Objectives: Stress management on pregnant women during the first trimester. Design:
This project is a clinical trial with pre-test and post- test. This is a pilot study, The sampling is convenient.The subjects are pregnant women whose stress level will be measured by Hamilton inventory and Spielberger state anxiety inventory. We will have two groups, intervention group(n=25) with moderate stress level and control group (n=25) with mild stress level. Only intervention group will be trained with psychological interventions. Both groups receive usual prenatal care.
Setting and conduct:
They will be trained the stress management techniques in 5 sessions by psychologist, every session will be 60 minute. After training, Their stress level will be measured by Hamilton inventory and Spielberger state anxiety inventory again. All group members will be received usual prenatal care. we will check preterm labor, preeclampsia during pregnancy; in addition, we will check bilateral uterine artery doppler before and after intervention; then, we will compare them with themselves, besides we will measure infant's weight ,height and hospitalization rate in NICU, moreover we will check the admission rate in high risk ward for icter in neonates.
Participants including major eligibility criteria:
Gestational age<14w; Education=High school degree and upper;
25.4 ≥BMI ≥19.3; 37 ≥Maternal age≥19; Having informed consent.
Exclusion criteria:
Having psychological disorders such as depression, psychos, cognitive disorder and drug abuse.
History of any medical disease such as Thyroid disease, Cardiac disease, Hepatic disease, Chronic renal disease; BMI<19 or BMI>25.3; Abortion>2; Poor pregnancy history such as IUFD.
Intervention:
Training stress management techniques in five sessions, every session is 60 minutes. Some of mindfulness and cognitive techniques are used for training them.
main outcome variables:
Management stress