Individual counseling in mothers bereaved by pregnancy loss: A randomized clinical trial

نویسندگان

1 Department of Midwifery, Maternal and Childhood Obesity Research Center, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran

2 Department of Epidemiology and Biostatistics, School of Medicine, University of Medical Sciences, Urmia, Iran

3 M.Sc. Student of Counselling in Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran

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چکیده

BACKGROUND: The loss of a pregnancy can result in grief, guilt, self‑doubt, anxiety, andpost‑traumatic stress disorder (PTSD). Considering the side effects mentioned for mental healthand the fact that the symptoms will linger if left untreated and even adversely affect the subsequentpregnancies. The current study was designed to assess the impact of individual counseling on stress,anxiety, and depression in mothers with pregnancy loss.MATERIALS AND METHODS: The study commenced 100 women who experienced pregnancy loss(in Urmia/2018-2019); they were enrolled using convenience sampling and block randomization. Theintervention group received four individual counseling sessions (weekly sessions with a duration of1 h) based on Warden’s principles. The control group received routine care. The Depression AnxietyStress Scale (DASS‑42) was filled out at baseline, the pre‑ and post‑intervention. Analyses wereperformed using the Chi‑square, paired, or individual t‑tests, when necessary. P value < 0.05 wasconsidered significant.RESULTS: There were no significant differences regarding socio‑demographic characteristics andclinical features between groups at baseline. Intra‑group analysis showed that all outcome measuresin the intervention group were significantly improved. According to inter‑groups analysis, a significantassociation was found between pre‑test and post‑test in the intervention group (P < 0.05).CONCLUSION: Results of this study can clarify the psychological effects of pregnancy loss in thesemothers and help the officials and responsible parties to plan the treatment and rehabilitation of thesewomen and include them in the healthcare system.

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