Volume 32, Issue 4 (Autumn 2024)
Avicenna J Nurs Midwifery Care 2024, 32(4): 288-298 |
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Ethics code: IR.AJUMS.REC.1398.026
Clinical trials code: IRCT20191001044945N1
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Hassanpour F, Javadnoori M, Maraghi E, Zargar Shirazi F. Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trial. Avicenna J Nurs Midwifery Care 2024; 32 (4) :288-298
URL: http://nmj.umsha.ac.ir/article-1-2692-en.html
URL: http://nmj.umsha.ac.ir/article-1-2692-en.html
1- School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Reproductive Health Promotion Research Center, Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ,mojganjavadnoori@gmail.com
3- Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4- Department of Psychology, Abadan Branch, Islamic Azad University, Abadan, Iran
2- Reproductive Health Promotion Research Center, Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ,
3- Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4- Department of Psychology, Abadan Branch, Islamic Azad University, Abadan, Iran
Abstract: (1952 Views)
Background and Objective: Pregnancy anxiety is triggered by a woman's concerns about pregnancy, childbirth, the health of the baby, and future parenting negatively affecting pregnancy outcomes. Studies addressing the impact of life skills training on health, particularly in pregnant women, are rare with inconclusive findings. The present study aimed to assess the effect of life skills training by a trained midwife on the mitigation of pregnancy anxiety.
Materials and Methods: This randomized controlled trial was conducted in Abadan, Iran, in 2020. After assessing 180 pregnant women for eligibility, 86 pregnant women were selected from six clinics according to the inclusion criteria and allocated to control or intervention groups randomly. The intervention group underwent a 90-minute life skills training(self-awareness, problem-solving, coping with stress, coping with emotions, interpersonal relationships)every week for six weeks. Data were analyzed using a Chi-squared test, paired t-test, and ANCOVA method.
Results: No differences were detected between the two groups in terms of demographic and obstetric characteristics, as well as the mean scores of pregnancy anxiety and its domains. After the intervention, the mean score of pregnancy anxiety(P<0.001) and domains of self-centered fears(P<0.001), fear of giving birth(P<0.001), fear of bearing a handicapped baby(P<0.01), concern about mood changes(P<0.0001), and concern over changes in the marital relationship(P<0.0001), in the intervention group were significantly lower than those in the control group.
Conclusion: The implementation of selected life skills training by a midwife in a course shorter than that of the current courses could successfully reduce pregnancy-related anxiety. Therefore, it can be used by midwives as an effective non-pharmacologic approach in pregnancy .
Materials and Methods: This randomized controlled trial was conducted in Abadan, Iran, in 2020. After assessing 180 pregnant women for eligibility, 86 pregnant women were selected from six clinics according to the inclusion criteria and allocated to control or intervention groups randomly. The intervention group underwent a 90-minute life skills training(self-awareness, problem-solving, coping with stress, coping with emotions, interpersonal relationships)every week for six weeks. Data were analyzed using a Chi-squared test, paired t-test, and ANCOVA method.
Results: No differences were detected between the two groups in terms of demographic and obstetric characteristics, as well as the mean scores of pregnancy anxiety and its domains. After the intervention, the mean score of pregnancy anxiety(P<0.001) and domains of self-centered fears(P<0.001), fear of giving birth(P<0.001), fear of bearing a handicapped baby(P<0.01), concern about mood changes(P<0.0001), and concern over changes in the marital relationship(P<0.0001), in the intervention group were significantly lower than those in the control group.
Conclusion: The implementation of selected life skills training by a midwife in a course shorter than that of the current courses could successfully reduce pregnancy-related anxiety. Therefore, it can be used by midwives as an effective non-pharmacologic approach in pregnancy .
Type of Study: Original Research |
Subject:
Midwifery
Received: 2023/05/20 | Accepted: 2023/10/31 | Published: 2024/12/29
Received: 2023/05/20 | Accepted: 2023/10/31 | Published: 2024/12/29
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