Results
AMD, preeclampsia
MAY, PREECLAMPSIA
The study began in February 2020 but was halted for three months due to the COVID-19 pandemic. It was resumed in May 2020 and was completed in January 2021. In this study, two people from the control group (one due to preeclampsia and the other due to being unavailable) and two people from the intervention group (due to the COVID-19 pandemic and reluctance to attend the sessions on a regular basis) were excluded. Finally, 33 people from each group were studied (Fig. 
The study flow diagramThe mean (SD: standard deviation) ages of participants and their spouses in the intervention group were 30.51 (4.99) and 35.69 (5.02) years, respectively, and 27.89 (5.36) and 33.69 (5.86) years, respectively, in the control group. The intervention group had a mean (SD) gestational age of 26.86 (1.33) weeks and the control group had a gestational age of 26.91 (1.34) weeks. More than half of the intervention group participants (60%) and less than half of the control group participants (45.7%) had an academic education (p = 0.013). Table 
Socio-demographic and obstetric characteristic among participants*these scores indicate the mean (SD)The number of participants before intervention was 70 and after intervention was 66†B.F: Breastfeeding ‡BMI: body mass indexBefore the onset of counseling, the mean (SD) of self-esteem in the intervention group was 15.63 (3.18), while it was 17.83 (3.40) in the control group (p = 0.007). Self-esteem improved to 23.36 (2.34) in the intervention group and 18.40 (2.06) in the control group immediately following the intervention. Four weeks after childbirth, the mean self-esteem score in the intervention group was 24.36 (2.50) and 17.13 (3.40) in the control group. Prior to the intervention, an independent t-test revealed a significant statistical difference between the two groups (p = 0.007). Similarly, after the intervention, the intervention group’s mean self-esteem score was significantly higher than the control group, according to repeated measures ANOVA and after controlling for baseline score and variables such as participants’ and their spouses’ educational level, participants’ age, and intervals between their pregnancies (adjusted mean difference (AMD): 7.18; 95%confidence interval (CI): 4.43 to 9.94; p < 0.001) (Table 
The mean (SD) of self-esteem before, immediately after intervention & 4 weeks after child birthThe independent t-test was used for comparison of the groups before the intervention and repeated measure ANOVA with controlling baseline score and variables of participants & their spouse’s education level, participant’s age and interval between deliveries was used for comparing them after the interventionThe number of participants before intervention was 70 and after intervention was 66†Standard Deviation‡Adjusted Mean Difference (95% Confidence Interval)Before the intervention, the intervention group’s mean (SD) body image was 214.48 (13.16) and the control group’s was 215.63 (14.10). This score was 264.86 (15.97) in the intervention group and 214.66 (21.67) in the control group immediately after the intervention, and it was 270.07 (15.25) in the intervention group and 211.00 (17.48) in the control group 4 weeks later. Prior to the intervention, the independent t-test revealed no statistically significant difference between the two groups (p = 0.727). However, after the intervention, the intervention group’s mean body image score was significantly higher than the control group, according to repeated measures ANOVA with the baseline score and variables such as participants’ and their spouses’ educational level, participants’ age, and intervals between their pregnancies (AMD: 49.74; 95%CI = 28.57 to 70.91; p < 0.001). The value of Mauchly’s W was 1 that indicates no departure from sphericity. The value of Partial Eta Squared in the “Sphericity Assumed” row was < 0.001 (Table 
The mean (SD) of body image and its subscales before, immediately after and 4 weeks after childbirth3.30 (1.20 to 5.40)0.004The independent t-test was used for comparison of the groups before the intervention and repeated measure ANOVA with controlling baseline score and variables of participants and their spouse’s education level, participant’s age & interval between deliveries was used for comparing them after the interventionThe number of participants was 70 before the intervention and 66 after the intervention†standard deviation‡mean difference (confidence interval 95%)Body image has ten subscales, the mean score of which was significantly higher in the intervention group than the control group after intervention for appearance evaluation (p = 0.010), appearance orientation (p = 0.001), fitness evaluation (p = 0.004), fitness orientation (p = 0.001), health evaluation (p = 0.001), health orientation (p = 0.018), and illness orientation (p = 0.002) (Table According to the Chi-square test, 63.6% of mothers in the intervention group and 30.3% of mothers in the control group had exclusive breastfeeding, which was significantly higher in the intervention group than in the control group (p = 0.007).