Abstract
Background and Objectives: Delivery is a painful event, and the management fear of childbirth is of utmost importance. Therefore, the aim of this study was to determine the effectiveness of dialectical behavior therapy techniques training on fear of childbirth in nulliparous women with insecure attachment to spouse. Methods: This clinical trial study was performed in 2021 on 60 pregnant women in Birjand in the third trimester of pregnancy. Insecure attachment pregnant mothers were selected by purposive sampling method and randomly divided between three intervention groups 1 (Dialectical behavior therapy techniques training and Lavender aromatherapy), intervention group 2 aromatherapy with lavender and control group (aromatherapy with water). In order to collect data, demographic questionnaires, attachment to spouse and Harman fear of childbirth were used. Data were analyzed in SPSS statistical software version 25. Results: Intervention groups 1 (Dialectical behavior therapy techniques training and aromatherapy) In comparison with aromatherapy with lavender and control group showed significant effect on reducing fear of childbirth (P<0.01). Conclusion: Dialectical behavioral therapy techniques combined with aromatherapy as an effective intervention to reduce fear of childbirth can be use in the health centers in pregnant women with insecure attachment to the husband.
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