[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"pregnancy-related-anxiety-pra\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:pregnancy-related-anxiety-pra":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":28,"overallStatus":34,"whyStopped":4,"lastUpdateSubmitDate":35,"lastUpdatePostDateStruct":36,"startDateStruct":39,"completionDateStruct":41,"leadSponsor":43,"locationsCount":5},"100617810","a-midwife-led-psychoeducational-intervention-to-reduce-pregnancy-related-anxiety-in-low-risk-pregnant-women-100617810",false,"NCT07323459","A Midwife-Led Psychoeducational Intervention to Reduce Pregnancy-Related Anxiety in Low-Risk Pregnant Women","Effectiveness of an Individual Midwife-Led Psychoeducational Intervention in Reducing Pregnancy-Related Anxiety in Pregnant Women","Inclusion Criteria:\n\n* Pregnant women in the second or third trimester of pregnancy\n* Elevated level of pregnancy-related anxiety (PrA)\n* Low obstetric risk pregnant women (no significant medical contraindications to vaginal delivery)\n* Consent to participate in individual psychoeducational sessions\n* Ability to communicate in Polish at a level sufficient to understand the materials and participate in the sessions\n\nExclusion Criteria:\n\n* Pregnant women with severe mental disorders requiring urgent psychiatric intervention\n* Women with serious obstetric complications in the current pregnancy requiring intensive medical monitoring (e.g., severe hypertension, imminent preterm delivery requiring hospitalization)\n* Patients already undergoing intensive psychotherapy or pharmacotherapy for anxiety\n* Lack of consent to participate or inability to attend sessions (e.g., due to logistical reasons)\n* Pregnant women whose pregnancy-related anxiety is not the primary concern, with other dominant anxiety disorders (e.g., GAD unrelated to pregnancy) or other priority health needs","FEMALE","18 Years",{"count":19,"type":20},80,"ESTIMATED","INTERVENTIONAL",[23],"NA","The goal of this clinical trial is to evaluate whether an individualized psychoeducational intervention led by an experienced midwife can reduce pregnancy-related anxiety (PrA) in pregnant women during the second and third trimesters. The main questions it aims to answer are:\n\n* Can individualized midwife-led psychoeducation significantly reduce pregnancy-related anxiety levels as measured by the PRAQ-R2 questionnaire?\n* Does this intervention improve women's sense of control, competence, and readiness for childbirth?\n* Can the intervention reduce preferences for cesarean section without medical indication among low-risk pregnant women?\n\nParticipants will:\n\n* Attend 4-6 individual sessions (approximately 60 minutes each) with a midwife, scheduled every 1-2 weeks\n* Complete the Pregnancy-Related Anxiety Questionnaire (PRAQ-R2) at the beginning and end of the intervention to measure anxiety levels\n* Receive evidence-based education about the physiological process of childbirth, pain management methods (both pharmacological and non-pharmacological), and medical procedures\n* Learn and practice stress-reduction techniques including breathing exercises, relaxation methods, and mindfulness\n* Develop an individualized birth plan and practice communication skills for effective interaction with medical personnel\n* Work on cognitive strategies to address negative thoughts and build positive affirmations about childbirth",[26,27],"Pregnancy-Related Anxiety (PrA)","Fear of Childbirth",[29,30,31,32,33],"prenatal care","pregnancy-related anxiety","maternal mental health","anxiety","pregnancy","NOT_YET_RECRUITING","2025-12-31",{"date":37,"type":38},"2026-01-07","ACTUAL",{"date":40,"type":20},"2026-01-01",{"date":42,"type":20},"2028-02-28",{"name":44,"class":45},"Medical University of Gdansk","OTHER"]