en پژوهشی اصيل Original Research <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:9.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d">Aims:</span></span></span></b><span style="font-size:9.0pt"><span cambria="" style="font-family:"> Fear of childbirth (FOB) in pregnant women is critical because it may affect prenatal outcomes</span></span><b><span style="font-size:9.0pt"><span cambria="" style="font-family:">.</span></span></b><span style="font-size:9.0pt"><span cambria="" style="font-family:"> This study aimed to determine the effect of cognitive-behavioral education on fear of childbirth during pregnancy.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:9.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d">Materials & Methods:</span></span></span></b> <span style="font-size:9.0pt"><span cambria="" style="font-family:">A clinical trial study with two intervention groups and one control group was conducted among nulliparous women visiting Gorgan health centers in the first six months of 2018. </span></span><span lang="EN" style="font-size:9.0pt"><span cambria="" style="font-family:">Among </span></span><span style="font-size:9.0pt"><span cambria="" style="font-family:">211 nulliparous pregnant women, 104 with a FOB score of 55 or higher were divided into control and intervention groups. The women in the intervention group </span></span><span lang="EN" style="font-size:9.0pt"><span cambria="" style="font-family:">were randomly assigned to two groups.</span></span><span style="font-size:9.0pt"><span cambria="" style="font-family:"> The first intervention group received </span></span><span style="font-size:9.0pt"><span cambria="" style="font-family:">conventional prenatal </span></span><span style="font-size:9.0pt"><span cambria="" style="font-family:">education, the second group received cognitive-behavioral techniques, and the control group received routine prenatal care. The data collection tool was the Wijma Delivery/Expectancy Fear of Childbirth Questionnaire (version A). The data were analyzed using SPSS version 18 and Chi-square, Fisher&rsquo;s exact test, ANOVA, and Welch. Paired <i>t</i>-test, Wilcoxon tests, ANOVA, and Kruskal-Wallis tests.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:9.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d">Findings:</span></span></span></b> <span style="font-size:9.0pt"><span cambria="" style="font-family:">Comparing the rate of change in the scores of FOB indicated significant differences in all fields between the control and cognitive-behavioral techniques groups (p<0.05), but the </span></span><span style="font-size:9.0pt"><span cambria="" style="font-family:">conventional prenatal </span></span><span style="font-size:9.0pt"><span cambria="" style="font-family:">education</span></span> <span style="font-size:9.0pt"><span cambria="" style="font-family:">group showed no significant difference (p>0.05). However, the control group exhibited a significant increase in all fields of <a name="_Hlk134788087">FOB</a>, while the cognitive-behavioral techniques group showed a significant reduction.</span></span><span lang="AR-SA" dir="RTL" style="font-family:"IRANSharpSmall Light","sans-serif""></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:9.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d">Conclusion:</span></span></span></b> <span style="font-size:9.0pt"><span cambria="" style="font-family:">FOB is reduced more in pregnant women with prenatal education based on cognitive-behavioral techniques than conventional education. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:9.0pt"><span cambria="" style="font-family:"><span style="color:#1f497d"></span></span></span></span></span></span><br> &nbsp; Pregnancy,Fear,Childbirth,Group Instruction,Cognitive-Behavioral Techniques, 83 89 http://jccs.yums.ac.ir/browse.php?a_code=A-10-218-1&slc_lang=en&sid=1 N. Borghei borghei2006@yahoo.com 10031947532846004601 10031947532846004601 Yes “Counseling and Reproductive Health Research Centre” and “Department of Midwifery, School of Nursing and Midwifery”, Golestan University of Medical Sciences, Gorgan, Iran H. Alijani alijani1349@gmail.com 10031947532846004602 10031947532846004602 No “Counseling and Reproductive Health Research Centre” and “Department of Midwifery, School of Nursing and Midwifery”, Golestan University of Medical Sciences, Gorgan, Iran F. Naghinasab Ardehaee fnaghinasab@gmail.com 10031947532846004603 10031947532846004603 No “Counseling and Reproductive Health Research Centre” and “Department of Midwifery, School of Nursing and Midwifery”, Golestan University of Medical Sciences, Gorgan, Iran