Abstract
Background: Cesarean section, a common surgical procedure, is responsible for a significant portion of maternal and fetal complications. The primary reason often cited for the high rate of cesarean deliveries is repeat cesarean sections. Vaginal birth after cesarean (VBAC) serves as one alternative to repeat cesarean sections. This multi-method study aims to develop, implement, and assess the effectiveness of an intervention program designed to promote natural childbirth after cesarean section.
Method: This multi-method research , following the Talbot and Verinder model, will be conducted in two phases. The first phase involves intervention design and the utilization of the Delphi technique, while the second phase focuses on implementing and evaluating a segment of the intervention program. During the initial phase, factors relevant to VBAC will be identified through a literature review. A cross-sectional study will be carried out to prioritize these factors. Following the analysis of results and determination of priorities, the research team will design the program. Subsequently, the program will undergo validation using the Delphi technique by reproductive health specialists, obstetricians, midwives, and health managers, with input from a panel of experts. In the second phase, a portion of the designed program will be implemented as an intervention study to assess its impact.
Discussion: The results of the intervention program used in the present multi-method study are expected to enhance the promotion and advancement of VBAC. If proven effective, this intervention program, through documentation and enhancing the existing knowledge base in this health domain, could serve as a foundation for health policies and initiatives in Iran aimed at fostering VBAC and enhancing the health of both mother and baby.