The number of the women who want to have a cesarean due to the fear of childbirth has increased. Cognitive Behavioral Therapy (CBT) seems to be a good method to overcome or reduce the fear of childbirth. This study was aimed at determining the effectiveness of CBT on the primary fear of childbirth among nulliparous women in a random environment. The inclusion criteria were low-risk pregnancy and the fear of childbirth score ≥ 28. The exclusion criteria were the lack of cooperation, perinatal death or stillbirth during pregnancy, referral or treatment for other problems which the research participants faced, and severe anxiety and depression. This study is a clinical trial consisting of 24 nulliparous women. The fear of childbirth was assessed using the Childbirth Attitudes Questionnaire (CAQ). Nulliparous women with low-risk pregnancies who were in the second trimester of pregnancy and their fear of childbirth score was ≥ 28 were randomly placed into two groups (case and control). Each group included 12 members. The case group underwent 8 cognitive-behavioral group therapy sessions, and the control group received routine pregnancy care. In this study, the intervention method used to control the fear of childbirth in nulliparous women was a cognitive-behavioral group therapy focused on self-esteem, which was held in eight 90-minute sessions. Each group therapy session had a specific structure. Two weeks after the last session of group therapy, the Childbirth Attitudes Questionnaire was filled out by the female participants, and the results were compared with each other. The primary outcome of this study was reducing fear of childbirth among nulliparous women in terms of the score obtained from the Childbirth Attitudes Questionnaire.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2014120920259N1
Registration date:2015-07-29, 1394/05/07
Registration timing:registered_while_recruiting
Last update:
Update count:0
Registration date
2015-07-29, 1394/05/07
Registrant information
Name
maryam pourjandaghi
Name of organization / entity
arak university of medical sciences
Country
Iran (Islamic Republic of)
Phone
+98 21 4495 0786
Email address
m.pourjandaghi@arakmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Arak University of Medical Sciences
Expected recruitment start date
2015-07-11, 1394/04/20
Expected recruitment end date
2015-08-11, 1394/05/20
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effectiveness of Cognitive-Behavioral Group Therapy focused on Self-esteem on Fear of Childbirth in Nulliparous women
Public title
Effect of Cognitive-Behavioral Group Therapy focused on Self-esteem on Fear of Childbirth in Nulliparous women
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criterias: fill out the form of informed consent; eighteen to thirty five years old; high school diploma; single pregnancy; nullipariety; gestational age is twenty to twenty four weeks; low risk pregnancy and normal BMI; lake of depression and anxiety according to the Beck questionnaire; not using psychiatric drugs; childbirth fear score is 28 or more; self -esteem score is lower than zero; wanted pregnancy and no history of infertility; non-family conflicts. Exclusion criteria: willingness to participate in the other treatment and non- cooperation; continuous absence in cognitive behavioral therapy sessions; not fill out the follow-up questionnaire; perinatal death or stillbirth.
Age
From 76 years old to 59 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
24
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Arak University of Medical Sciences
Street address
Sardasht Avenue, Basij Square, Arak, Markazi Province, Iran
City
Arak
Postal code
38481-7-6941
Approval date
2015-03-16, 1393/12/25
Ethics committee reference number
93-176-7
Health conditions studied
1
Description of health condition studied
Fear of childbirth
ICD-10 code
F40
ICD-10 code description
Phobic anxiety disorders A group of disorders in which anxiety is evoked only, or predominantly, in certain well-defined situations that are not currently dangerous. As a result these situations are characteristically avoided or endured with dread. The pa
Primary outcomes
1
Description
Fear of childbirth
Timepoint
Before intervention; two weeks after intervention
Method of measurement
Childbirth attitude questionaire
Secondary outcomes
1
Description
Self-esteem
Timepoint
Before intervention; two weeks after intervention
Method of measurement
Rosenberg self-esteem questionaire
Intervention groups
1
Description
The control group receive routine antennal care
Category
N/A
2
Description
The intervention group attend eight cognitive-behavioral therapy sessions. The intervention method is cognitive behavioral group therapy focused on self-esteem. Eight group sessions is held during second trimester. Each ninety minutes session has a certain structure
Category
Treatment - Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Milad hospital
Full name of responsible person
maryam pourjandaghi, senior student of consultation in midwifery
Street address
Milad hospital, Before Chamran Bridge, Hemmat Expressway, Tehran, Iran
City
tehran
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Catayon Vkilain, phd of reproductive health, Assistant professor Of Arak University Of Medical Sci
Street address
Sardasht Avenue, Basij Square, Arak, Markazi Province, Iran
City
Arak
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Arak University of Medical Sciences
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Arak Univesity of Medical Sciences
Full name of responsible person
Catayon Vakilian
Position
Phd of reproductive health
Other areas of specialty/work
Street address
Sardasht Avenue, Basij Square, Arak, Markazi Province, Iran
City
Arak
Postal code
Phone
+98 86 3417 3502
Fax
Email
cattyv2002@yahoo.com
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Catayon Vakilain
Position
Phd of reproductive health
Other areas of specialty/work
Street address
Sardasht Avenue, Basij Square, Arak, Markazi Province, Iran
City
Arak
Postal code
Phone
+98 86 3417 3502
Fax
Email
cattyv2002@yahoo.com
Web page address
Person responsible for updating data
Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
maryam pourjandaghi
Position
Senior student of consultation in midwifery
Other areas of specialty/work
Street address
City
Postal code
Phone
Fax
Email
maryam.pourjandaghi@arakmu.ac.ir
Web page address
Sharing plan
Deidentified Individual Participant Data Set (IPD)