Effect of Mindfulness Education in Primiparous Pregnant Women

NCT05250479 | Unknown

• 1 other identifier: ozlem20
• Study Type: interventional
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

While adaptation is generally achieved to the psychological changes that develop during pregnancy, some women may experience psychological changes such as contradiction, uncertainty, introversion, passive personality, addiction, fear, and anxiety in different periods of pregnancy. During this period, the fear of childbirth may also be experienced in pregnant women. Fear of childbirth or tokophobia is a phobic condition in which a woman avoids giving birth despite desperately wanting a baby. While fear of childbirth can have a negative impact on women's psychological health during pregnancy and birth experience, it is associated with negative obstetric outcomes and postpartum mental health problems. It is possible that the fear of childbirth reduces the mother's attachment to the fetus. Fear increases avoidant attachment and anxiety, which may be associated with lower commitment scores. There is a strong relationship between fear of childbirth and negative birth outcomes. Both affect the psychological well-being of the mother, adjustment to motherhood, and the quality of the mother's relationship with the baby. Knowing the fear of childbirth is important as it is associated with various health problems such as certain physiological and obstetric disorders and they can increase the possibility of emergency cesarean section. Mindfulness-based interventions combine elements of established cognitive behavioral therapy and psychoeducational content to support a self-effective approach to reduce stress-related symptoms and improve mental and physical well-being. Mindfulness-based practices that involve focusing on the present moment and accepting life without judgment are one of the effective ways to prepare for childbirth, help women feel more empowered and aware of their motherhood processes, and give mothers the opportunity to share knowledge and emotions. Mindfulness-based birth education intervention appears to be applicable for women and is associated with improvements in women's sense of control and confidence in giving birth.

Conditions

Pregnancy Related; Mindfulness; Fear of Childbirth; Attitude

Keywords

primiparous; pregnant women; fear of childbirth; prenatal attachment; mindfulness education; childbirth experiences; mode of birth; maternal attachment; nursing

Outcome Measures

Primary Outcomes (4)

• Wijma Delivery Expectancy/Experience Questionnaire A (W-DEQ A)

  determining the level fear of childbirth

  28-32. pregnant women

• Wijma Delivery Expectancy/Experience Questionnaire A (W-DEQ A)

  determining the level fear of childbirth

  After 32 weeks of pregnancy

• Prenatal Attachment Inventory

  determine prenatal mother-infant attachment

  28-32. pregnant women

• Prenatal Attachment Inventory

  determine prenatal mother-infant attachment

  After 32 weeks of pregnancy

Secondary Outcomes (2)

• Maternal Fetal Attachment Scale

  postpartum 1st month

• Wijma Delivery Expectancy/Experience Questionnaire B (W-DEQ B)

  postpartum 1st month

Study Arms (2)

Control group

NO INTERVENTION

44 pregnant women won't receive mindfulness training

experimental group "mindfulness education"

EXPERIMENTAL

mindfulness education 44 pregnant women will receive mindfulness training

Behavioral: Mindfulness education

Interventions

Mindfulness education BEHAVIORAL

44 primiparous pregnant women will receive mindfulness education

experimental group "mindfulness education"

Eligibility Criteria

• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• over 18 years
• in gestational week
• First pregnancy
• Understands and speaks Turkish
• Single pregnancy
• Having at least primary school education

You may not qualify if:

• Having a high-risk pregnancy
• Receiving psychotherapy or medication in the last six months before the study
• with chronic disease Participating in childbirth preparation courses Planning a cesarean delivery with a diagnosed psychiatric illness Pregnant women with previous yoga and meditation experience Pregnant women with a high gestational age will be excluded from the study due to the possibility of giving birth before the end of the follow-up period

Sponsors & Collaborators

• Ordu University: lead

Study Sites (1)

Recep Tayyip Erdogan University Training and Research Hospital

Rize, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Behavior

Study Officials

• Nülüfer Erbil, PhD

  Ordu University

  STUDY DIRECTOR

Central Study Contacts

ÖZLEM AKIN, PhD student

CONTACT

05416223058; akinozleem@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer, PhD student

Study Record Dates

• First Submitted: January 30, 2022
• First Posted: February 22, 2022
• Study Start: December 20, 2021
• Primary Completion: December 20, 2022
• Study Completion: June 20, 2023
• Last Updated: February 22, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)