The Effect of a Multicomponent Prenatal Intervention on Maternal Satisfaction Following Vaginal Birth After Cesarean: A Randomized Controlled Trial
| Author | Zahra Jahani | en |
| Author | Mahboubeh Valiani | en |
| Author | Marjan Mansourian | en |
| Author | Nahid Zafaranzadeh | en |
| Orcid | Zahra Jahani [0000-0002-3082-4380] | en |
| Orcid | Mahboubeh Valiani [0000-0003-3955-4628] | en |
| Orcid | Marjan Mansourian [0000-0002-7217-0282] | en |
| Orcid | Nahid Zafaranzadeh [0009-0000-1629-6406] | en |
| Issued Date | 2026-03-31 | en |
| Abstract | Background: Cesarean section remains a major contributor to maternal and neonatal complications, with repeat cesarean sections being a primary factor. Vaginal birth after cesarean (VBAC) offers a potential alternative, and its success and maternal satisfaction depend on structured, multicomponent interventions. Objectives: The present study aimed to determine the effect of a multicomponent prenatal intervention on maternal satisfaction following VBAC. Methods: A randomized controlled trial was conducted at Amin Hospital, Isfahan, Iran (March 2024 - March 2025). Eligible women with one prior cesarean and a gestational age < 24 weeks were randomly assigned to repeat cesarean section (control, n = 50) or VBAC (intervention, n = 50) groups via permuted block randomization. The intervention included eight individual/group counseling sessions, at least eight prenatal visits, one acupressure session, and delivery at a specialized center. Data were collected via a demographic questionnaire and the Birth Satisfaction Scale (BSS). The data were analyzed via descriptive statistics (means, standard deviations, frequencies, and percentages) and inferential statistics (independent t-tests and chi-square tests). Results: The VBAC success was achieved in 52% of the intervention group (26/50), with no VBACs in the control group (P < 0.001). Overall maternal satisfaction scores did not differ significantly between groups (control: 157.68 ± 20.45 vs. intervention: 163.15 ± 22.45), but significant improvements were noted in postpartum care (P = 0.003) and participation in childbirth (P = 0.018). Conclusions: Although overall maternal satisfaction did not differ significantly between groups, the multicomponent VBAC-focused intervention increased VBAC success and increased satisfaction with specific aspects of care. | en |
| DOI | https://doi.org/10.5812/jnms-165988 | en |
| Keyword | Vaginal Birth After Cesarean | en |
| Keyword | Maternal Satisfaction | en |
| Keyword | Counseling | en |
| Keyword | Pregnant Women | en |
| Publisher | Brieflands | en |
| Title | The Effect of a Multicomponent Prenatal Intervention on Maternal Satisfaction Following Vaginal Birth After Cesarean: A Randomized Controlled Trial | en |
| Type | Research Article | en |
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