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IRCT20091130002792N3 IRCT 2018-10-29 Mazandaran University of Medical Sciences Effect of training on maternal-fetal attachment in unplanned pregnancies Study on the effect of pregnant women's training about attachment behaviors on maternal-fetal attachment measure in unplanned pregnancies (a randomized clinical trial) 2018-11-22 anticipated 68 Complete https://irct.ir/trial/34587 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Factorial, Purpose: Education/Guidance, Randomization description: Simple Randomization with cards (intervention group A and control group B), Blinding description: Because blinding of participants and researcher is impossible in this study, only data analyzer will be blind. N/A Condition 1: Maternal-fetal attachment. Condition 2: Anxiety. Condition 3: Depression. Condition 4: Worry. Intervention 1: Intervention group: mothers' Training about maternal-fetal attachment behaviors will be performed in small groups including 3-5 mothers for three sessions of 90 minutes, every 3-4 days. The training will include verbal explanations about physical and psychological changes during pregnancy and their outcomes, fetal growth, the concept of fetal attachment and its benefits, childbirth process and nutritional tips. The practical training will include touch and pat fetus from the abdomen, counting fetal movements, listen fetal heart, talk with fetus, relaxation and look at ultrasound image of fetus. ّFor performing the mentioned training in home, a booklet and a CD including recorded voice of fetal heart, animation of fetal growth and relaxation guide will be given to mothers. Intervention 2: Control group: mothers will be received routine cares of pregnancy. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is It depends on who and for what purpose they are requesting information
public Marjan Ahmad Shirvani
School of Nursing and Midwifery, Vesal st.
Sari Iran (Islamic Republic of) 4816715793 +98 11 3336 7342 MAShirvani@mazums.ac.ir Mazandaran University of Medical Sciences scientific Marjan Ahmad Shirvani
School of Nursing and Midwifery, Vesal st.
Sari Iran (Islamic Republic of) 4816715793 +98 11 3336 7342 MAShirvani@mazums.ac.ir Mazandaran University of Medical Sciences Iran (Islamic Republic of) Unplanned pregnancy (score 0-3 based on London measure) 20-32 weeks of gestation age Literacy at least grade 8 Single fetus Lack of medical problems and obstetrics risk factors such as signs of preterm labor, history of infertility, history of fetal or child loss, disrupted tests of fetal health, diabetes, preeclampsia and bleeding lack of severe anxiety, depression or worry lack of addiction 15 years 49 years Female Refuse to continue participating in the study Inaccessible during follow-up Failure to implement more than 50% of recommendations during the study Occurrence of obstetrics or medical problems during the study such as preterm labor, PROM, reduce of fetal movements and indications of termination of pregnancy Losing relatives during the study or last 6 months F41.1 F32 Generalized anxiety disorder Major depressive disorder, single episode Behavior N/A Intervention group: mothers' Training about maternal-fetal attachment behaviors will be performed in small groups including 3-5 mothers for three sessions of 90 minutes, every 3-4 days. The training will include verbal explanations about physical and psychological changes during pregnancy and their outcomes, fetal growth, the concept of fetal attachment and its benefits, childbirth process and nutritional tips. The practical training will include touch and pat fetus from the abdomen, counting fetal movements, listen fetal heart, talk with fetus, relaxation and look at ultrasound image of fetus. ّFor performing the mentioned training in home, a booklet and a CD including recorded voice of fetal heart, animation of fetal growth and relaxation guide will be given to mothers. Control group: mothers will be received routine cares of pregnancy Score of maternal-fetal attachment based on the Cranley's Maternal-Fetal Attachment Scale. Timepoint: At the beginning of the study and 4 weeks later. Method of measurement: Cranley's Maternal-Fetal Attachment Scale. Score of anxiety based on the Spielberger Anxiety Inventory. Timepoint: At the beginning of the study and 4 weeks later. Method of measurement: Spielberger State-Trait Anxiety Inventory. Score of depression based on the Edinburgh Depression Scale. Timepoint: At the beginning of the study and 4 weeks later. Method of measurement: Edinburgh Depression Scale. Score of worry based on the Prenatal Distress Questionnaire. Timepoint: At the beginning of the study and 4 weeks later. Method of measurement: Prenatal Distress Questionnaire. Mazandaran University of Medical Sciences Approved 2018-09-26 Ethics Committee of Mazandaran University of Medical Sciences Vice Chancellor for Research and Technology of Mazandaran University of Medical Sciences, Moalem sq. Sari Mazandaran Iran (Islamic Republic of)