title: The Effect of Educational Intervention based on BASNEF Model on Decreasing the Cesarean Section Rate among Pregnant Women in Khomain Country.
abstract: OBJECTIVE
  Over the past two decades, the incidence of cesarean section in most countries has increased. Cesarean section increases the risk of death and complications in the mother and fetus. Educational interventions based on behavior change models can play an important role in reduce the rate of cesarean section. The aim of our study is investigation the effect of educational intervention based on BASNEF Model on decreasing of cesarean section rate among pregnant women in Khomain County, from June to November 2013.
  
  
  METHODS
  In this interventional study, 140 nulliparous women who were in their last trimester of pregnancy were randomly allocated to case and control groups. Data gathering instrument was a questionnaire based on BASNEF framework. Data were analyzed by SPSS 14 software.
  
  
  RESULTS
  The scores of knowledge, attitudes, subjective norms, and enabling factors in the intervention group than the control group showed a significant difference (p < 0.001). After the study, it was found that 18 women (25.7%) in case group and 42 women (60%) in the control group underwent cesarean section. By Chi-square test showed that the difference in the type of delivery between the two groups was statistically significant (p < 0.001).
  
  
  CONCLUSIONS
  Design and implement curriculum based on BASNEF can be effective in reducing elective cesarean section.
authors.affiliation: School of Public Health, Kurdistan University of Medical Sciences, Sanandaj, Iran.
authors.forename: Zohreh
authors.initials: Z
authors.lastname: Arefi
authors.affiliation: Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran.
authors.forename: Davod
authors.initials: D
authors.lastname: Hekamatpou
authors.affiliation: School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Orouji
authors.affiliation: Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Shaahmadi
authors.affiliation: School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Giti
authors.initials: G
authors.lastname: Khushemehri
authors.affiliation: Savojbolagh Health Center, Alborz University of Medical Sciences, Karaj, Iran.
authors.forename: Faramarz
authors.initials: F
authors.lastname: Shaahmadi
keywords: BASNEF model; Cesarean section; Educational intervention