The Effect of Pregnancy-Adaptation Training Package on the Anxiety of Pregnant Women with a Prior History of Fetal or Neonatal Death

Background & aim: One of the factors of affecting maternal anxiety is a history of fetal death or neonatal death. This anxiety affects fetal and maternal health. By consideration the impact of anxiety on fetal and maternal health and the lack of protective activities in this field, this study was done to determine the impact of adaptation with pregnancy educational package on anxiety and maternal fetal attachment in pregnant women with a history of baby loss. Methods:60 pregnant women were selected in two studying group with previous fetal death or neonatal death by convenience sampling and were randomly assigned to control and intervention groups. Educational package includes: teaching session s adaptation with pregnancy in four 60- minutes, training booklet and CD, maternal educating was beginning from 23 week gestation. Maternal anxiety measured before and after the intervention in both groups using the Mann-Whitney and Kruskal-Wallis test and STAI anxiety questionnaire was compared. Results: visible and invisible Anxiety scores had not significant difference between two groups pre-intervention. Immediately after the intervention visible and invisible anxiety scores in the experimental group was better than the control group (P ≤ 0.05, P ≤ 0.05 vice versa). Conclusion: Adaptation with pregnancy educational package reduces anxiety in pregnant women with a history of fetal or neonatal death. So, due to reduce the damaging effects of anxiety on the mother and fetus in pregnancy, holding effective proceeding for reducing anxiety such as: holding training courses are recommended for pregnant women with a history of fetal or neonatal death.

Keywords:

Anxiety , Adaptation , baby loss , pregnancy