Health Education to Reduce Unnecessary Cesarean Section Among Primigravida Women

NCT07810751 | Recruiting

• 1 other identifier: 1120261457
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the Effectiveness of Health Educational Program for Primigravida Women in Reducing the Rate of Unnecessary Cesarean Section. Specific objectives:

1. 1.To assess primigravida women's knowledge and attitudes regarding cesarean section and normal vaginal delivery before and after implementation of the health educational program among the study and control groups.
2. 2.To develop and implement a health educational program regarding cesarean section and normal vaginal delivery.
3. 3.To assess primigravida women's choice regarding the mode of delivery before and after implementation of the health educational program among the study and control groups.
4. 4.To evaluate the actual mode of delivery among primigravida women after implementation of the health educational program in both the study and control groups.

Conditions

Cesarean Section

Keywords

Unnecessary Cesarean section; Vaginal delivery; Primigravida women; Health education; knowledge; attitudes

Outcome Measures

Primary Outcomes (1)

• Percentage of Participants Undergoing Cesarean Delivery, Assessed Using the Actual Mode of Delivery Data Collection Form

  1. The actual mode of delivery will be assessed using the researcher-developed Actual Mode of Delivery Data Collection Form during postpartum follow-up. The participant's mode of delivery will be classified as vaginal delivery or cesarean delivery. 2. The number of participants who undergo cesarean delivery will be divided by the total number of participants in each study arm who complete delivery follow-up and multiplied by 100. The outcome will be reported as the percentage of participants who undergo cesarean delivery in each study arm. The unit of measure is percentage of participants 3. For participants who undergo cesarean delivery, the reason for the cesarean procedure will also be recorded.

  during postpartum period (within 6 weeks postpartum)

Secondary Outcomes (3)

• Mean Change in Attitude Score Measured by the Attitudes Toward Modes of Delivery Questionnaire.

  Baseline and 4 weeks after the educational intervention

• Percentage of Participants Preferring Vaginal Delivery Measured by the Women's Choice of Mode of Delivery Questionnaire.

  Baseline and 4 weeks after the educational intervention.

• Mean Change in Knowledge Score Measured by the Knowledge Regarding Modes of Delivery Questionnaire.

  Baseline and 4 weeks after the educational intervention

Study Arms (2)

Health Educational Program

EXPERIMENTAL

A structured antenatal health educational program on Modes of Delivery delivered by the investigator to primigravida women. The program provides evidence-based information concerning vaginal delivery and cesarean section, including indications, advantages, risks, complications, and common misconceptions. Education will be supported by illustrated materials and an Arabic booklet. Participants may communicate with the investigator by telephone or WhatsApp for study-related follow-up.

Behavioral: Health Educational Program on Modes of Delivery.

Routine Antenatal Care

NO INTERVENTION

Participants will receive the routine antenatal care provided at the antenatal clinic without receiving the structured health educational program during the study assessment period.

Interventions

Health Educational Program on Modes of Delivery. BEHAVIORAL

1. A structured antenatal health educational program on Modes of Delivery delivered by the investigator to primigravida women. The program provides evidence-based information regarding normal vaginal delivery and cesarean section, including definitions, medical indications, advantages, risks, maternal and neonatal complications, and common misconceptions regarding both modes of delivery. 2. The educational program is supported by illustrated educational materials and an Arabic booklet prepared by the researcher.

Health Educational Program

Eligibility Criteria

• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Pregnant women in their third trimester.
• Women with singleton pregnancy.
• Women willing to participate in the study.
• No indications for cesarean delivery.

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Women's Health Hospital, Assiut University

Asyut, Asyut Governorate, 71511, Egypt

RECRUITING

MeSH Terms

Conditions

Health Education; Behavior

Condition Hierarchy (Ancestors)

Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Central Study Contacts

Aya S Abd Elhakim, assistant lecturer

CONTACT

+01140290229; ayasalah@aun.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator.

Model Details: Eligible participants will be assigned to one of two parallel groups. The study (Intervention) group will receive the structured health educational program on Modes of Delivery in addition to routine antenatal care, while the control group will receive routine antenatal care only.

Study Record Dates

• First Submitted: August 27, 2026
• First Posted: September 9, 2026
• Study Start: July 1, 2026
• Primary Completion (Estimated): November 30, 2026
• Study Completion (Estimated): December 15, 2026
• Last Updated: September 9, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)