Pregnant women will be given love cards containing positive affirmations that will be trained outside the classroom by asking the mother to practice alone once a day between waking up, before bed, or when relaxing.

The suggestions will be implanted using simple language, easy to understand, in detail, and straightforward. For example, "From now, I know how to take care of myself in pregnancy and trust in my ability to birth my baby."

Love cards will be developed through literature studies and expert tests containing positive affirmations for pregnancy and childbirth.

The researcher will be used the heel of the hands, moving along the spine; using the palms moving hands with rocking movements from the top of the shoulder blade to the backbone; pressing fingertips, along both sides of the spine from the neck to the backbone and then stroking upward from the hip to the neck; stroking the shoulder muscles(trapezius); inching up the back, using fingertips placed on sides of spine, starting from the hipbone to the neck and then reversing the direction downward using fingertips in a raking fashion; massaging the lower back from the backbone across the waistline using the heel of the palm to make large circles; long gliding strokes from the hip up and over the shoulder (Nair ,. 2020 ; El-Hosary et al,. 2019).

Back massage will be done in four sessions each session takes 10 minutes and will be performed every week.

Self-affirmation is non-pharmacological intervention which represents structured sentences to convey to the subconscious mind to help in reprogramming negative thoughts into positive ones.

Massage is defined as systematic touch of soft tissues for therapeutic purposes, such as pain relief, increased comfort and patient's relaxation

The Kessler Psychological Distress Scale (K10) is a simple measure of psychological distress (Kessler et al., 2003). The K10 scale involves 10 questions about emotional states each with a five-level response scale. The measure can be used as a brief screen to identify levels of distress

The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) is a standardized screening method for measuring fear of childbirth during pregnancy (Wijma et al., 1998).