The Effect of Haptonomy Intervention on Fear of Childbirth and Maternal- Fetal Attachment Among Primigravid Women

Nourizadeh, Roghaiyeh; Dorosti, Elham; Mehrabi, Esmat; Herizchi, Sepideh

doi:10.2174/1573404819666221031154700

Cited by 3 publications

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References 28 publications

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“…In addition, Klabbers et al [ 30 ] reported a significant reduction in the FOC mean score of pregnant following 8-session of haptonomy. In the study of Dorosti [ 33 ] on primigravida women with high and severe FOC, a significant reduction in the FOC was observed in the intervention group compared to the control group following five sessions of haptonomy intervention. To the best of our knowledge, the results of all studies investigated the effect of haptonomy on FOC are consistent and this has been acknowleged as an effective technique in reducing FOC.…”

Section: Discussionmentioning

confidence: 99%

“…The sample size was calculated based on the FOC variable in the study of Dorosti et al [ 33 ] using G Power software. Considering m 1 = 93, m 2 = 79.05, with the assumption of 15% reduction, SD1 = SD2 = 16.93, and two-sided hypothesis, and Power = 90%, sample size was obtained 30 in each group and regarding 10% attrition, the final sample size was 33 in each group.…”

Section: Methodsmentioning

confidence: 99%

“…Another relatively new method for reducing FOC is haptonomy intervention, including communication techniques between the mother’s mind and body and raising mother’s self-awareness about her ability for the physiological process of pregnancy and childbirth, strengthening feelings and a positive attitude towards pregnancy, and the fetal-mother communication techniques, such as touch and interaction with the fetus [ 30 – 32 ]. According to the early studies, this technique has a significant effect on reducing FOC [ 25 , 30 , 33 ].…”

Section: Introductionmentioning

confidence: 99%

“…In literature review, both CBT and haptonomy interventions are identified to be effective in reducing FOC [ 25 , 26 , 30 , 33 ]. However, to the best of our knowledge, no study was found to compare educational and psychological interventions to identify the most effective methods to reduce FOC.…”

Section: Introductionmentioning

confidence: 99%

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The effect of cognitive-behavioral therapy and haptonomy on fear of childbirth in primigravida women: a randomized clinical trial

Alivand,

Nourizadeh,

Hakimi

et al. 2023

BMC Psychiatry

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Background Considering the role of fear of childbirth (FOC) in the enhancement of unnecessary cesarean sections (CS), the present study aimed at evaluating the effect of Cognitive-Behavioral Therapy (CBT) and haptonomy on the FOC (as primary outcome) and intended birth method and final birth method (as secondary outcomes) among primigravida women. Methods This randomized clinical trial was conducted on 99 primigravida women in Tabriz, Iran 2022. Participants were assigned to three groups with a ratio of 1:1:1 using stratified block randomization based on the fear intensity. One of the intervention groups (n = 33) received eight group sessions of CBT from 24 to 28 weeks of gestation and the other intervention group (n = 33) received haptonomy during seven sessions once a week. The control group (n = 33) received routine prenatal care. The Wijma questionnaire was completed by the participants before the intervention, after the intervention at 35–37 weeks of gestation, and after birth. The intended birth method was investigated before and after the intervention at 35–37 weeks of gestation. The final birth method and the reasons for CS were recorded based on the mother’s medical profile. The one-way ANOVA was used before the intervention and RMANOVA after the intervention to compare the mean scores of FOC among the three groups. Further, chi-square test was applied to compare the intended and final birth method. Results The mean (standard deviation: SD) of FOC in the CBT group changed from 74.09 (11.35) at 24–28 weeks of gestation to 46.50 (18.28) at 35–37 weeks and 48.78 (20.64) after birth (P < 0.001). The means (SDs) of FOC in the haptonomy group were 76.81 (13.09), 46.59 (15.81), and 45.09 (20.11), respectively (P < 0.001). The mean (SD) of FOC in the control group decreased from 70.31 (6.71) to 66.56 (18.92) and then, increased to 71.00 (21.14) after birth (P = 0.878). After the intervention, there was no statistically significant difference among the three groups in terms of the intended birth method (P = 0.278), and final birth method (P = 0.107). Conclusion The findings of the present study revealed that both CBT and haptonomy interventions reduce FOC. Although the desire for vaginal birth and final vaginal birth in the haptonomy group was more than that in the other two groups, there was no statistically significant difference among the three groups. Trial registration Iranian Registry of Clinical Trials: IRCT20170506033834N9. Date of registration: 02.01.2022. URL: http://en.irct.ir.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of cognitive-behavioral therapy and haptonomy on fear of childbirth in primigravida women: a randomized clinical trial

Alivand,

Nourizadeh,

Hakimi

et al. 2023

BMC Psychiatry

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Comparing the effect of haptonomy and CBT-based counseling on childbirth experience and postpartum depression of women with high fear of childbirth: A randomized clinical trial

Alivand,

Nourizadeh,

Hakimi

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: Fear of childbirth (FOC) leads to the perception of more pain and a negative childbirth experience. Negative childbirth experience is related to postpartum depression. This study aimed to compare the effect of haptonomy and cognitive-behavioral therapy (CBT) on the childbirth experience and postpartum depression of women with high FOC. MATERIALS AND METHODS: This randomized controlled trial was performed on 99 primigravida women referred to health centers in Tabriz, Iran, from January to August 2022. Participants with Wijma score above 65 were assigned into three groups using block randomization. One of the intervention groups (n = 33) received eight sessions of CBT from gestational age of 24–28 weeks and the other group (n = 33) received haptonomy during five sessions once a week. The control group (n = 33) received routine care. The data were collected using the Edinburgh Postpartum Depression Scale, and childbirth experiences questionnaire version 2.0 and were analyzed using ANOVA and ANCOVA. RESULTS: The mean score of childbirth experience in the CBT and haptonomy groups was 70.67 (13.70) and 70.63 (14.48), respectively, which was more than that in the control group 61.63 (14.11) (P = 0.01). However, no statistically significant difference was observed between the intervention groups (P = 1.000). There wasn’t significant difference in the mean score of postpartum depression among CBT 7.59 (3.03), haptonomy 7.47 (4.49), and control 9.71 (3.05) groups (P = 0.09). CONCLUSIONS: Both CBT and haptonomy improved the childbirth experience, but did not affect postpartum depression. Considering the lack of significant difference between the CBT and haptonomy intervention groups in terms of childbirth experience and given that haptonomy intervention is employed by midwives with no need for CBT counseling skills and can be presented in fewer sessions than CBT, it can be used as a preferred intervention approach by midwives in the care of pregnant women with FOC to improve the childbirth experience.

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Investigating the impact of haptotherapy on maternal–fetal attachment in unplanned pregnancies

Atabakhsh,

Salehi,

Mohammadi

2024

Journal of Education and Health Promotion

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BACKGROUND: Mothers who experience unplanned pregnancies tend to show less maternal attachment to the fetus, which can lead to diminished self-care during pregnancy, and affect well-being of the fetus. Consequently, unintended pregnancies are associated with heightened maternal and fetal consequences due to mothers’ negligence. Hippotherapy intervention has emerged as a viable approach to enhance maternal-fetal communication. The ultimate goal of this study was to broaden our current understanding of haptotherapy’s impact on maternal-fetal attachment in unplanned pregnancies. MATERIALS AND METHODS: This field trial research was conducted at comprehensive health centers in Isfahan using convenient sampling method. The study consisted of two groups of mothers, each consisting of 33 individuals with unplanned pregnancies between 20 to 24 weeks. The experimental group received haptotherapy intervention for 10 weeks, while the control group received standard pregnancy care. For data collection the participants were given demographic and fertility questionnaire prior to the study, and Cranley’s maternal-fetal attachment questionnaire both before and after the study. Moreover, T-test, Mann-Whitney U test, and Chi-square test were used for data analysis. RESULTS: Prior to the intervention, there was no significant difference in the average maternal-fetal attachment scores between the experimental and control groups (P = 0.56). However, a significant increase became apparent after the intervention. The experimental group exhibited a significant improvement in the mean attachment scores compared to their pre-intervention levels (t=-9.20, P = 0<0.001). In contrast, the control group’s score remained unchanged, with no significant difference observed (=1.69, P = 0.1). CONCLUSION: Haptotherapy has been found to enhance maternal-fetal attachment in mothers experiencing unplanned pregnancies. This valuable intervention is recommended as an innovative and secure approach in maternal health care services to help reduce the potential complications associated with such pregnancies.

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The Effect of Haptonomy Intervention on Fear of Childbirth and Maternal- Fetal Attachment Among Primigravid Women

Cited by 3 publications

References 28 publications

The effect of cognitive-behavioral therapy and haptonomy on fear of childbirth in primigravida women: a randomized clinical trial

The effect of cognitive-behavioral therapy and haptonomy on fear of childbirth in primigravida women: a randomized clinical trial

Comparing the effect of haptonomy and CBT-based counseling on childbirth experience and postpartum depression of women with high fear of childbirth: A randomized clinical trial

Investigating the impact of haptotherapy on maternal–fetal attachment in unplanned pregnancies

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