Cognitive behavior stress management during pregnancy: a randomized controlled trial

Abstract

Background: Pregnancy stress could lead to adverse health outcomes for both mother and child. Few studies have explored the effectiveness of stress management strategy among pregnant women.

Objectives/aims/hypotheses: To examine the effectiveness of cognitive-behavioral stress management for pregnant women.

Design: Randomized Controlled Trial.

Methods: 100 pregnant women (at 6-8 week of pregnancy) were selected by convenience sampling. Participants in the control group (N = 50) received routine prenatal examination and health education, while those in the intervention group (N = 50) received cognitive-behavioral stress management. Pregnancy Pressure Scale was measured at baseline and 39th weeks of pregnancy.

Results: Pregnancy Pressure Scale score increased in both intervention and control groups. However, the score in the intervention group was significantly lower than those in the control group (p < 0.01).

Conclusions: Cognitive-behavioral stress managment can effectively reduce pregnant women's stress levels.

Impact statement: Nurses and midwives should conduct cognitive-behavioral stress management to help pregnant women reduce their stress.

Keywords: child health; cognitive behavioral therapy; health education; pregnancy; pregnancy outcome; pregnant women; stress.