|The Effect of Self Esteem-integrated Cognitive-behavioral (SICB ) Counseling on Fear of Childbirth: A Counseling Approach in Prenatal Care Services|
|Maryam Poorjandagh1, Katayon Vakilian2, Mahboobeh khorsandi3, Mansour Abdi4|
|1Department of Midwifery Counseling, Arak University of Medical Sciences, Arak, Iran
2Department of Reproductive Health, Arak University of Medical Sciences, Arak, Iran
3Department of health Promotion, Arak University of Medical Sciences, Arak, Iran
4Department of Clinical Psychology, Arak University of Sciences, Arak, Iran
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Keywords : Natural childbirth, Education, Self-efficacy, Antenatal care, Fear
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Objectives: This study aimed to examine the effect of self-esteem-integrated cognitive-behavioral (SICB)counseling in FOC.
Materials and Methods: The randomized clinical trial was done on 48 pregnant women in Milad hospital in Tehran, Iran in 2016. All of the participants filled out the written consent. After that fear of childbirth(FOC) was assessed using the Harman’s childbirth attitudes questionnaire, and the Rosenberg self-esteem scale was used to assess self-esteem at the beginning of study. Seven sessions were performed for the SICB group, but the control group received routine prenatal classes. Two weeks after intervention, both groups filled out the fear of childbirth, and self-esteem questionnaire. Data Analyze was done using statistical tests (independent T-test, χ2, Mann-Whitney U and Wilcoxon) through SPSS software .
Results: The mean score of fear at the end of study in SICB 26.45±4.26 and control group 38.58±5.28 was different significantly(p=0.001). Also self-esteem score increased after intervention in SICB counseling group (4.77±4.07vs -1.79±2.26; P=.001).
Conclusion: This study confirms the importance of SICB approach focusing on self-esteem in reducing FOC.
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