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Women in their 3rd trimester, represent a unique segment of the tokophobic population. In these cases help is needed within a very short and limited period of time. To date, no specific treatment targets this population in order to ameliorate the anxiety and to provide these women and their newborns with better obstetric and psychiatric outcomes. The present study investigates an accessible individual two session intervention conducted by midwives skilled in CBT (cognitive behavioral therapy) . This intervention is designed to enable stronger emotional regulation and increase of their capacity to accept unexpected changes during labor and feelings of control. The investigators expect this psychological adjustment to lead to a better course of delivery, less interventions including caesarian sections, and subjective birth experience.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Active Comparator | will receive 2 sessions of 90 minutes each of a cognitive behavioral protocol for the treatment of Tokophobia administered by a CBT trained midwife. |
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| Control group | Sham Comparator | will receive 2 sessions of a delivery preparation course (practice as usual). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CBT | Behavioral | novel cognitive behavioral protocol for the treatment of tokophobia |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pregnancy-Related Anxiety Questionnaire | a widely used instrument to assess and identify pregnancy-specific anxiety in women | In the end of second session of intervention- up to 4 weeks from screening |
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Inclusion Criteria:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gabi Aisenberg Romano, PhD | Contact | 052-4262816 | gabiar@tlvmc.gov.il |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Tel Aviv Sourasky Medical Center | Tel Aviv | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34231203 | Derived | O'Connell MA, Khashan AS, Leahy-Warren P, Stewart F, O'Neill SM. Interventions for fear of childbirth including tocophobia. Cochrane Database Syst Rev. 2021 Jul 7;7(7):CD013321. doi: 10.1002/14651858.CD013321.pub2. |
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| ID | Term |
|---|---|
| C562465 | Phobia, Specific |
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| ID | Term |
|---|---|
| C005703 | salicylhydroxamic acid |
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| Sham |
| Other |
standard birth preparation sessions. |
|