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The effect of couples counseling based on problem solving approach on the childbirth fear, childbirth self-efficacy and the choice of the type of delivery in primigravid women requesting elective cesarean section

The effect of couples counseling based on problem solving approach on the childbirth fear, childbirth self-efficacy and the choice of the type of delivery in primigravid women requesting elective cesarean section

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT2016060828352N1
Enrollment
76
Registered
2016-08-22
Start date
2016-09-22
Completion date
Unknown
Last updated
2018-02-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Condition 1: Elective cesarean. Condition 2: Single spontaneous delivery. Delivery by elective caesarean section cases with minimal or no assistance, with or without episiotomy delivery in a completely normal case

Interventions

Intervention 1: Intervention group: Counseling based on problem solving with couples will be performed in 3 sessions once a week. Intervention 2: control group: Control group will receive routine care
Prevention
Intervention group: Counseling based on problem solving with couples will be performed in 3 sessions once a week.
control group: Control group will receive routine care.

Sponsors

Chancellor for Research and Technology of Zanjan University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Inclusion criteria: Being primigravida; No history of infertility based on mother's report; Singleton pregnancies; Being in 28 to 32 weeks of pregnancy based on the first day of the last menstrual period or sonographic assessment before 12 weeks of gestation; Lack of any obstetric complications in the current pregnancy according to mother's report (preeclampsia, gestational diabetes, placenta previa, etc.); Not participation in the counseling classes at the same time; No indication for cesarean delivery; Lack of a history of physical and mental diseases in couples based on mother's report (hypertension, diabetes, using psychiatric drugs, history of hospitalization for various reasons ...); Complete satisfaction for participation in the study. Exclusion criteria: any abnormal condition before the onset of labor which prevents the normal delivery such as bleeding and placental abruption (premature separation of the placenta from the uterine wall); Difficult or impossible access to participant because of changing the living place; Lack of consent to continue participation in the study.

Exclusion criteria

Exclusion criteria:

Design outcomes

Primary

MeasureTime frame
Childbirth Self- efficacy. Timepoint: At baseline and one month after the intervention. Method of measurement: Lowe’s childbirth self-efficacy scale.;Childbirth Fear. Timepoint: At baseline and one month after the intervention. Method of measurement: Wijma delivery expectacy- experience questionnaire.;The choice of the type of delivery. Timepoint: At baseline and one month after the intervention. Method of measurement: The choice of the type of delivery scale.

Secondary

MeasureTime frame
The type of delivery. Timepoint: Postpartum. Method of measurement: Question will be asked by phone.;Childbirth Awareness. Timepoint: At baseline and one month after the intervention. Method of measurement: Childbirth awareness scale.;Childbirth attitude. Timepoint: At baseline and one month after the intervention. Method of measurement: Childbirth attitude scal.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactLeila Ahmadi

Zanjan University of Medical Sciences

ahmadileila5@yahoo.com+98 24 3377 2279

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026