Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Fear of Childbirth - Comparison of Two Treatment Options: Internet Given Behavioral Therapy and Counseling by Midwife- a Clinical Randomized Controlled Trial
Brief Summary: Childbirth related fear is a public health issue strongly related to subsequent reproduction, a request for caesarean section and women's and children's health. Currently, women are offered 3-5 counseling sessions with specially trained midwives and obstetricians in most Swedish hospitals as standard care (SC). In general, women are satisfied with counseling but research show no major effect on cesarean section rates neither in decreased level of childbirth related fear. It is therefore important to find the best available treatment for this issue.

The aim of this program is to compare Internet given cognitive behavior therapy (ICBT) with standard counseling care for pregnant women reporting childbirth related fear.

Research questions: What effect does ICBT compared to SC have on a) the level of childbirth related fear b) a request for cesarean section c) compliance and satisfaction with treatment.

Design: A randomized controlled trial of women reporting childbirth related fear during pregnancy. One arm will receive SC and one arm ICBT though the U-CARE platform. Follow up of given treatment will occur at 30 and 36 weeks of pregnancy, two months and one year after birth. Intervention: The intervention will focus on management of childbirth related fear. This means that the participants do weekly sessions and homework assignments during pregnancy.

Primary outcome will be level of childbirth related fear measured at 36 weeks of pregnancy.

Secondary outcomes are level of childbirth related fear at 2 months and one year after birth, preferences for mode of birth, request for elective cesarean section, compliance and satisfaction with treatment and costs.

Expected benefits: This study will contribute to the development of new treatment methods for childbirth related fear. Evidence of the best treatment to reduce childbirth related fear based on the results from this study could be implemented in clinical practice and hopefully decreases the numbers of cesarean sections without medical indications.


Options:
A: Arm Label: Therapy by iCBT; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Therapy by iCBT | Arm Label: Standard care-Counselling; Type: OTHER; Interventions: Other: Standard care-counselling | Intervention Type: BEHAVIORAL; Name: Therapy by iCBT; Assigned to Arm(s): Therapy by iCBT | Intervention Type: OTHER; Name: Standard care-counselling; Assigned to Arm(s): Standard care-Counselling
B: Arm Label: Labor Dance and music groups; Type: EXPERIMENTAL; Interventions: Behavioral: Labor dance, Behavioral: Music | Arm Label: Control group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Labor dance; Assigned to Arm(s): Labor Dance and music groups | Intervention Type: BEHAVIORAL; Name: Music; Assigned to Arm(s): Labor Dance and music groups
C: Arm Label: M-O-M-S Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Mentors Offering Maternal Support (M-O-M-S) | Arm Label: Routine Prenatal Care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Mentors Offering Maternal Support (M-O-M-S); Assigned to Arm(s): M-O-M-S Intervention
D: Arm Label: Psychoeducative group therapy; Type: EXPERIMENTAL; Interventions: Behavioral: Psychoeducative group therapy | Arm Label: Control; Type: NO_INTERVENTION; Interventions: Behavioral: Psychoeducative group therapy | Intervention Type: BEHAVIORAL; Name: Psychoeducative group therapy; Assigned to Arm(s): Control, Psychoeducative group therapy

Answer: A