High-risk Pregnancy. Supervision of high-risk pregnancy(Z35)
Conditions
Interventions
Intervention 1: The intervention group, in addition to receiving routine care, will undergo eight individual spiritual counseling sessions based on the Richards and Bergin (2005) model, with an approa
Sponsors
Mashhad University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
15 Years to No maximum
Inclusion criteria
Inclusion criteria: Aged 15 years and above Iranian nationality Basic literacy (ability to read and write in Persian) Belief in God and identification as Muslim Gestational age between 20 and 30 weeks at the time of enrollment {"Based on the first day of the last menstrual period(LMP) or first-trimester ultrasound.} Diagnosis of a high-risk pregnancy, as defined by the Centers for Disease Control and Prevention (CDC) {Multiple pregnancy (twins or higher-order multiples), Pre-existing medical conditions including Thyroid disorders, Cardiac disease, Diabetes mellitus, Epilepsy, Family history of genetic disorders, Hemoglobinopathies, Hypertension and Pre-eclampsia, Pulmonary disease, Renal disease, Infectious diseases, Neurological disorders, Active tuberculosis, Hepatitis B, Cancer, Anemia with hematocrit levels below 28% that do not respond to iron therapy, Human immunodeficiency virus (HIV), Vaginal bleeding, Ultrasound-confirmed Polyhydramnios or Oligohydramnios, Suspected fetal growth restriction, and Active genital herpes lesions.} Access to a smartphone or computer with internet capability to participate in online counseling sessions Willingness and ability to provide informed consent to participate in the study
Exclusion criteria
Exclusion criteria: Diagnosis of fetal anomaly in the first trimester Current or past history of psychological disorders (self-reported) {"Presence of psychotic disorders, mood disorders requiring significant clinical intervention, or a history of hospitalization due to psychiatric illness."} Use of specific psychiatric medications (self-reported) Substance abuse, including cigarettes, illicit drugs, or alcohol Experience of major adverse or stressful life events within the 6 months prior to the study {"The occurrence of major stressful life events within the past six months, such as the death of a close relative or first-degree family member, severe marital or family conflict, financial difficulties, serious illness of a spouse or close relative, motor vehicle accident, migration, or home burglary."} Severe or extremely severe scores on the DASS-21 questionnaire {"A score above 21 in the depression subscale, above 15 in the anxiety subscale, and above 26 in the stress subscale of the DASS-21 questionnaire."} Speech, hearing, or accent-related impairments that hinder effective communication with the researcher
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Well-being in high-risk pregnancy. Timepoint: At baseline (pre-intervention), immediately after the intervention, and three weeks post-intervention. Method of measurement: Well-being in High-Risk Pregnancy (HRPWI)Questionnaire, Mirzakhani et al. (2022).;Spiritual health. Timepoint: At baseline (pre-intervention), immediately after the intervention, and three weeks post-intervention. Method of measurement: Spiritual Health Questionnaire, Polotzine and Ellison (1982). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactZahra SayyadNezhad
Mashhad University of Medical Sciences
Outcome results
None listed