preeclampsia, diabetes, etc) Not having a medical cause for cesarean section No history of any surgery on the uterus other than a transverse incision below the previous cesarean section no limit no limit Female Not participating to attend at least one counseling session Not participating to take the test after research Indication of pregnancy termination before the end of the research period Failure to receive channel content and pamphlets Occurrence of medical disease and obstetric complication during research Behavior Behavior "Intervention Group" Consulting package based on the supportive counseling approach includes: 1- Two individual supportive counseling sessions for each session of 45 minutes and in the middle of the week and in person and face to face 2- Pamphlet and link of the messenger channel.Content of counseling sessions based on supportive counseling steps includes the first session: explanation (right to choose the type of delivery, natural childbirth mechanism, recurrent cesarean complications), reassurance (benefits of natural childbirth for mother and baby, comparison of benefits and losses of natural childbirth after cesarean section, amount The success of natural childbirth after cesarean section), the content of the second session: guidance (methods of awakening in Libra, relaxation techniques in Liber, different positions in Libra and childbirth, mobile support, helping to remove barriers to selection from his point of view), encouragement (experience Her mothers have had a back-to-back presentation of her statistics, her success rate, and leave for emotional discharge (listening to clients talk about their feelings, beliefs, experiences, and expectations about childbirth).At the end of the first session, the delivery of the pamphlet and the link of the messenger channel will be provided (channel content includes: showing cesarean section and natural childbirth animation (taken from the educational contents of the Ministry of Health and uploading the audio file of the interview with mothers who have had a successful back) Control group: The "control group" receives routine counseling about vaginal birth after cesarean by midwives at health centers. The intent Vaginal birth after cesarean. Timepoint: At the beginning of the study and 4 week after the intervention. Method of measurement: Intent selection choose the type of delivery checklist. Decision self-efficacy. Timepoint: At the beginning of the study and 4 week after the intervention. Method of measurement: Decision self-efficacy questionnaire. Decision Conflict. Timepoint: At the beginning of the study and 4 week after the intervention. Method of measurement: Decision Conflict Questionnaire. Mashhad University of Medical Sciences Approved 2020-06-15 Mashhad University of Medical Sciences and Health Services Khorasan Razavi - Mashhad-Ave. University- Facing Khayyayan University 18- Mashhad University of Medical Sciences- Vice-President of Research and Technology University Mashhad Razavi Khorasan Iran (Islamic Republic of)