Journal of Midwifery and Reproductive Health

Journal of Midwifery and Reproductive Health

Investigating the Role of Counseling As A Trigger In Fogg Behavior Model on Choice Vaginal Birth after Cesarean: Randomized Clinical Trial

Articles in Press

Document Type : Original Research Article

Authors
Somayeh Attarian 1
Zhaleh Feyzi 2
Jamshid Jamali 3
mahboobeh firoozi 4
1 Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran
2 PhD in Health Psychology, Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3 Department of Biostatistics, School of Health, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/jmrh.2025.77916.2317
Abstract
Background& aim: The high rate of repeated cesarean section and its complications necessitate the need to change the behavior of choosing the type of birth by previous cesarean section mothers. Counseling is a good approach to change the behavior. The present study investigates the role of counseling as a trigger in Fogg’s model on the choice of vaginal birth after cesarean section (VBAC).
Methods: Parallel cluster randomized clinical trial was performed on 62 previous cesarean section mothers in 28-30 week by multistage sampling in Mashhad’s comprehensive health centers between June and December 2020. In the intervention group, two sessions (45-60 minutes) of individual counseling and one virtual session through the Telegram channel was presented. Both groups had routine prenatal cares. They completed the demographic characteristics form and the researcher-made questionnaire to triggers birth options and the checklist for choice of birth at the beginning and two weeks after the counseling. Data analysis was performed using SPSS statistical software (version 25) and Fisher's exact test, Chi-squared test and Mann-Whitney. p-value less than 0.05 was considered significant.
Results: Statistical tests showed that the frequency of intention to choose VBAC in the intervention group before and two weeks after counseling is significant (p<0.001). There was a statistically significant difference between the frequency of intention to choosing after the counseling in the two groups (p<0.00).
Conclusions: Counseling as a trigger by increasing the motivation and ability in choice birth mode, increased the intention to choosing of VBAC and can be considered during prenatal care.
Keywords
counseling
choice
cesarean section
vaginal birth after cesarean
Subjects
Journal of Midwifery and Reproductive Health

Articles in Press, Accepted Manuscript
Available Online from 05 August 2026