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Title

EFFICACY OF COGNITIVE BEHAVIORAL THERAPY-BASED SELF-MANAGEMENT INTERVENTION ON LABOR OUTCOME IN NULLIPAROUS WOMEN

Pages

 Start Page 123 | End Page 132

Abstract

 Background and purpose: Pregnancy creates permanent changes in life of women and bringsnew responsibilities which could lead to a great level of stress in women. Stress could result in somecomplications to mother and her neonate during delivery. This study aimed at determining the effect ofCOGNITIVE BEHAVIORAL THERAPY (CBT)-based SELF-MANAGEMENT intervention on LABOR OUTCOME in nulliparouswomen. Materials and methods: This randomized clinical trial was performed in 64 nulliparous womenin Ahvaz, Iran 2016. The subjects were selected using purposive sampling and were assigned into twogroups of case (n=32) and control (n=32). The intervention group attended eight sessions of CBT-basedself-management programme in 28-32 weeks gestational age, while the control group received routineprenatal care. Demographic characteristics were recorded at the beginning of the study and variables oflabor outcome (length of delivery, labor pain, infant’ s Apgar score, the use of oxytocin for augmentation oflabor pain, and satisfaction from delivery process) were recorded using a researcher-made questionnaire. Results: The mean values for pain intensity in the active phase of labor, length of active phaseand second stage of labor, the use of oxytocin for augmentation of labor pain, neonatal Apgar score in 1and 5 min were significantly different in case group compared with those in the control group (P<0. 05). The mean of pain intensity in second stage of labor and length of third stage of labor decreased in theintervention group, but showed no significant differences between the two groups (P>0. 05). Conclusion: According to current study, CBT-based SELF-MANAGEMENT programme couldimprove LABOR OUTCOME.

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