Effects of Accumulation of Willpower Program During pregnancy on Fear, Labor Pain, and Duration of Labor of Primiparous Laboring Women

INTERVENTION: Accumulation of Willpower Program During Pregnancy,Routine Antenatal Care Experimental Behavioral,Active Comparator Behavioral Participants in the intervention group received routine antenatal care together with the Accumulation of Willpower Program during pregnancy. Routine antenatal care included history taking physical examination abdominal examination health education fetal movement counting and advice regarding abnormal signs requiring hospital attendance. The intervention program consisted of 3 sessions conducted at 26 to 29 weeks 32 weeks and 36 weeks of gestation. Session 1 lasted 2 hours and 30 minutes and included meditation education video media walking meditation sitting meditation and home practice instruction. Participants practiced walking meditation and sitting meditation together and received guidance for continuous home practice. Follow up was conducted through practice record books Google Forms monthly meetings and the LINE application with reminders twice daily. Sessions 2 and 3 each lasted 1 hour and 20 minutes and included follow up of meditation practice discussion of experiences review of walking meditation and sitting meditation and reinforcement for continuous practice. During labor participants received routine intrapartum care. Fear of childbirth physical pain and distress pain were assessed during the active phase of labor and the second stage of labor using Likert scale questionnaires and Visual Analogue Scales. Duration of the first and second stages of labor was recorded from labor records.,Participants in the control group received routine antenatal care and routine intrapartum care provided by the hospital. Routine antenatal care included history taking physical examination abdominal examination health education self care advice fetal movement counting and advice regarding abnormal signs requiring hospital attendance. During labor participa CONDITION: Fear of childbirth Labor pain Pregnancy Primigravida ; Meditation; Pregnancy; Labor pain; Parturition; Mindfulness; Primigravida Meditation; Pregnancy; Labor pain; Parturition; Mindfulness; Primigravida PRIMARY OUTCOME: Fear of Childbirth Baseline active phase and within 1 hour postpartum Fear of childbirth questionnaire using Likert scale,Physical Pain Active phase 1 hour 2 hours full dilatation and second stage Visual Analogue Scale VAS,Distress Pain Active phase 1 hour 2 hours full dilatation and second stage Visual Analogue Scale VAS,Duration of First Stage of Labor First stage of labor Labor record,Duration of Second Stage of Labor Second stage of labor Labor record INCLUSION CRITERIA: 1.Primiparous pregnant women 2.Buddhist religion 3.Age 19 to 34 years 4.Gestational age 26 to 29 weeks at enrollment 5.Singleton pregnancy 6.Cephalic presentation 7.No underlying disease or pregnancy complications 8.Planning vaginal delivery 9.Able to communicate in Thai 10. Able to use the LINE application