Designing, implementation and evaluating an educational program to improve the postpartum quality of life among nulliparous women based on Salutogenesis theory: An exploratory sequential mixed methods study

Determining the impact of a designed educational intervention in pregnant women on the postpartum quality of life

The clinical trial has a control group, with parallel groups, randomized. In order to carry out the intervention, nulliparous women will be divided into two parallel groups by random allocation method using blocked randomization with 6 blocks. For allocation concealment, the names of the control and intervention groups will be written and placed in numbered identical closed and opaque envelopes by a person who has no information about the research objectives.

The educational intervention will be held for at least 30 minutes in groups of at least 4 people in the comprehensive health service centers number 1 East of Ahvaz in Ahvaz by the researcher in person. The intervention sessions will start from the age of 28 weeks of pregnancy. Before each meeting, the time and place of the meeting will be reminded. First, participants will complete demographic and SOC-13 questionnaires.

inclusion criteria: Nulliparous women being at gestational age 28 weeks and above being over 18 years old singleton pregnancy ultrasound confirmation of fetus health willingness to participate in the study Exclusion criteria: Women with a history of infertility pregnancy following ART refusing to complete questionnaires cannot be accessed for unpredictable reasons

Intervention group: The educational content is prepared based on the determinants effective in improving the quality of life after childbirth in primiparous women, which will be obtained from the qualitative and review phase. control group: Participants in the control group will attend routine childbirth preparation classes.

SOC, maternal self-efficacy, postpartum quality of life, breastfeeding self-efficacy, type of delivery

First, a list of nulliparous women who met the inclusion criteria will be extracted from all health centers of Ahvaz. The selected women will be contacted through their contact information to be informed briefly about the purpose and method of the research and then invited to participate in the study. Sampling will continue until the predetermined number of participants enter the study. In order to carry out the intervention, nulliparous women will be divided into two parallel group of intervention group (ST based training program along with routine childbirth preparation classes) and control (routine childbirth preparation classes) by random allocation method using blocked randomization with blocks of 6. For allocation concealment, the names of the control and intervention groups will be written and placed in numbered identical closed and opaque envelopes by a person who has no information about the research objectives and when choosing the envelopes, a person who was not involved in the study is asked to choose an envelope.

The demographic characteristics of participants are confidential, but information on other variables will be shareable.

12 months after the publication of the final article

Researchers in scientific and academic institutions, health education and health promotion unit of the Ministry of Health and family health unit of the Ministry of Health

Educational and research use is permitted with the permission of the Ethics Committee of Ahvaz University of Medical Sciences. The application should be sent through the Research Vice-Chancellor of Medical Sciences Universities.

Corresponding author: Mojgan Javadnoori javadnoori-m@ajums.ac.ir

Up to three weeks after receiving the request by email to the corresponding author