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The effect of integrating midwifery counseling with a spiritual content on improving the antenatal quality of life: A randomized controlled trials


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Figure 1

Flow chart of the participant’s selection.
Flow chart of the participant’s selection.

The comparison of number (percent) of socio-demographic characteristics between two groups

Variable Groups
P-value
Intervention
Control Number (percent)
Frequency Percentage Frequency Percentage
Woman’s Education woman GuidanceHigh schoolDiplomaAcademic 211215 6.73.34050 211017 6.73.333.356.7 0.44
Woman’s Employment EmployedHousewife 1416 46.753.3 1020 33.366.7 0.43
Spouses’ employment EmployedUnemployed 1713 56.743.3 219 7030 0.42
Age (years) Mean ± standard deviation 25.80 ± 6.37 24.30 ± 6.80 0.38
Gestational age (week) 21.80 ± 1.27 21.60 ± 1.40 0.56

Details of the intervention

Sessions Counseling content Session homework
First The first session was to meet the participants and researcher, to explain the aim, the rules, and the brief full program. Providing pre-test. Talking about the concept of quality of life, self-concept in pregnancy, and checking misconceptions. Focus on human creation and discussing concerning the status of women in the continuity of creation Practice looking at their life issues from other angles. Prepare a list of pregnancy stressors. Be aware of the stresses that accumulate all over your body and make you suffer.
Second Assessing attitudes and beliefs of the pregnant woman on spiritual issues, the role of god, and religion in her life. Talking about the spiritual aspects of pregnancy and childbearing. Listening to the physical and mental problems, worries, fears, ambivalence sense in early pregnancy and her actions in daily life. Visualize unfavorable conditions and try to switch appropriate and positive reactions in your mind to inappropriate ones.
Third Discussing the positive effects of helping each other in our life. Finding the truth of their existence, not just addressing personal desires in pregnancy Focus on the concept of trust, resort, patience, kindness. Listening to positive statements of participants based on reading the holy book, and spiritual issues in overcoming or feeling calm in stressful situations. Create a daily spiritual space of time or place at home. Reflect on what others are saying and pay attention to the root cause of others’ behavior or speech and try not to react too quickly.
Fourth Blessings of God and the role of it in reinterpreting the concept of pregnancy and overcoming the worrisome symptoms of pregnancy. Strengthening individuals’ inner hope and powers for coping with pregnancy and childbearing. Teaching relaxing muscles with deep breathing for getting rid of the stress. Repeat twice daily for 10 to 15 minutes Book therapy / listening to Qur’an voices for 10 min.
Fifth Discussing the role of patience and trust in God in enduring the pain of childbirth and the spiritual reward of pregnancy, childbirth, and breastfeeding for the mother. Encouraging to express their feeling after/ during creating a daily spiritual space. Talking about the experience of participating in religious programs or doing spiritual issues. Discuss the effect of spiritual’s beliefs on eating habits on the fetus, taking care of oneself in pregnancy. Listening to “Nature’s Music” the sound of birds, rivers, and waterfalls…
Sixth Encouraging to refer to people who create a positive atmosphere or with which she feels comfortable. Illustration and slowly moving tone using meditation relaxation technique along or with listening to relaxing music Take a realistic look at the issues and changes that have taken place in their pregnancies Do not be strict or easy-going. Allocate as much attention and time as needed to each issue Book therapy / listening to Qur’an voices for 10 min.
Seventh Pay attention to the concepts of resentment, unforgiveness, guilt, and forgiving oneself and others. Discuss the strategy of prayer therapy to reduce some symptoms of pregnancy related to pregnancy and increase hope Express the pleasure and responsibility of being a mother from the point of view of the Quran” Divine Responsibility Reward” Focus on motherhood and look at pregnancy in terms of your productive and fertile period Enjoy the hardships of pregnancy and childbirth happily. Face these hardships and endure it
Eighth Reviewing and summarizing the previous sessions’ topics Relaxing muscles with deep breathing for getting rid of the stress. Repeat twice daily for 10 to 15 minutes

The comparison of quality-of-life (QoLSF-36) and its domains scores between two groups

Intervention
Control
SF-36 Domains Mean SD Mean SD P-value
Physical functioning Pretest 26.75 8.43 30.25 5.14 0.05
Post-test 31.08 8.29 27.58 5.62 0.06
P-value Paired t-test = 0.0001 Paired t-test = 0.07
Bodily pain Pretest 32.91 22.62 33.75 16.78 0.87
Post-test 33.75 25.24 38.33 20.74 0.44
P-value Paired t-test = 0.73 Paired t-test = 0.34
physical role limitations Pretest 6.25 5.91 5.20 5.46 0.48
Post-test 13.33 7.65 6.25 5.44 0.0001
P-value Paired t-test = 0.0001 Paired t-test = 0.16
Emotional role functioning Pretest 16.66 8.47 16.66 8.47 1
Post-test 29.16 9.22 16.94 8.32 0.0001
P-value Paired t-test = 0.0001 Paired t-test = 0.91
Social role functioning Pretest 35.41 12.74 37.08 8.97 0.56
Post-test 38.33 11.80 37.91 8.97 0.87
P-value Paired t-test = 0.18 Paired t-test = 0.72
Mental health Pretest 57.00 7.61 58.50 6.45 0.41
Post-test 62.33 8.78 57.16 6.78 0.01
P-value Paired t-test = 0.0001 Paired t-test = 0.45
Vitality Pretest 49.79 8.44 49.16 8.64 0.77
Post-test 63.33 4.85 49.16 8.64 0.0001
P-value Paired t-test = 0.0001 Paired t-test = 0.18
General health perceptions Pretest 35.16 7.59 33.83 5.20 0.43
Post-test 46.66 7.46 32.33 4.09 0.0001
P-value Paired t-test = 0.0001 Paired t-test = 0.34
Total Quality of Life Score Pretest 85.66 5.44 86.86 3.36 0.31
Post-test 96.46 4.44 85.76 4.04 0.0001
P-value Paired t-test = 0.0001 Paired t-test = 0.23
eISSN:
2719-535X
Sprache:
Englisch
Zeitrahmen der Veröffentlichung:
Volume Open
Fachgebiete der Zeitschrift:
Medizin, Klinische Medizin, Kinder- und Jugendmedizin, Kinderhämatolgie und -Onkologie, Öffentliches Gesundheitswesen