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IRCT201109097497N2 IRCT 2014-05-19 Shiraz University of Medical Sciences The effect of relaxation on mother’s anxiety and maternal-fetal attachment Investigation of the effect of relaxation on mother’s anxiety and maternal-fetal attachment in primiparous women with IVF 2013-03-20 anticipated 80 Complete https://irct.ir/trial/7981 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. N/A Anxiety. Intervention 1: Then, the mothers in the intervention group were divided into two 20-subject groups and participated in four 90-minute educational classes weekly held on Saturdays. It should be mentioned that the intervention group received relaxation training in addition to the routine pregnancy care. The intervention was performed as follows: First session: anatomical, physiological, and hormonal changes during pregnancy, sperm and ovum, stages of IVF, physiology of fetal development, signs of anxiety, effects of anxiety on pregnancy, strategies for more adaptation with changes in pregnancy including appropriate nutrition, individual health, physical health, mental health, identification of methods for improving compatibility with changes in pregnancy such as relaxation, and effects of relaxation. Second session: development of fetus in different months of pregnancy, nutrition during pregnancy, effect of healthy nutrition and pregnancy care on maternal and fetal health, effect of relaxation on reduction of anxiety, and effect of relaxation on mother and fetus' physical and mental health. Third session: Signs of risk in pregnancy and ways to cope with them, and effect of relaxation on improvement of mother's sleeping and nutrition, maternal-fetal attachment, and fetal growth. Fourth session: effect of relaxation on delivery process, necessity to perform relaxation during delivery, effect of relaxation on improvement after delivery, breastfeeding, and reduction of postpartum depression. At the end of all the educational sessions, Benson's relaxation technique was performed. This technique is quite easy and safe and the mothers were reassured regarding its safety by a gynecologist. This method is very easy to learn and does not take more than 10-20 minutes to perform (from the tip of toes to forehead). Benson's relaxation technique can be done while lying down or sitting on the chair. In order to make sure that women did the relaxation technique at home, in addition to an educational CD, they were provided with a checklist to record their daily exercises. The mothers were required to perform the relaxation technique at least once a day. At the beginning of each educational session, the checklists were collected, the educational content of the previous session was reviewed, and the participants' questions were answered. The most important practical trainings included staying in a calm environment, mental preparation, passive attitude, staying in a comfortable status, relaxation of all body muscles from the sole of the foot towards the upper extremities (for 10-20 minutes), and slowly getting out of relaxation. Intervention 2: The control group only received the routine care.
public Akbarzadeh Marzieh
Fatemeh School of Nursing and Midwifery- Shiraz
shiraz Iran (Islamic Republic of) +7 1164744257 akbarzadehmarzieh@yahoo.com Shiraz University of Medical Sciences - Shiraz, Iran scientific Marzieh Akbarzadeh
Fatemeh School of Nursing and Midwifery-Shiraz
Shiraz Iran (Islamic Republic of) +7 1164744257 Akbarzadehmarzieh @yahoo.com Fatemeh School of Nursing and Midwifery- Shiraz Iran (Islamic Republic of) The inclusion criteria of the study were being primiparous; having used IVF to get pregnant; being 18-40 years old; having at least middle school degree; gestational age of 32-35 weeks; not having obstetric problems; and singleton pregnancy. On the other hand, the exclusion criteria of the study were suffering from cardiovascular diseases or serious psychological disorders and having pregnancy complications such as bleeding; diabetes; hypertension; and preterm labor 40 years 18 years Female F40-F48 Neurotic, stress-related and somatoform disorders Behavior Behavior Then, the mothers in the intervention group were divided into two 20-subject groups and participated in four 90-minute educational classes weekly held on Saturdays. It should be mentioned that the intervention group received relaxation training in addition to the routine pregnancy care. The intervention was performed as follows: First session: anatomical, physiological, and hormonal changes during pregnancy, sperm and ovum, stages of IVF, physiology of fetal development, signs of anxiety, effects of anxiety on pregnancy, strategies for more adaptation with changes in pregnancy including appropriate nutrition, individual health, physical health, mental health, identification of methods for improving compatibility with changes in pregnancy such as relaxation, and effects of relaxation. Second session: development of fetus in different months of pregnancy, nutrition during pregnancy, effect of healthy nutrition and pregnancy care on maternal and fetal health, effect of relaxation on reduction of anxiety, and effect of relaxation on mother and fetus' physical and mental health. Third session: Signs of risk in pregnancy and ways to cope with them, and effect of relaxation on improvement of mother's sleeping and nutrition, maternal-fetal attachment, and fetal growth. Fourth session: effect of relaxation on delivery process, necessity to perform relaxation during delivery, effect of relaxation on improvement after delivery, breastfeeding, and reduction of postpartum depression. At the end of all the educational sessions, Benson's relaxation technique was performed. This technique is quite easy and safe and the mothers were reassured regarding its safety by a gynecologist. This method is very easy to learn and does not take more than 10-20 minutes to perform (from the tip of toes to forehead). Benson's relaxation technique can be done while lying down or sitting on the chair. In order to make sure that women did the relaxation technique at home, in addition to an educational CD, they were provided with a checklist to record their daily exercises. The mothers were required to perform the relaxation technique at least once a day. At the beginning of each educational session, the checklists were collected, the educational content of the previous session was reviewed, and the participants' questions were answered. The most important practical trainings included staying in a calm environment, mental preparation, passive attitude, staying in a comfortable status, relaxation of all body muscles from the sole of the foot towards the upper extremities (for 10-20 minutes), and slowly getting out of relaxation. The control group only received the routine care Anxiety. Timepoint: Befor intervention and one month after intervention. Method of measurement: Spielberger's scale. Maternal-infantile attachment. Timepoint: Befor and one month after intervention. Method of measurement: Cranly's questionnaire. Shiraz University of Medical Sciences Approved 2012-09-22 Shiraz University of Medical Sciences, Shiraz, Iran Shiraz University of Medical Sciences, Shiraz, Iran Shiraz, Iran (Islamic Republic of)