Evaluation of Group Consulting on Pregnancy Anxiety: A Randomized Clinical Trial
Advances in Nursing & Midwifery,
Vol. 29 No. 1 (2020),
15 January 2020
,
Page 16-21
Abstract
Introduction: Anxiety is a disorder of mental health in pregnant women reported by 20 percent of health care providers and is accompanied by adverse pregnancy outcomes. This study aimed to determine the effect of obstetric counseling on the anxiety of pregnant women. Methods: In this randomized, double-blind controlled trial, 90 pregnant women attending to Sheibani Health Care Center in Tehran aging from 18 to 35 years old and with a gestational age of 8 to 18 weeks were evaluated first pregnancy. They were randomly assigned to counseling (group counseling with routine perinatal care) and control (only routine perinatal care) groups. The group counseling was designed according to different needs of pregnancy for five sessions in five weeks (a duration of 60 to 90 minutes for each session). The questionnaires of demographic information, Beck Depression, and Spielberg spiel Berger State-trait anxiety were used. The data analysis was performed by SPSS software version 13 using parametric and non-parametric tests. Results: According to the results, there was a significant difference between post-intervention scores in state anxiety (P = 0.014); however, there was no significant difference in trait anxiety (P = 0.19). Also, the changes in trait anxiety were more in the consoling group compared with the control group (P = 0.002), which is also seen for the state anxiety group (P = 0.0001). Conclusions: It is concluded from this study that group counseling is effective in the reduction of state anxiety and trait anxiety in pregnant women.
- Counseling
- Anxiety
- Pregnancy
How to Cite
References
Van JC (2009). Anxiety in pregnant and postpartum women.An exploratory study of the role of maternal orientations .114(1-3):232-42.Pubmed PMID: 1879380
Rita L (2007). Hilgard psychology basis. Translated by Baraheni M. Roshd Publication. pp: 492.
Lowdermilk DF,Perry ES(2007).Maternity & woman's Health Care.9th edithion.China. Mosby Elsevier.China.380,428.
Stora A (2006). Stress the new disease of civilization. Translated by Dadsetan A. First edition. Roshd Publication. pp: 81.
Bastani F,Hidarnia A,Kazemnejad etal(2005).A randomized controlled trial of the effects of applied relaxation training on reducing anxiety and perceived stress in regnant women.J Midwifery Woman's Health.50(4) : 36-40.Pubmed PMID : 15973255
Hosseini SM,Larkby C,Biglan MW(2009).Trait anxiety in pregnant women predicts offspring birth outcomes. Departments of Physical Medicine and Rehabilitation. Psychiatry and Epidemiology, University of Pittsburgh. Paediatric and Perinatal Epidemiology. 23:557-566
Endara SM, Ryan M, Sevick CJ, et al(2009).Dose acute maternal stress in pregnancy affect infant health outcomes. BMC PUBLIC HEALTH. Article Number:252.
Jones,Gayle D(2009).The role of acute and chronic stress in birth outcomes walden university 148pages,AAT3369703
Hobel CJ,Goldstein A,Barret ES (2008).Psychosocial Stress and Pregnancy outcome .CLINICAL OBSTETRICS AND GYNECOLOGY, 51(2):333-348
Tamaki R(1997).Risk factor for postpartum depression.Psychiatry-Clin-Neurosis 51(3)93-98
Weisberg,Barklin A,Hedegarrd M(2008).Psychological stress during pregnancy and stillbirth.Department of Obstetrics and Pediatrics, Arhus University Hospital 115(12):1584-5.
Pitanupong J,Liabsuetrakal T,Vittayonot A(2007).Clinical applications of anxiety,stressors and self steam measured during pregnancy and postpartum for screening postpartum depression.Department of Obstetrics and Gynecology University Thailand 33(3):333-40.
Park CL et al (1997) The roles of constructive thinking and optimism in psychological and behavioral adjustment during pregnancy. J – Pers – Soc - Psychol73 (3)
Ayman AE,Mohandes,Michele K,Jill G, Joseph MD,Siva S et al(2008).An Integrated Intervention in Pregnant African Americans Reduces Postpartum Risk : A Randomized Trial INSTITUTED HEALTH OF NATIONAL 112(3):611-620
Ramezani MA,Toghyani R,Izadi M,Shahidi Sh,Aghdak P,Motie Z et al(2008).The Effect of Prenatal Care Group Education on Pregnant Mothers' Knowledge,Attitude and Practice.Iraninan Journal of Medical Education7(2):317-323
Taghizadeh Z, Jafarbegloo M, Faghihzadeh S (2007). Effect of consultation on PTSD in traumatic deliveries. Hayat Journal. 13;31:23-24.
Ryding EL,Ohell C,Krist L et al(2003).An evaluation of midwives counseling of pregnant women in fear of childbirth.Department of Obstetrics and Gynecology,Helsingborg hospital,Sweden . ISSN 0001-6349
Gharaee V, Mazaheri M, Sahebi A, Peyvandi S, Aghahoseini M (2004). Evaluation of the role behavioral training in anxiety reduction in women with primary infertility under GIFT and ZIFT. Fertil Infertil J. 5; 180:170-172.
Khalatbari J (2010). Evaluation of efficacy of cognitive behavioral, pharmacological, and combined treatments in reduction of anxiety trait and state. Bojnurd Azad University J. 2;2
- Abstract Viewed: 184 times
- pdf Downloaded: 205 times