The Effect of Esmadem Education Model on Spiritual Coping, Tolerance and Depression of High-Risk Pregnant Women

Pregnancy is a normal and natural process in a woman's life. During this process, anatomical, physiological, biochemical and emotional changes are observed. The changes are a period in which social, biophysical and psychological changes are experienced, which also means a journey into the unknown for the woman and her family. Although the scope of prenatal care is high today, the main focus is on the physical aspects of care and medical precautions. Midwives who provide holistic care should also address spiritual care. Therefore, the ESMADEM training model will be conducted to examine the effect of the spiritual coping, prenatal attachment and fear of birth of pregnant women.

Pregnancy is a normal and natural process in a woman's life. During this process, anatomical, physiological, biochemical and emotional changes are observed. The changes are a period in which social, biophysical and psychological changes occur, which also mean a journey into the unknown for the woman and her family . It has been reported that supporting pregnant women by midwives during this period and encouraging birth as a positive experience reduces fear of birth and increases prenatal attachment . In facilitating adaptation to the changes experienced and increasing the level of health; Complementary practices and education such as exercise, biofeedback, meditation, and prayer are used . One of these practices is spiritual care. Spirituality involves recognizing one's goals in life and the meaning of life. These conceptualizations are not always associated with religious beliefs. The purpose of spiritual care is to help people seek meaning and purpose in life. Spiritual teachings can have behavioral, cognitive, emotional and ethical aspects and can manifest themselves with trust, patience and prayer . One of these prayers is Esmâ-i Hüsnâ. Esmâ-i Hüsnâ is an expression that expresses all the names that are stated to belong to. Esmadem: It is a spiritual support model that provides significant contributions to spiritual development and life skills, where life skills are acquired and psychological and guidance practices are included, and aims at cognitive, emotional and behavioral gains. In this model, the name Şekur is taken as the center for stress. Along with this center name, the names Hallak, Bâki, Melik, Kahhâr and Muntekim are given for depression; Müheymin and Rakib for anxiety; and Halim, Latif, Rezzak, Rahman, Rahim for stress. Although the scope of prenatal care is high today, it is seen that the main focus is on the physical aspects of care and medical precautions. Midwives who provide holistic care should also take spiritual care into consideration. Therefore, the ESMADEM training model will be conducted to examine the effect of the spiritual coping, prenatal attachment and fear of birth of pregnant women.

Eligibility Criteria:
Inclusion Criteria:

* Able to speak, understand and write Turkish,
* Ages 18-35,
* Having a spontaneous pregnancy,

  * Volunteering to participate in the study,
  * According to the last menstrual period (LMS) or ultrasonography (USG) records, in the 24th week of pregnancy,
  * No risk factors,
  * Having a phone number to contact for educational meetings,
  * Participating in a pregnancy school

Exclusion Criteria:

* Pregnant women who had fear of childbirth

  * Chronic and/or psychiatric health problems
  * Failed to attend at least three sessions of the training program Who were at risk during any stage of the study Who could not be interviewed within the first 24 hours after birth were excluded from the study.