The Effect of Psychodrama for Treating Fear of Childbirth
Condition: Fear of Childbirth
Study type: Interventional

Summary: 
      This study is a randomized controlled study. This research was carried out with the aim of
      determining the effect of psychodrama-based pregnancy education program on fear of childbirth
      (FOC). The population of the study consisted of 18-45 years old pregnant who with high fear
      of childbirth. The sample of the study was determined as 150 pregnant with confidence level
      of 95% and theoretical power of 95%. The pregnant women were divided into two groups of 75
      pregnant. In addition to routine pregnancy training, a 90-minute psychodrama study was
      carried out to the experimental group. Data were collected using the information form, Wijma
      Delivery Expectancy/ Experience Questionnaire Version A (W-DEQ), Wijma Delivery Expectation /
      Experience Questionnaire Version B (W-DEQ), City Birth Trauma Scale and Edinburgh Postpartum
      Depression Scale. The data obtained were assesment using the SPSS (Version 21.0) package
      program on the computer.
    

Detailed description: 
      The pregnant women were divided into two groups of 75 pregnant. In addition to the 6-week
      routine pregnancy training, a 90-minute psychodrama study was conducted to the experimental
      group. The experimental group was divided into 6 subgroups and trained (min = 9, max = 14).
      The control group was divided into 6 subgroups and trained (min = 11, max = 14). Prenatal
      psychodrama is held by psychodrama psychotherapists in individual and group therapy sessions.
      In these sessions the pregnant mother encounters herself, her baby, her partner, her mother,
      her fear of childbirth and the moment of birth; she may act as protagonist in some scenes and
      in this way she closes any unfinished business from the past and rehearses the future in a
      safe therapeutic environment.Data were collected using the information form, Wijma Delivery
      Expectancy/ Experience Questionnaire Version A (W-DEQ), Wijma Delivery Expectation /
      Experience Questionnaire Version B (W-DEQ), City Birth Trauma Scale and Edinburgh Postpartum
      Depression Scale. The data obtained were assesment using the SPSS (Version 21.0) package
      program on the computer.
    

Intervention name(s): Psychodrama group psychotherapy
Intervention type(s): Behavioral
Intervention description(s): In order to reduce the fear of cihildbirth, pregnant women are given 90 minutes right after the training in addition to the routine pregnancy training. In the psychodrama-based pregnancy education program, fear of childbirth were assesment by sociometric measurement in order to increase the awareness of pregnant women about birth fear levels in the first week. Afterwards, they were given the opportunity to express themselves about the factors that may cause fear in pregnant women (their previous traumatic experiences, negative prejudices about childbirth, etc). The group members shared about their process in the first session and the session was ended. The session was evaluated with other researchers. In the following sessions, in order to strengthen their coping with the fear of childbirth, besides psychodrama warm-up games, the basic techniques of psychodrama, role switching, matching and mirror were used in protogonist works.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Fear of childbirth; Pychodrama; Psychoeducation; Childbirth-antenatal education