The Effect of Expressive Writing on Fear of Childbirth Among Nulliparous Pregnant Women A Randomized Controlled Trial
Author(s):
Article Type:
Research/Original Article (دارای رتبه معتبر)
Abstract:
Background
Fear of childbirth (FOC) is a common and complicated problem among nulliparous pregnant women.
Objectives
The aim of this study was to compare the effects of expressive writing and neutral writing on FOC in nulliparous pregnant women.
Methods
A randomized controlled trial was conducted on 90 nulliparous pregnant women referred to selected comprehensive health centers in Isfahan for prenatal care from May 1 to September 30, 2021. The participants were recruited consecutively and randomly allocated to two groups to perform either expressive writing or neutral writing at home for 20 min daily for 7 days. Before and after the intervention, FOC was measured using the Wijma Delivery Expectancy/Experience Questionnaire. Paired t-test, independent t-test, and Chi-square were used for statistical analysis.
Results
The mean age of pregnant women was 29.93 ± 5.20 and 29.18 ± 5.65 years in the usual and expressive writing groups, respectively. The mean FOC scores of the women in the neutral writing and expressive writing groups were 36.31 ± 7.35 and 35.96 ± 6.80, respectively, at baseline (P = 0.81) and changed to 34.98 ± 8.18 and 31.58 ± 7.99, respectively, at the end of the study (P < 0.04). The paired t-test showed that the mean FOC score of the expressive writing group decreased significantly at the end of the study (P < 0.001), whereas it did not change significantly in the neutral writing group (P = 0.11).
Conclusion
Expressive writing can reduce FOC in nulliparous pregnant women and can be used as an effective, low-cost, simple, and accessible method.
Keywords:
Childbirth , Expressive writing , Fear , Iran , Nulliparous , Tokophobia
Language:
English
Published:
Nursing and Midwifery Studies, Volume:11 Issue: 3, Jul -Sep 2022
Pages:
177 to 182
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