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IRCT20201102049233N2 IRCT 2023-02-01 Hamedan University of Medical Sciences Post-traumatic stress disorder and fear of childbirth in pregnant women with experience of childbirth The effect of psychoeducational counseling on post-traumatic stress disorder and fear of childbirth in pregnant women with experience of childbirth trauma: a randomized controlled trial 2023-03-06 anticipated 70 Complete https://irct.ir/trial/65992 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In order to assign mothers to the intervention and control groups, a 4 and 6 random blocking method is used. To do this, the allocation sequence is first determined using AABB blocks before the start of the study. Then, the type of intervention is written in opaque closed envelopes based on the specified sequence and is numbered in sequence. Participants will complete a demographic and midwifery information questionnaire and receive an envelope before entering the study. People are then placed in one of the control or intervention groups based on the contents of the envelope. N/A Pregnancy. Intervention 1: In addition to routine care, the people in the intervention group will participate in 8 counseling sessions of 5-person group psychological education from week 24 to 32. Meetings will be held at an interval of one week and the venue of the meetings will be in Hamedan Comprehensive Health Centers. The time of the mother's presence is determined by their prior arrangement and by phone. The duration of the sessions will be 45-60 minutes. In the present study, women are primarily informed about the issues they are afraid of. In addition, women are educated about the pregnancy process, hormones, the birth process, pharmacological and non-pharmacological methods of pain relief. Knowledge gaps are addressed by correcting misinformation about childbirth and obstetric interventions at birth, and experiences are shared. In addition, women are informed about the type of delivery and the impact of the type of delivery on themselves, the fetus, and the postpartum period. Women practice relaxation techniques such as breathing techniques, distraction, and muscle relaxation in all sessions. Intervention 2: Control group: Routine prenatal care. Yes - There is a plan to make this available What will be shared: All data will be accessible if necessary When: After the results are published To whom: The data will be provided to academic and scientific institutions if necessary Conditions: If a meta-analysis is required, the data will be made available to the corresponding author Where to obtain: Correspondence with the responsible person by email How to obtain: If you agree to the request, the data will be sent by email. Comments:
public Farideh Kazemi
Hamedan University of Medical Sciences (UMSHA), PaZhouhesh Crossroad., Hamadan, Iran.
Hamedan Iran (Islamic Republic of) 08138380150 +98 81 3838 0150 faridehkazemi21@yahoo.com Hamedan University of Medical Sciences scientific Farideh Kazemi
Hamedan University of Medical Sciences (UMSHA), PaZhouhesh Crossroad., Hamadan, Iran.
Hamedan Iran (Islamic Republic of) 08138380150 +98 81 3838 0150 faridehkazemi21@yahoo.com Hamedan University of Medical Sciences Iran (Islamic Republic of) Score 12 and above based on PSS-SR questionnaire Having a history of pregnancy and childbirth Previous vaginal delivery Gestational age 28-30 weeks at the time of entering the study Singleton pregnancy in the current pregnancy Being literate in reading and writing Ability to speak Persian Not suffering from mental illnesses diagnosed based on the records available in comprehensive health centers Not suffering from medical diseases such as diabetes, hypertension, thyroid, liver, heart diseases, etc. according to the file Not suffering from pregnancy complications such as gestational diabetes, pre-eclampsia, placenta previa and IUGR, etc. according to the file The absence of an unfortunate incident in the last month no limit no limit Female Not attending two counseling sessions Hospitalization or early termination of pregnancy due to pregnancy-related complications during the intervention period The occurrence of an unfortunate accident for the participant Suffering from mental disorders or taking psychiatric drugs based on the person's own statements O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium Other Other In addition to routine care, the people in the intervention group will participate in 8 counseling sessions of 5-person group psychological education from week 24 to 32. Meetings will be held at an interval of one week and the venue of the meetings will be in Hamedan Comprehensive Health Centers. The time of the mother's presence is determined by their prior arrangement and by phone. The duration of the sessions will be 45-60 minutes. In the present study, women are primarily informed about the issues they are afraid of. In addition, women are educated about the pregnancy process, hormones, the birth process, pharmacological and non-pharmacological methods of pain relief. Knowledge gaps are addressed by correcting misinformation about childbirth and obstetric interventions at birth, and experiences are shared. In addition, women are informed about the type of delivery and the impact of the type of delivery on themselves, the fetus, and the postpartum period. Women practice relaxation techniques such as breathing techniques, distraction, and muscle relaxation in all sessions. Control group: Routine prenatal care Post-traumatic stress disorder and fear of childbirth scores. Timepoint: Before the intervention and 4 weeks after the end of the counseling sessions. Method of measurement: Posttraumatic Stress Disorder Self-Report Scale (PSS-SR) and Childbirth Attitude Questionnaire(CAQ). Hamedan University of Medical Sciences Approved 2022-12-03 Ethics committee of Hamadan University of Medical Sciences In front of Mardom's Park, Research Square Hamedan Hamadan Iran (Islamic Republic of)