The Effect of Nursing Rehabilitative Program toward Vaginal Birth After Cesarean section on Mother's Knowledge and Practice

Abstract

Vaginal birth after caesarean section (VBAC) is a planned trial by women with a history of previous caesarean section (CS) to give birth vaginally. This approach plays a pivotal role in mitigating the overall cesarean section rate, particularly for mothers with a single prior Cesarean delivery. Aim of this study: to evaluate the effect of a nursing rehabilitative program toward vaginal birth after caesarean section on mothers' knowledge and practices. Research design: Quasi- experimental design Setting: The study conducted in the antenatal clinic at Ain Shams University hospital for Obstetrics & Gynecology. Sample: a purposive sample of 70 mothers were included based on inclusion criteria. Tools: Data collected through two tools: the first tool included socio-demographic data, obstetric history and knowledge assessment sheet and the second tool was mothers' practice of rehabilitative exercises assessment sheet. Results: the present study clarifies a highly significant improvement in the total knowledge and practice among the studied mothers between pre- and post-nursing rehabilitative program implementation. Conclusion: studied mothers exhibited significant improvement in their knowledge about VBAC and practice of rehabilitative exercises after the nursing rehabilitative program's implementation as compared to before the program. Recommendations: Availability of brochures in the antenatal clinics highlighting the advantages of successful VBAC, complications of repeated CS as well as importance of rehabilitative exercises.