Abstract Background: Previous studies on the treatment of @entity1 with @entity15892 have focused on the delivery mode. @entity1 with @entity15892 often suffer from @entity308 , and treatment therefore also needs to target postnatal psychological well-being and the early mother- @entity1 relationship. Methods: Three hundred and seventy-one nulliparous @entity1 out of 4575 scored >= 100 in prospective screening (Wijma Delivery Expectancy Questionnaire, W-DEQ-A), indicating severe @entity15892 . These @entity1 were randomised to psychoeducative group intervention with relaxation (n   =   131; six sessions during pregnancy, one postnatal) or to conventional care (n   =   240) by community nurses (referral if necessary). Psycho-emotional and psychosocial evaluations [Edinburgh Postnatal Depression Scale (EPDS), social support, Maternal Adjustment and Attitudes (MAMA), Traumatic Events Scale (TES) and the Wijma Delivery Experience Questionnaire (W-DEQ-B)] were completed twice during pregnancy and/or 3 months postpartum. Results: Postnatal maternal adjustment (MAMA mean score 38.1        4.3 versus 35.7        5.0, p   =   0.001) and childbirth experience (mean W-DEQ-B sum score 63.0        29 versus 73.7        32, p   =   0.008) were better in the intervention group compared with controls. In @entity2357 , social support, participating in intervention, and less fearful childbirth experience predicted better maternal adjustment. The level of @entity308 was significantly lower in the intervention group (mean sum score 6.4        5.4 versus 8.0        5.9 p   =   0.04). There were no differences in the frequency of post-traumatic stress symptoms between the groups. Conclusions: In nulliparous @entity1 with severe @entity15892 , participation in a targeted psychoeducative group resulted in better maternal adjustment, a less fearful childbirth experience and fewer @entity308 , compared with conventional care.

Group psychoeducation with relaxation for severe XXXX improves maternal adjustment and childbirth experience - a randomised controlled trial.

@entity1 :: ('9606', 'Species') :: ['women', 'Women', 'infant'] @entity308 :: ('MESH:D003866', 'Disease') :: ['anxiety and/or depression', 'postnatal depressive symptoms'] @entity15892 :: ('MESH:C563679', 'Disease') :: ['fear of childbirth'] @entity2357 :: ('MESH:C537770', 'Disease') :: ['hierarchical regression']
@entity15892 :: (MESH:C563679,Disease) :: ['fear of childbirth']
