Influence of Individual Consulting based on Fogg's Behavior Model on Choosing Vaginal Birth after Caesarean

Due to the high rate of repeat cesarean complications, the previous cesarean section mothers need to change their behavior on the mode of birth. Counseling can be effective in changing mothers' behavior. This study assesses the effect of individual counseling based on the Fogg model on this behavior.

In a randomized clinical trial, 62 pregnant cesarean section mothers in Mashhad Health Centers in 2020 were randomly entered into intervention and control groups. Two individual counseling based on Fogg's behavior model in 28-30 weeks of pregnancy for 45-60 minutes and one online session in Telegram channel in the intervention group were presented. The control group had routine care. Data were collected by personnel and obstetric questionnaire and Fogg's behavior model checklist to assess the intention to choose vaginal birth after cesarean at the beginning, two and four weeks after the end of the intervention. Data were analyzed by independent t-test, paired t-test, Mann-Whitney, and Kruskal-Wallis tests in SPSS 25.

There was a statistically significant difference in the mean score of Fogg's questionnaire between the two groups (p<0.05). There was a statistically significant difference in choosing vaginal birth after cesarean in the counseling group before and after the intervention (p<0.05) and also the rate of intention to choose between two groups after the intervention (p<0.05).

The significant increase in planning to choose vaginal birth after cesarean section in the counseling group based on the Fogg model indicates this approach can be used in counseling to choose vaginal birth after cesarean section and other methods.