Condition 1: Fear of childbirth. Condition 2: Postpartum depression. Condition 3: Childbirth experience. Fear of other medical care Other depressive episodes
Conditions
Interventions
Intervention 1: Intervention group: Continuous care will include the following:1. Receive at least twice face-to-face care (between 26-29 weeks and between 35-36 weeks of pregnancy), ?. Telephone or v
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Gestational age 26 to 29 weeks based on LMP or under 12- week ultrasonography Single pregnancy Maximum history of two birth No known underlying disease before pregnancy No history of high-risk pregnancy Have a minimum of secondary education Willingness to give birth in hospitals affiliated with Tabriz University of Medical Sciences or Tabriz Social Security Hospital
Exclusion criteria
Exclusion criteria: History of cesarean section Willingness to elective cesarean section No access to smartphones and the internet Known major abnormalities in the fetus Occurrence of any stressful events (such as divorce, death of first-degree family members, and diagnosis of an incurable disease for a family member) in the last three months Simultaneous participation in another trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Childbirth experience score. Timepoint: 40 to 50 days after delivery. Method of measurement: Childbirth Experiences Questionnaire vsersion 2.0 (CEQ2.0).;Postpartum depression score. Timepoint: 50-40 days after delivery. Method of measurement: Edinburgh Postnatal Depression Scale (EPDS).;Fear of childbirth score. Timepoint: Baseline (before randomization), 35-36 weeks of pregnancy, 50-40 days after delivery. Method of measurement: The Wijma delivery expectancy/experience questionnaire (W-DEQ-A and B). | — |
Secondary
| Measure | Time frame |
|---|---|
| Fear of childbirth score (during pregnancy). Timepoint: Baseline (before randomization), 35-36 weeks of pregnancy. Method of measurement: The Wijma delivery expectancy/experience questionnaire (W-DEQ-A).;Pregnancy depression score. Timepoint: Baseline (before randomization), 35-36 weeks of pregnancy. Method of measurement: Edinburgh Postnatal Depression Scale (EPDS).;Childbirth satisfaction score. Timepoint: 12 to 24 hours after delivery. Method of measurement: Maternal satisfaction in normal and caesarean birth (SMMS-normal birth and SMMS- caesarean birth).;Score for receiving support and control. Timepoint: 12 to 24 hours after delivery. Method of measurement: Support and Control in Birth (SCIB).;Score of experiences of maternity care. Timepoint: 40-50 days after delivery. Method of measurement: Women’s experiences of maternity care (EMC).;Breastfeeding self-efficacy score. Timepoint: 40-50 days after delivery. Method of measurement: Breastfeeding Self-efficacy Scale (BSES).;Type of delivery. Timepoint: After delivery. Method of measurement: Checklist (vaginal/cesarean).;Duration of hospitalization until delivery. Timepoint: 12-24 hours after delivery. Method of measurement: Mother's hospital record.;Infant's fifth-minute APGAR. Timepoint: 12-24 hours after delivery. Method of measurement: Infant's hospital record.;Change in hematocrit between before and after delivery. Timepoint: At the time of admission of the mother in the hospital and 12-24 hours after delivery. Method of measurement: Measurement of blood hematocrit at laboratory of the hospital. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactElham Jafari
Tabriz University of Medical Sciences
Outcome results
None listed