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IRCT20091001002531N4 IRCT 2021-11-01 Esfahan University of Medical Sciences "The effect of expressive writing on the fear of childbirth" A comparative study on the effect of expressive writing on the fear of childbirth in nulliparous and primiparous/multiparous pregnant women 2021-06-20 anticipated 198 Complete https://irct.ir/trial/56612 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Other design features: In present study; there are two categories of pregnant mothers (nulliparous and primiparous/multiparous ) and each category includes two groups of control and intervention; so totally four groups will be assessed, Randomization description: Random allocation was conducted through permuted blocked randomization (block size=4 including 2 controls and two interventions). First, using the following website(https://www.sealedenvelope.com/simple-randomiser/v1/lists ) the blocks were determined for nulliparous women then the blocks were determined for prim parous /multiparous women. So, this website was applied twice. A= intervention B= control Block size: 4. N/A fear of childbirth. Intervention 1: First intervention group: expressive writing in nulliparous pregnant women for 7 days, at least 15 minutes daily about their deepest thoughts, emotions and concerns about childbirth and the reasons for fear of childbirth, worries about the fetus during delivery, the concerns of the maternity ward staff, and any other concerns related to natural childbirth. They are also advised to discover their deepest feelings and thoughts when writing, and to put it down on paper with simple details and colloquial literature and the same words that are in their minds, and not to be concerned about the correctness of grammar or politeness of the expressions or their logical. Intervention 2: First control group: neutral writing in nulliparous pregnant women for 7 days at least 15 minutes daily about ordinary daily affairs such as cooking, cleaning, cloths washing, shopping of foodstuff ,... .They will be asked to write honestly about the matters that arouse no negative/positive emotion. Intervention 3: Second intervention group: expressive writing in primiparous/multiparous pregnant women for 7 days, at least 15 minutes daily about their deepest thoughts, emotions and concerns about childbirth and the reasons for fear of childbirth, worries about the fetus during delivery, the concerns of the maternity ward staff, and any other concerns related to natural childbirth. They are also advised to discover their deepest feelings and thoughts when writing, and to put it down on paper with simple details and colloquial literature and the same words that are in their minds, and not to be concerned about the correctness of grammar or politeness of the expressions or their logical. Intervention 4: Second control group: neutral writing in primiparous/multiparous pregnant women for 7 days at least 15 minutes daily about ordinary daily affairs such as cooking, cleaning, cloths washing, shopping of foodstuff ,..They will be asked to write honestly about the matters that arouse no negative/positive emotion. 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 There is no more information
public Tahmineh Dadkhah Tehrani
Faculty of Nursing & Midwifery, Isfahan University of Medical Science, Hezarjerib Street, Isfahan
Isfahan Iran (Islamic Republic of) 81746-73465 +98 31 3792 7596 tdtahmineh@gmail.com Esfahan University of Medical Sciences scientific Tahmineh Dadkhah Tehrani
Faculty of Nursing & Midwifery, Isfahan University of Medical Science, Hezarjerib Street, Isfahan
Isfahan Iran (Islamic Republic of) 81746-73465 +98 31 3792 7596 tdtahmineh@gmail.com Esfahan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) The mothers with Iranian nationality and Persian language Pregnant mothers with gestational age 36 weeks (252 days) or more based on sonographic evidences and self declaration Having ability of reading and writing Achieving score 28 or more from Wijma questionnaire of fear of childbirth Mother's tendency and consent to participation in the study no limit no limit Female Use of artificial reproductive technology for becoming pregnant History of abortion among nulliparous women History of infertility History of known psychological disorders( based on self declaration and information of SIB software) Having obstetrical indications of cesarean( multiple pregnancy, placenta previa, history of surgery on uterus, skeletal malformation, and other indication of cesarean based on country protocol) Other Other Treatment - Other Other First intervention group: expressive writing in nulliparous pregnant women for 7 days, at least 15 minutes daily about their deepest thoughts, emotions and concerns about childbirth and the reasons for fear of childbirth, worries about the fetus during delivery, the concerns of the maternity ward staff, and any other concerns related to natural childbirth. They are also advised to discover their deepest feelings and thoughts when writing, and to put it down on paper with simple details and colloquial literature and the same words that are in their minds, and not to be concerned about the correctness of grammar or politeness of the expressions or their logical. First control group: neutral writing in nulliparous pregnant women for 7 days at least 15 minutes daily about ordinary daily affairs such as cooking, cleaning, cloths washing, shopping of foodstuff ,... .They will be asked to write honestly about the matters that arouse no negative/positive emotion. Second intervention group: expressive writing in primiparous/multiparous pregnant women for 7 days, at least 15 minutes daily about their deepest thoughts, emotions and concerns about childbirth and the reasons for fear of childbirth, worries about the fetus during delivery, the concerns of the maternity ward staff, and any other concerns related to natural childbirth. They are also advised to discover their deepest feelings and thoughts when writing, and to put it down on paper with simple details and colloquial literature and the same words that are in their minds, and not to be concerned about the correctness of grammar or politeness of the expressions or their logical. Second control group: neutral writing in primiparous/multiparous pregnant women for 7 days at least 15 minutes daily about ordinary daily affairs such as cooking, cleaning, cloths washing, shopping of foodstuff ,..They will be asked to write honestly about the matters that arouse no negative/positive emotion. Score of "Fear of childbirth" based on Wijma questionnaire. Timepoint: "Measurement of fear of childbirth before expressive writing and after a period of 7- day expressive writing". Method of measurement: Wijma questionnaire of fear of childbirth. Esfahan University of Medical Sciences Approved 2021-05-24 Ethics committee of Isfahan University of Medical Sciences Faculty of Nursing & Midwifery, Isfahan University of Medical Science, Hezarjerib Street, Isfahan Isfahan Isfehan Iran (Islamic Republic of)