The effectiveness of midwifery counseling based on cognitive-behavioral approach on anxiety and maternal - fetal attachment among mothers with past history abortion referring prenatal care shahid Sadoughi center Yazd

Determining the effect of midwifery counseling with cognitive-behavioral approach on maternal،fetal attachment and anxiety in mothers with abortion history

This study was a randomized clinical trial with two groups (test and control). There are 33 pregnant women with abortion history that are available in each group. Blind is on the side.

The prenatal center of Shahid Sadoughi Hospital in Yazd is based on objective sampling

teria for entering the study: Mothers who have literacy and reading skills, mothers with pre-pregnancy and abortion, gestational age 27-30 weeks, and physiologically and physically healthy, are able to attend and participate actively in the classroom, have an anxiety score. Low to moderate (80-20) based on Spielberger anxiety scale; Exit criteria: having recurrent abortions, having acute obstetric problems associated with pregnancy, and having a history of serious psychiatric disorders, unwillingness to participate in research, use of psychoactive drugs before From pregnancy and during pregnancy by couples, it is suddenly taken To abnormal stress due to life-threatening events in the last 1 month, multiple pregnancies

The statistical population of this study is all pregnant women with a history of abortion and childbirth and 27-30 weeks pregnancy referred to the prenatal center of Shahid Sadoughi Hospital in Yazd. If the conditions for entering the research were divided into two groups, the control group was randomly divided into 33 groups each group. The midwifery counseling group with a cognitive-behavioral approach was held during 6 sessions and the control group received routine prenatal care They give.

Anxiety; maternal، fetal attachment

Among them, the mothers who have entered the study (goal-based sampling) are selected as the sample and randomly divided into two groups (test and control). The random allocation rule is the simplest method of randomization. This method represents a large block for the entire sample size, which means that the balance in the number of people assigned to each of the groups will be at the end of the study. To do this, first determine a total sample size and then randomly assign a set of them to Group A and assign the remainder to Group B. This method is applicable to trials in two or more groups.

he population of this study is pregnant women referred to the prenatal center of Shahid Sadoughi Hospital in Yazd. Among them, the mothers who are eligible for inclusion in the study are selected as a research sample (simple sampling based on the goal) and randomly assigned to two groups.To select the samples, the researcher is first and foremost in the prenatal center of Shahid Sadoughi Hospital in Yazd. After identifying the eligible patients, they will be asked to enter the study after explaining the goals of the plan and obtaining written consent from their mothers and their wives. At the next stage, mothers are asked to complete the Spielberger Anxiety Scale questionnaire. Spielberger's Anxiety Scale Scale (Low to Moderate Scale) is one of the requirements for entering the study. Mothers who receive Spielberger's Scale of Inferiority Scale (20-80) are asked to complete demographic information and maternal and cranial attachment questionnaires. They will be referred to a psychiatrist if they have a higher anxiety score. . Mothers participate in 6 counseling sessions in the test group. At the same time, counseling groups are being set up in five, while in the control group there is no intervention and routine pregnancy care and a physiological delivery class are provided. At the end of the intervention (one week after the last counseling session), both groups completed the Cranly questionnaire and the Spielberger anxiety scale again. Finally, the data will be analyzed by SPSS software and the results will be reported.

According to the opinion of the university and the supervisor.