Effect of an Interactive Training on Choosing Delivery Method among Primiparous Pregnant Women: An Interventional Study.
Nahid Zarifsanaiey, Alireza Bagheri, Faezeh Jahanpour and 2 others
PMID 32124572WHAT IT FOUND
After interactive pregnancy classes, 106 of 108 women preferred vaginal delivery, compared with 80 before, and knowledge scores rose from 13.2 to 19.4 on a 20-point scale.
Key findings
01After the intervention, 106 women preferred vaginal delivery, compared with 80 before.
02Mean knowledge score increased from 13.2 to 19.4 on a 20-point scale.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
No control group or random allocation was used, so change cannot be attributed only to the training. It was a convenience sample from two clinics, limiting generalisability. 22 of 130 women were excluded because they missed more than one session. Follow-up was one week after the last session, so long-term effects were not studied. The delivery outcome measured was preferred delivery method, not the delivery method actually used. The intervention combined several components, so the effect of any single component cannot be separated.
Declared interests
Funding: the article reports that it was the result of a master's thesis research project (decree code 1396.40) at Shiraz University of Medical Sciences and was registered as IRCT2017080535506N1. No competing-interests declaration is provided.
The easy way to misread this
Do not conclude that interactive training alone caused a true reduction in cesarean deliveries. The study had no control group, measured preferred delivery method rather than actual delivery, and combined short lectures, small-group discussion, PowerPoint and videos, question-and-answer, and take-home pamphlets, so the contribution of any single component cannot be separated.