Autogenic Training Effects on Pre-eclampsia
Condition: Pre-Eclampsia
MeSH terms: Eclampsia; Pre-Eclampsia
Study type: Interventional

Summary: 
      The purpose of study is to find the effects of autogenic training on blood pressure and
      anxiety in preeclampsia females. There is little of evidence to allow conclusions about
      effectiveness of autogenic training on preeclampsia Therefore this study will add to the
      growing body of knowledge that if autogenic training is better than any other protocol for
      preeclampsia and anxiety then it should be a choice of therapy treatment. This study can
      provide help pregnant females and other society members to think about treatment of
      preeclampsia and anxiety other than medical approach.
    

Detailed description: 
      Pre-eclampsia is a disorder of pregnancy characterized by the onset of high blood pressure
      and often a significant amount of protein in the urine. When it arises, the condition mostly
      begins after 20 weeks of pregnancy. In severe cases of the disease there may be red blood
      cell breakdown, a low blood platelet count, impaired liver function, kidney dysfunction,
      swelling, shortness of breath due to fluid in the lungs, or visual disturbances.
      Pre-eclampsia increases the risk of undesirable outcomes for both the mother and the fetus.
      Pre-eclampsia affects approximately 2-8% of all pregnancies worldwide. Pre-eclampsia is much
      more common in women who are pregnant for the first time or have obesity, diabetes and
      autoimmune disease.

      Randomized controlled trial (RCT) will be conducted to find the effects of autogenic training
      on blood pressure and anxiety in females having pre-eclampsia, the data will be collected
      from National Hospital and Sofia clinic via sphygmomanometer and DASS-21 scale. Sample size
      of 26 females is taken. Non probability convenient sampling will be used. A written consent
      form will be taken from participants meeting inclusion criteria and will be randomly
      allocated into two groups through lo1.ttery method to either Group A or Group B. Treatment
      will be given 3 times per week for 4 weeks. Sphygmomanometer will be used to check the blood
      pressure reading and DASS-21 questionnaire will be used to access anxiety in the females. All
      participants in both groups will be evaluated before and after the treatment program. Total
      duration of the study will be ten months. Data will be analyzed by using SPSS 21.
    

Intervention name(s): Autogenic training; Conventional treatment
Intervention type(s): Other; Other
Intervention description(s): Relaxation procedures will be performed in the following steps: First step - preparation: Each pre-eclamptic woman will be instructed about this method of treatment and its importance for reducing blood pressure to gain her confidence and cooperation during treatment. Second step - AT: The session began with a few minutes of mental relaxation as the patient will be asked to imagine herself in a lovely place that makes her relaxed. Each session include 18 exercises combining both relaxation and auto-suggestion (limb heaviness exercise, limb warmth exercise, cardiac exercise, respiration exercise, solar plexus warmth exercise, and "forehead cooling" exercise).
About 30 sec will be allowed for each exercise and a further 30-40 sec will allowed for continuing attention focusing by the patient. Third step - termination; Patients will receive conventional treatment
Other intervention name(s): Control group
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment