|Training Package and Group Consultation on Pregnancy-specific Stress|
|Katayoun Salehi1, Khadije Seyed Kaboli2, Kourosh Kabir1, Mahrokh Dolatian3, Zohreh Mahmoodi4|
|1Clinical Research Center Unit, Madani Hospital, Alborz University of Medical Sciences ,Karaj, Iran
2Department of Midwifery, Kurdistan University of Medical Sciences Sanandaj, Kurdistan, Iran
3Department of Midwifery and Reproductive Health Faculty member of Shahid Beheshti University of Medical Science, Tehran, Iran
4Social Determinants Of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
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Keywords : Consultation, Cognitive-behavioral, Pregnancy-specific stress, Pregnancy,Training package
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Objectives: Women are faced with numerous stresses during their life. This study examines the effect of two approaches on pregnancy-specific stress, including a training package and a group consultation approach.
Materials and Methods : This randomized controlled trial was conducted in three phases, using a parallel design, on 70 pregnant women visiting select medical centers in Alborz Province of Iran in 2016. Eligible mothers were selected through convenience sampling and then divided into anintervention and control group in random blocks of four. The control group was provided withroutine pregnancy care and the training package on how to cope with pregnancy stress. The intervention group received the routine pregnancy careplus cognitive-behavioral consultation in six 90-minute sessions. The mothers in both groups were evaluated at baseline, at the end of the sessions and three weeks later using the Pregnancy Worries and Stress Questionnaire (PWSQ).
Results: According to the results obtained, the two groups differed significantly from each other in terms of the total score and the score of each dimension of the PWSQ, except for the personal-occupational dimension. A comparison of the groups showed that the mean scores of the intervention group followed a decreasing trend in all three phases. However, the total score and the mean scores of all dimensions, except for the mother-newborn bonding dimension, increased in the control group (P<0.05).
Conclusion: The presence of a consultant and the practice of cognitive-behavioral consultation reduced pregnancy-specific stress and worries more than did the training package.
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