Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention

Objective: The effect of a new, structured group training program on the anxiety reduction in Iranian pregnant women at risk of preterm labor (PTL) was assessed. Design: A randomized controlled clinical trial. Setting: The prenatal care center in the Gynecology Clinic of University Hospital. Populat...

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Main Authors: Somayeh Bazrafshan, Masoomeh Kheirkhah, Mehrnoosh Inanlou, Mahboobeh Rasouli
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=8;spage=4016;epage=4025;aulast=Bazrafshan
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author Somayeh Bazrafshan
Masoomeh Kheirkhah
Mehrnoosh Inanlou
Mahboobeh Rasouli
author_facet Somayeh Bazrafshan
Masoomeh Kheirkhah
Mehrnoosh Inanlou
Mahboobeh Rasouli
author_sort Somayeh Bazrafshan
collection DOAJ
description Objective: The effect of a new, structured group training program on the anxiety reduction in Iranian pregnant women at risk of preterm labor (PTL) was assessed. Design: A randomized controlled clinical trial. Setting: The prenatal care center in the Gynecology Clinic of University Hospital. Population: 72 Iranian pregnant women at risk of PTL with a gestational age of 24–28 weeks. Methods: Several trained research nurses presented group educational counseling sessions for 6 weeks based on the integration of psychological instructions and interactive lectures for the intervened group (n = 36). Pregnant women in the control group (n = 36) only received routine pregnancy care. Main Outcome Measures: The completion of pregnancy-related anxiety questionnaire (PRAQ) for Iranian pregnant women at risk of PTL in the intervention (before and after 6-week counseling, and 1-month post-counseling) and control (before, and on the 6th and 10th week after the study) groups. Results: There was a significant difference in the mean anxiety score between the intervention (3.45 ± 0.75) and control (3.01 ± 0.34) groups before the group educational counseling sessions. After this intervention, a significant reduction in the mean anxiety scores of intervened pregnant women (2.48 ± 0.32) compared to the control (2.68 ± 0.81) was found. This decrease in mean anxiety score after the 1-month post-counseling was more pronounced than the 6th week after the study onset (P < 0.001). Low anxiety scores in the intervention group over time were also maintained. Conclusions: Implementing the group educational counseling sessions is recommended as a complementary, effective, and noninvasive intervention to efficiently control the anxiety in pregnant women at risk of PTL.
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spelling doaj.art-9cb35f65a1a743e587213175d343f6e32022-12-21T23:33:17ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01984016402510.4103/jfmpc.jfmpc_1227_19Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group interventionSomayeh BazrafshanMasoomeh KheirkhahMehrnoosh InanlouMahboobeh RasouliObjective: The effect of a new, structured group training program on the anxiety reduction in Iranian pregnant women at risk of preterm labor (PTL) was assessed. Design: A randomized controlled clinical trial. Setting: The prenatal care center in the Gynecology Clinic of University Hospital. Population: 72 Iranian pregnant women at risk of PTL with a gestational age of 24–28 weeks. Methods: Several trained research nurses presented group educational counseling sessions for 6 weeks based on the integration of psychological instructions and interactive lectures for the intervened group (n = 36). Pregnant women in the control group (n = 36) only received routine pregnancy care. Main Outcome Measures: The completion of pregnancy-related anxiety questionnaire (PRAQ) for Iranian pregnant women at risk of PTL in the intervention (before and after 6-week counseling, and 1-month post-counseling) and control (before, and on the 6th and 10th week after the study) groups. Results: There was a significant difference in the mean anxiety score between the intervention (3.45 ± 0.75) and control (3.01 ± 0.34) groups before the group educational counseling sessions. After this intervention, a significant reduction in the mean anxiety scores of intervened pregnant women (2.48 ± 0.32) compared to the control (2.68 ± 0.81) was found. This decrease in mean anxiety score after the 1-month post-counseling was more pronounced than the 6th week after the study onset (P < 0.001). Low anxiety scores in the intervention group over time were also maintained. Conclusions: Implementing the group educational counseling sessions is recommended as a complementary, effective, and noninvasive intervention to efficiently control the anxiety in pregnant women at risk of PTL.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=8;spage=4016;epage=4025;aulast=Bazrafshananxietygroup educational programhigh-risk pregnancypreterm delivery
spellingShingle Somayeh Bazrafshan
Masoomeh Kheirkhah
Mehrnoosh Inanlou
Mahboobeh Rasouli
Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention
Journal of Family Medicine and Primary Care
anxiety
group educational program
high-risk pregnancy
preterm delivery
title Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention
title_full Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention
title_fullStr Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention
title_full_unstemmed Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention
title_short Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention
title_sort controlling the anxiety in iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention
topic anxiety
group educational program
high-risk pregnancy
preterm delivery
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=8;spage=4016;epage=4025;aulast=Bazrafshan
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AT mehrnooshinanlou controllingtheanxietyiniranianpregnantwomenatriskofpretermlaborbyundergoingthecounselinggroupintervention
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