The Effect of Educational Program on Labor Outcomes Regarding Promoting Vaginal Birth after Cesarean Section

Ahmed Ali Abdelbaky, Fayza; Mohannad Badran, Haitham; Ebrahim Abbas, Enas; Sayed Abd El-Ghafar Mohamed, Sahar; Saady Mohammed, Shadia

doi:10.21608/ejhc.2024.402445

The Effect of Educational Program on Labor Outcomes Regarding Promoting Vaginal Birth after Cesarean Section

Document Type : Original Article

Authors

¹ Lecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt.

² Professor of Obstetrics and Gynecology, Faculty of Medicine, Fayoum University, Egypt.

³ Lecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Helwan University, Egypt.

⁴ Lecturer of Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt.

10.21608/ejhc.2024.402445

Abstract

Background: The rate of cesarean sections (C.S.) has significantly increased in recent years and is accompanied by a high incidence of maternal morbidity and mortality. Vaginal birth after caesarean section (VBAC) is one of the tools that aims to reduce the incidence of C.S. Aim: This study aimed to evaluate the effect of educational program on labor outcomes regarding promoting vaginal birth after cesarean section. Design: A quasi experimental research design (one group pre- posttest) was used. Setting: The study was conducted at the obstetrics and gynecological outpatient clinic at Fayoum University Hospital. Sample: A purposive sampling of 60 pregnant mothers who met the inclusion criteria. Tools: Three tools were used: (1) Structured Interviewing Questionnaire, (2) Self-reported mothers' practices of exercises for VBAC and (3) Labor outcomes assessment sheet. Results: The current study clarifies a highly statistically significant improvement in the total mothers' knowledge, practices and labor outcomes after implementation of nursing educational program where knowledge improved from (30% to 93.3%), practice changed from (5% to 85%) pre and post educational program respectively and 100% of mothers who delivered VBAC had normal labor outcomes without any complication for both the mother and newborn. Conclusion: The study concluded that mothers who participated in the nursing educational program showed a significant improvement in both the knowledge and practices about VBAC after the program's implementation in addition to the mothers and newborns did not experience any complications. Recommendations: Develop and distribute additional resources such as pamphlets or online materials that provide ongoing education and support for mothers regarding VBAC and related practices.

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