The Effect of Counseling on the Pregnant Women’s Stress of Covid-19: A Clinical Trial Study

Hamideh Moosavi Khosravi; Soodabeh Aghababaei; Farideh Kazemi; Azita Tiznobaik; Shahnaz Kohan

doi:10.18502/jfrh.v16i3.10580

Hamideh Moosavi Khosravi Department of Midwifery and Reproductive Health, Hamadan University of Medical Sciences, Hamadan, Iran
Soodabeh Aghababaei Department of Maternal and Child Health, Mother and Child Care Research Center, School of Nursing and Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Farideh Kazemi Department of Midwifery and Reproductive Health, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Azita Tiznobaik Department of Midwifery and Reproductive Health, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Shahnaz Kohan Department of Midwifery and Reproductive Health, School of Nursing and Midwifery Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

DOI: https://doi.org/10.18502/jfrh.v16i3.10580

Keywords: Pregnant Women; Covid-19; Stress; Individual Counseling

Abstract

Objective: Due to the Covid-19 pandemic crisis, which causes stress and threatens health, especially in vulnerable groups including pregnant women, the present study was conducted to determine the effect of individual counseling on the pregnant women’s stress of Covid-19.

Materials and methods: In this randomized controlled clinical trial, 66 pregnant women in 24 to
28 weeks were randomly divided into two groups of intervention (33 participants) and control
(33 participants). At the beginning of the study, both groups completed the questionnaires of demographic information and pandemic related pregnancy test. Then, the intervention was performed in 3 sessions with the interval of one week, in the form of individual counseling by BELIFE method for the experimental group. The control group received only the routine services of the centers. The post-test was performed two weeks after the last consultation session for both groups. Data were analyzed using Stata-13 software. Significance level was considered 0.05.

Results: The experimental and control groups were almost homogeneous in terms of quantitative and qualitative demographic variables. Total mean and standard deviation of stress score, before and after the intervention in the experimental group, were 40.27 ± 12.65 and 41.71 ± 1.74, respectively. These numbers in the control group were 33.84 ± 13.08 and 43.84 ± 1.69. Comparing the two groups in terms of stress score which was done after the intervention showed that although the stress score in the experimental group was lower than that in the control group, this difference was not statistically significant (p = 0.39).

Conclusion: The results of this study show that although individual counseling for pregnant women was able to reduce the mean scores of stress of Covid-19 in the experimental group, this difference was not statistically significant. Therefore, although the BELIFE individual counseling method for pregnant women, who naturally suffer from pregnancy stress, is an acceptable way to reduce their stress, it is recommended to plan and implement early and more effective interventions for these women because the course of stress is severe in them and has an upward trend during Covid-19 pandemic.