Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trial

Background and Objective: Pregnancy anxiety is triggered  by a woman's concerns about pregnancy, childbirth, the health of the baby, and future parenting  negatively affecting pregnancy outcomes. Studies addressing the impact  of life skills training on health, particularly in pregnant women, a...

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Main Authors: Fatemeh Hassanpour, Mozhgan Javadnoori, Elham Maraghi, Fariba Zargar Shirazi
Format: Article
Language:fas
Published: Hamadan University of Medical Sciences 2024-11-01
Series:مراقبت پرستاری و مامایی ابن سینا
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Online Access:http://nmj.umsha.ac.ir/article-1-2692-en.pdf
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author Fatemeh Hassanpour
Mozhgan Javadnoori
Elham Maraghi
Fariba Zargar Shirazi
author_facet Fatemeh Hassanpour
Mozhgan Javadnoori
Elham Maraghi
Fariba Zargar Shirazi
author_sort Fatemeh Hassanpour
collection DOAJ
description Background and Objective: Pregnancy anxiety is triggered  by a woman's concerns about pregnancy, childbirth, the health of the baby, and future parenting  negatively affecting pregnancy outcomes. Studies addressing the impact  of life skills training on health, particularly in pregnant women, are rare with inconclusive findings. The present study aimed to assess the effect of life skills training by a trained midwife on the mitigation of  pregnancy anxiety. Materials and Methods: This randomized controlled trial was conducted in Abadan, Iran, in 2020. After assessing 180 pregnant women for eligibility, 86 pregnant women were selected from six clinics according to the inclusion criteria and allocated to control or intervention groups randomly. The intervention group underwent a 90-minute life skills training(self-awareness, problem-solving, coping with stress, coping with emotions, interpersonal relationships)every week for six weeks. Data were analyzed using a Chi-squared test, paired t-test, and ANCOVA method. Results: No differences were detected between the two groups in terms of demographic and obstetric characteristics, as well as the mean scores of pregnancy anxiety and its domains. After the intervention, the mean score of pregnancy anxiety(P<0.001) and domains of self-centered fears(P<0.001), fear of giving birth(P<0.001), fear of bearing a handicapped baby(P<0.01), concern about mood changes(P<0.0001), and concern over changes in the marital relationship(P<0.0001), in the intervention group were significantly lower than those in the control group. Conclusion: The implementation of selected life skills training by a midwife in a course shorter than that of the current courses could successfully reduce pregnancy-related anxiety. Therefore, it can be used by midwives as an effective non-pharmacologic approach in pregnancy .
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spelling doaj-art-19f64e8fd147412bbf213041c42e026f2025-02-02T05:24:57ZfasHamadan University of Medical Sciencesمراقبت پرستاری و مامایی ابن سینا2676-57482024-11-01324288298Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trialFatemeh Hassanpour0Mozhgan Javadnoori1Elham Maraghi2Fariba Zargar Shirazi3 School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Reproductive Health Promotion Research Center, Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Department of Psychology, Abadan Branch, Islamic Azad University, Abadan, Iran Background and Objective: Pregnancy anxiety is triggered  by a woman's concerns about pregnancy, childbirth, the health of the baby, and future parenting  negatively affecting pregnancy outcomes. Studies addressing the impact  of life skills training on health, particularly in pregnant women, are rare with inconclusive findings. The present study aimed to assess the effect of life skills training by a trained midwife on the mitigation of  pregnancy anxiety. Materials and Methods: This randomized controlled trial was conducted in Abadan, Iran, in 2020. After assessing 180 pregnant women for eligibility, 86 pregnant women were selected from six clinics according to the inclusion criteria and allocated to control or intervention groups randomly. The intervention group underwent a 90-minute life skills training(self-awareness, problem-solving, coping with stress, coping with emotions, interpersonal relationships)every week for six weeks. Data were analyzed using a Chi-squared test, paired t-test, and ANCOVA method. Results: No differences were detected between the two groups in terms of demographic and obstetric characteristics, as well as the mean scores of pregnancy anxiety and its domains. After the intervention, the mean score of pregnancy anxiety(P<0.001) and domains of self-centered fears(P<0.001), fear of giving birth(P<0.001), fear of bearing a handicapped baby(P<0.01), concern about mood changes(P<0.0001), and concern over changes in the marital relationship(P<0.0001), in the intervention group were significantly lower than those in the control group. Conclusion: The implementation of selected life skills training by a midwife in a course shorter than that of the current courses could successfully reduce pregnancy-related anxiety. Therefore, it can be used by midwives as an effective non-pharmacologic approach in pregnancy .http://nmj.umsha.ac.ir/article-1-2692-en.pdfanxietyeducationlife skillsmidwifepregnancypsychological adaptation
spellingShingle Fatemeh Hassanpour
Mozhgan Javadnoori
Elham Maraghi
Fariba Zargar Shirazi
Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trial
مراقبت پرستاری و مامایی ابن سینا
anxiety
education
life skills
midwife
pregnancy
psychological adaptation
title Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trial
title_full Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trial
title_fullStr Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trial
title_full_unstemmed Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trial
title_short Effect of life skills training by a midwife on pregnancy anxiety: A randomized controlled trial
title_sort effect of life skills training by a midwife on pregnancy anxiety a randomized controlled trial
topic anxiety
education
life skills
midwife
pregnancy
psychological adaptation
url http://nmj.umsha.ac.ir/article-1-2692-en.pdf
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AT elhammaraghi effectoflifeskillstrainingbyamidwifeonpregnancyanxietyarandomizedcontrolledtrial
AT faribazargarshirazi effectoflifeskillstrainingbyamidwifeonpregnancyanxietyarandomizedcontrolledtrial