EFFECTIVENESS OF EDUCATIONAL AND AWARENESS SESSIONS ALONG WITH APPROPRIATE STRATEGIES IN ORDER TO DISCOURAGE AN ELECTIVE CAESARIAN SECTION (CS) IN PRIMIPARAS WOMEN TO REDUCE ASSOCIATED COMPLICATION IN MOTHERS AND NEWBORNS

Objective: Awareness and education was examined in order to measure the decision of pregnant women for natural mode of delivery to an elective caesarean section delivery in our research study. Methods: Research design was quasi-experimental and research was completed in the time span of January – March, 2012. Population of the research was 3rd trimester pregnant women (200 women). All the patients were in the intention of caesarean section instead of normal delivery mode. We made three groups of the total sample population. Three groups were named as Group A, B and C and respectively treated with educational awareness, educational awareness including discussion and no intervention in the C group taken as controls. We also held a post-test after one-month delay and analyzed data through logistic regression and Kruskal Wallis tests. Results: Group A, B and C were respectively representing controls 100 women (50%), educational package 40 women (20%) and 60 women (30%) educational package and groups discussion group. We observed a significant change in the overall behavior of the B group and C group with significant p-value of (<0.01); whereas, no change was observed in the controls of A group as they were not treated with any of the package. We observed the change of opinion in women as 25 women (42%) in group-B opted for natural delivery and only one women (2.5%) changed mode of delivery in B group. Four ladies of group A were (4%) emergency cases and normal delivery was carried out. Conclusion: Scores of the model construct were increased through two educational techniques which include attitude, awareness, perceived control of behavior, behavioral intention and subjective norms. Nonetheless, Group discussion along with educational awareness package is an effective and influential for the selection of natural delivery mode for the child birth. Keyword: Education, Package, Elective Caesarean, Controls, Behavior and Pregnant Women.