en Midwifery Orginal research <div style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="background:white"><span style="color:#2980b9;"><strong>Background:</strong>&nbsp;</span><span style="color:#0f1115">Spontaneous abortion is a physically and psychologically distressing event, often necessitating psychological support in subsequent pregnancies to mitigate adverse mental health outcomes.</span></span><br> <span style="background:white"><span style="color:#2980b9;"><strong>Objectives:</strong></span><span style="color:#0f1115">&nbsp;This study aimed to evaluate the effectiveness of individual cognitive-behavioral therapy (CBT) counseling in reducing stress and improving the quality of life among pregnant women with a history of spontaneous abortion.</span></span><br> <span style="background:white"><span style="color:#2980b9;"><strong>Methods:</strong></span><span style="color:#0f1115">&nbsp;A parallel-group randomized controlled trial was conducted with 72 pregnant women at 6&ndash;10 weeks of gestation, all of whom had a prior spontaneous abortion and exhibited stress symptoms. Participants were randomly assigned to an intervention group (n=36) receiving 10 individual CBT sessions or a control group (n=36) receiving routine prenatal care. Stress and quality of life were assessed at baseline, post-intervention, and two-month follow-up. Nonparametric statistical analyses were performed, with significance set at p < 0.05.</span></span><br> <span style="background:white"><span style="color:#2980b9;"><strong>Results:</strong></span><span style="color:#0f1115">&nbsp;Post-intervention, the CBT group showed a significant reduction in stress levels compared to controls (from 28.3 to 19.9 post-intervention and 19.7 at follow-up; p < 0.001). Significant improvements were also observed in psychological, social, environmental, and general health domains of quality of life (e.g., overall QoL increased from 60.4 to 70.8; p < 0.001). These benefits were largely maintained at the two-month follow-up, though no significant change occurred in the physical domain.</span></span><br> <span style="background:white"><span style="color:#2980b9;"><strong>Conclusion:</strong></span><span style="color:#0f1115">&nbsp;Individual CBT counseling is an effective intervention for reducing stress and enhancing quality of life in pregnant women with a history of spontaneous abortion, supporting its integration into prenatal mental health care for this vulnerable group.</span></span></span></span></span></div> Individual Counseling, Cognitive-Behavioral Approach, Stress, Quality of Life, Spontaneous Abortion 6 18 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-170-2&slc_lang=en&sid=1 zahra Azadi Z.azadi9701@yahoo.com 100319475328460014361 100319475328460014361 No Amir al-Momenin Hospital, Khodabandeh, Zanjan University of Medical Sciences, Iran. Roqiyeh Kharghani r.kharaghani@yahoo.com 100319475328460014362 100319475328460014362 No Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Iran Taraneh Emamgholi khooshehchin khoosheh@zums.ac.ir 100319475328460014363 100319475328460014363 Yes Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Iran Loghman Ebrahimi ebrahimi.loghman@yahoo.com 100319475328460014364 100319475328460014364 No Department of Psychology, School of Humanities, University of Zanjan, Iran