Volume 33, Issue 3 (Summer 2025)
Avicenna J Nurs Midwifery Care 2025, 33(3): 227-237 |
Back to browse issues page
Ethics code: IR.MUMS.NURSE.REC.1397.006
Clinical trials code: IRCT20180520039747N1
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hajarian Abhari Z, Karimi F Z, Mazloum S R, Asghari Nekah S M. Effect of Individual Midwife Counseling Based on Gamble's Approach on Postpartum Stress and Depression in Primiparous Women: A Randomized Controlled Trial. Avicenna J Nurs Midwifery Care 2025; 33 (3) :227-237
URL: http://nmj.umsha.ac.ir/article-1-3296-en.html
URL: http://nmj.umsha.ac.ir/article-1-3296-en.html
Zahra Hajarian Abhari1 
, Fatemeh Zahra Karimi *2 , Seyed Reza Mazloum2 , Seyyed Mohsen Asghari Nekah3
, Fatemeh Zahra Karimi *2 , Seyed Reza Mazloum2 , Seyyed Mohsen Asghari Nekah3
1- M.Sc. in Midwifery Counseling, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Education and Psychology of Exceptional Children, School of Educational Sciences, Ferdowsi University of Mashhad, Mashhad, Iran
2- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Education and Psychology of Exceptional Children, School of Educational Sciences, Ferdowsi University of Mashhad, Mashhad, Iran
Abstract: (597 Views)
Background and Objective: Maternal depressive stress is associated with high prevalence, complications, and substantial costs for the mother, child, family, and society. Given the risk of postpartum stress and depression among primiparous women, it is essential to implement preventive and therapeutic measures for this group. The present study aimed to determine the effect of individual midwifery counseling using the Gamble approach on postpartum stress and depression in primiparous women.
Materials and Methods: This randomized clinical trial was conducted in 2018 on 60 primiparous women referring to health centers in Mashhad, Iran. The intervention group received individual counseling based on the Gamble strategy during three prenatal sessions and one postpartum session, whereas the control group received routine prenatal care. Data were collected using demographic characteristics and DASS-21 stress and depression questionnaires. Data analysis was performed in SPSS software (version 16), and descriptive and analytical tests, and a significance level of less than 0.05 was considered statistically significant.
Results: Before the intervention, the mean and standard deviation of the stress and depression scores of the participants in the two groups did not have a statistically significant difference, and the two groups were homogeneous. However, after the intervention, the mean values of the stress scores of the intervention and control groups were 0.8 ± 1.4 and 0.10 ± 3.5, respectively, which shows a statistically significant difference between the two groups (p = 0.003). After the intervention, the mean values of maternal depression in the intervention and control groups were 7.3 ± 0.6 and 8.2 ± 0.2, respectively. Nevertheless, the Mann-Whitney test did not show this difference to be significant (p = 0.331).
Conclusion: Counseling based on Gamble’s approach reduces postpartum anxiety in primiparous women. This counseling can be used as a preventive and early intervention method for maternal mental health during pregnancy and postpartum.
Materials and Methods: This randomized clinical trial was conducted in 2018 on 60 primiparous women referring to health centers in Mashhad, Iran. The intervention group received individual counseling based on the Gamble strategy during three prenatal sessions and one postpartum session, whereas the control group received routine prenatal care. Data were collected using demographic characteristics and DASS-21 stress and depression questionnaires. Data analysis was performed in SPSS software (version 16), and descriptive and analytical tests, and a significance level of less than 0.05 was considered statistically significant.
Results: Before the intervention, the mean and standard deviation of the stress and depression scores of the participants in the two groups did not have a statistically significant difference, and the two groups were homogeneous. However, after the intervention, the mean values of the stress scores of the intervention and control groups were 0.8 ± 1.4 and 0.10 ± 3.5, respectively, which shows a statistically significant difference between the two groups (p = 0.003). After the intervention, the mean values of maternal depression in the intervention and control groups were 7.3 ± 0.6 and 8.2 ± 0.2, respectively. Nevertheless, the Mann-Whitney test did not show this difference to be significant (p = 0.331).
Conclusion: Counseling based on Gamble’s approach reduces postpartum anxiety in primiparous women. This counseling can be used as a preventive and early intervention method for maternal mental health during pregnancy and postpartum.
Type of Study: Original Research |
Subject:
Mental health
Received: 2025/06/16 | Accepted: 2025/08/27 | Published: 2025/10/11
Received: 2025/06/16 | Accepted: 2025/08/27 | Published: 2025/10/11
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Articles Copyright © The Author(s).
Owned by Hamadan University of Medical Sciences.
Published by UMSHA Press
Journal Tel: +9881 38380150
Publisher Tel: +988138381795
Website: http://nmj.umsha.ac.ir
Email: managingeditornmj
gmail.com
