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Study aim: To determine the effect of religion-based spiritual self-care education during pregnancy on fear of childbirth and pregnancy experience Design: Three assessment stages: 1) before the intervention (at enrollment, weeks 20–24 of gestation), 2) immediately after the end of the intervention, and 3) four weeks after the end of the intervention. Settings and conduct: (gestational weeks 20–24, W-DEQ-A ≥ 66 ≥66 ). Randomization: 1:1 allocation to intervention and control via block randomization and opaque envelopes. Intervention & Follow-up: 5 training sessions vs. routine care; blinded outcome assessment (Tabriz, Iran). Participants/Inclusion and exclusion criteria: Major Eligibility Criteria Before Randomization Inclusion criteria: Residing in Tabriz. Having a singleton pregnancy at 20–24 weeks of gestation. Scoring ≥66 on the initial childbirth fear assessment. Being committed to religious beliefs and practices. Being able to read and write. Physical or mental disability (based on self-report). History of difficult labor. Known fetal anomalies. History of depression (based on maternal self-report and medical records review). Intervention groups: Intervention Group ( Main outcome variables: Fear of childbirth and pregnancy experience.
IRCTID: IRCT20240128060831N3
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