The effect of individual counseling program by a midwife on fear of childbirth in primiparous women

Andaroon, Nafise; Kordi, Masoumeh; Kimiaei, Seyed Ali; Esmaeily, Habibollah

doi:10.4103/jehp.jehp_172_16

Cited by 33 publications

(44 citation statements)

References 19 publications

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“…In another study, the rate of general anxiety diminished moderately with six sessions of mindfulness (Guardino et al, 2014). A study reported the reduction of general pregnancy anxiety in a three-session intervention by a midwife (Andaroun et al, 2018). It is supposed that different reductions of general anxiety in various studies and the number of sessions may be related to the type of the therapy, the duration of the therapy, and the person conducting the psychotherapy.…”

Section: Discussionmentioning

confidence: 99%

Effect of Psychotherapy on Reduction of Fear of Childbirth and Pregnancy Stress: A Randomized Controlled Trial

et al. 2020

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Introduction: The fear of childbirth (FOC) has an adverse effect on the physical and mental health of pregnant women and increases adverse maternal and fetal outcomes. Previous research reported the effect of psychological interventions such as cognitive behavioral therapy, relaxation therapies, and short-term psycho-educational intervention on FOC. We examined whether adding motivational interviewing (MI) psychotherapy to prenatal usual care (PUC) is superior to PUC alone to reduce the scores of FOC, pregnancy stress, and self-efficacy.Materials and Methods: An RCT with two-arm parallel groups and 1:1 allocation ratio assigned 70 pregnant women (aged 18-50) attending public health centers in an education hospital in Iran to receive five sessions of group MI psychotherapy plus PUC (N = 35) or to receive PUC alone (N = 35). The primary outcomes were the FOC scores (Wijma Delivery Expectancy/Experience Questionnaire, W-DEQ), pregnancy-specific stress (Prenatal Distress Questionnaire, NuPDQ), anxiety (Spielberger state anxiety), and Childbirth Self-Efficacy Index (CBSI) at 5 weeks post-randomization. Additional measures included subscales of the W-DEQ and the NuPDQ, patients' compliance, and satisfaction with psychotherapy intervention at 5 weeks post-randomization as secondary outcomes.Main Results: The post-trial results indicated that the outcome scores diminished more considerably in psychotherapy than in PUC for total FOC scale with a large effect size (B = −23.54, p = < 0.001, η 2 η 2 = 0.27), for total pregnancy stress with a large effect size (B = −4.51, p = < 0.001, η 2 = 19), and for state anxiety with a large effect size (B = −12.42, p = < 0.001, η 2 = 0.22). However, the score of self-efficacy and concern about physical symptoms did not differ between the psychotherapy and PUC groups (P < 0.05).

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Section: Discussionmentioning

confidence: 99%

Effect of Psychotherapy on Reduction of Fear of Childbirth and Pregnancy Stress: A Randomized Controlled Trial

et al. 2020

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“…It can be said that vulnerability in women during this period is associated with reduced selfcare during post-partum (1). The midwife is considered to play a significant role in post-partum transition (24), counseling and maternal care during pregnancy, childbirth, and post-partum (25), maintaining and improving maternal and infant health, providing favorable care, counseling, and teaching health to women, family and society (26). Therefore, the midwife should assess the women in terms of their risk factors, mental and physical health, and compatibility with post-partum conditions, and educate the appropriate preventative strategies and provide the necessary care (2).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of an Early Self-care-Based Education Program on the Self-evaluation of Primiparous Postpartum Mothers: A Randomized Controlled Clinical Trial

2021

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Background: During the post-partum period, due to the lack of knowledge about post-partum complications and care, women, especially primiparous women, lack the adequate skills to adapt to new conditions and have no confidence to care for themselves and their infants. The early mothers' assessment, education, counseling, and nursing interventions can increase their adaptation and reduce their incompatible responses to their infant and partner. Objectives: This study aimed to examine the effect of early self-care based education program on primiparous women’s self-evaluation. Methods: A randomized controlled clinical trial was conducted from May to October 2018 on 58 primiparous women referred to the Neonatal Screening Center in Karaj (IRAN). A random allocation method was applied to select intervention and control groups. The data were collected using a three-part questionnaire consisting of general, developmental, and health deviation post-partum evaluation made by researchers. The intervention group received three education sessions throughout the 3 - 5, 10 - 15, and 17 - 22 days after childbirth. The control group received routine post-partum care. Data were analyzed by descriptive statistics (such as mean, standard deviation, and absolute frequency) and statistical tests (including t-test, paired t-test, and chi-square) or non-parametric statistical tests (e.g., the Wilcoxon and Mann-Whitney test) using SPSS version 19. Results: Before the intervention, there was no statistically significant difference in the mean total self-evaluation scores between the intervention (131.269 ± 12.742) and control (137 ± 9.600) groups (P-value = 0.073), but six weeks after delivery, a significant difference was observed in the mean self-evaluation scores between the intervention (149.692 ± 7.625) and control (122.923 ± 11.495) groups (P-value < 0.001). Conclusions: The results of this study showed that early self-care education program was effective for primiparous women's self-evaluation and increased the post-partum adaptation of the women.

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“…Twelve studies examined other talking therapies (excluding CBT) delivered face-to-face (n = 11; Ahmadi et al, 2018;Andaroon, Kordi, Kimiaei, & Esmaeily, 2017;Halvorsen, Nerum, Sørlie, & Øian, 2010;Henriksen, Borgen, Risløkken, & Lukasse, 2018;Klabbers, Paarlberg, & Vingerhoets, 2018;Klabbers, Wijma, Paarlberg, Emons, & Vingerhoets, 2019;Larsson, Karlström, Rubertsson, & Hildingsson, 2015;Nerum, Halvorsen, Sørlie, & Øian, 2006;Ryding, Persson, Onell, & Kvist, 2003;Sjogren, 1998;Soltani, Eskandari, Khodakarami, Parsa, & Roshanaei, 2017;Sydsjö et al, 2012) or over the telephone (n = 1; Fenwick et al, 2015;Toohill et al, 2014;Toohill, Callander, Gamble, Creedy, & Fenwick, 2017;Turkstra et al, 2017). These approaches are a very diverse group, drawing on different theoretical frameworks including generic counselling, haptotherapy and psychotherapy.…”

Section: Other Talking Therapiesmentioning

confidence: 99%

Interventions to treat fear of childbirth in pregnancy: a systematic review and meta-analysis

et al. 2021

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Background Between 5% and 14% of women suffer from fear of childbirth (FOC) which is associated with difficulties during birth and in postnatal psychological adjustment. Therefore, effective interventions are needed to improve outcomes for women. A systematic review and meta-analysis was used to identify effective interventions for treating women with FOC. Methods Literature searches were undertaken on online databases. Hand searches of reference lists were also carried out. Studies were included in the review if they recruited women with FOC and aimed to reduce FOC and/or improve birth outcomes. Data were synthesised qualitatively and quantitatively using meta-analysis. The literature searches provided a total of 4474 citations. Results After removing duplicates and screening through abstracts, titles and full texts, 66 papers from 48 studies were identified for inclusion in the review. Methodological quality was mixed with 30 out of 48 studies having a medium risk of bias. Interventions were categorised into six broad groups: cognitive behavioural therapy, other talking therapies, antenatal education, enhanced midwifery care, alternative interventions and interventions during labour. Results from the meta-analysis showed that most interventions reduced FOC, regardless of the approach (mean effect size = −1.27; z = −4.53, p < 0.0001) and that other talking therapies may reduce caesarean section rates (OR 0.48, 95% CI 0.48–0.90). Conclusions Poor methodological quality of studies limits conclusions that can be drawn; however, evidence suggests that most interventions investigated reduce FOC. Future high-quality randomised controlled trials are needed so that clear conclusions can be made.

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The effect of individual counseling program by a midwife on fear of childbirth in primiparous women

Cited by 33 publications

References 19 publications

Effect of Psychotherapy on Reduction of Fear of Childbirth and Pregnancy Stress: A Randomized Controlled Trial

Effect of Psychotherapy on Reduction of Fear of Childbirth and Pregnancy Stress: A Randomized Controlled Trial

Efficacy of an Early Self-care-Based Education Program on the Self-evaluation of Primiparous Postpartum Mothers: A Randomized Controlled Clinical Trial

Interventions to treat fear of childbirth in pregnancy: a systematic review and meta-analysis

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