Background: Despite the advantages of natural childbirth and complications associated
with cesarean section, rate of cesarean delivery had increased dramatically in recent years.
Therefore, educational program is essential to reduce this trend. Aim of study: Was to evaluate the
effect of educational program based on health belief model regarding safe childbirth on selected
mode of delivery among primigravidae. Design: Quasi - experimental design was used to conduct
this study. Setting: The study was conducted at out-patient clinic at Obstetrics and Gynecological
department in Benha University Hospitals. Sample: A purposive sample of 300 women divided
into two equal groups (study group=150 women who received educational program based on health
belief model regarding safe child birth and control group= 150 women who received routine
hospital care. Tools: Three tools of data collection were used, a structured interviewing
questionnaire, Champion's health belief model scale and women's choice mode of delivery sheet.
Results: There was an increase in total mean score of five constructs of health belief model toward
vaginal and cesarean delivery in study group compared to control group with highly statistically
significant differences after educational program (P≤ 0.001). More than one third of study group pre
educational program preferred vaginal delivery compared by more than half of study group post
educational program. While less than two thirds of study group preferred cesarean delivery pre
educational program compared by less than half post educational program. On the other hand, there
were no statistically significant differences between control group pre and post educational
program.