Effect of Mindfulness Education in Primiparous Pregnant Women

Pregnancy Related Clinical Trial

Official title:

Effect of Mindfulness Education on Fear of Childbirth, Mode of Delivery, Childbirth Experience and Prenatal and Maternal Attachment in Primiparous Pregnant Women

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05250479
• Other study ID #: ozlem20
• Status: Recruiting
• Phase: N/A
• Start date: December 20, 2021
• Est. completion date: June 20, 2023

Study information

• Verified date: February 2022
• Source: T.C. ORDU ÜNIVERSITESI
• Contact: ÖZLEM AKIN, PhD student
• Phone: 05416223058
• Email: akinozleem[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 88
• Est. completion date: June 20, 2023
• Est. primary completion date: December 20, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• over 18 years
• 28-32. in gestational week
• First pregnancy
• Understands and speaks Turkish
• Single pregnancy
• Having at least primary school education

Exclusion Criteria:

• 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

Related Conditions & MeSH terms

• Attitude
• Fear of Childbirth
• Mindfulness
• Pregnancy Related

Intervention

Behavioral:
• Mindfulness education
44 primiparous pregnant women will receive mindfulness education

Locations

Country	Name	City	State
Turkey	Recep Tayyip Erdogan University Training and Research Hospital	Rize

Sponsors (1)

Lead Sponsor	Collaborator
T.C. ORDU ÜNIVERSITESI

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Wijma Delivery Expectancy/Experience Questionnaire A (W-DEQ A)	determining the level fear of childbirth	28-32. pregnant women
Primary	Wijma Delivery Expectancy/Experience Questionnaire A (W-DEQ A)	determining the level fear of childbirth	After 32 weeks of pregnancy
Primary	Prenatal Attachment Inventory	determine prenatal mother-infant attachment	28-32. pregnant women
Primary	Prenatal Attachment Inventory	determine prenatal mother-infant attachment	After 32 weeks of pregnancy
Secondary	Maternal Fetal Attachment Scale	determine maternal fetal attachment	postpartum 1st month
Secondary	Wijma Delivery Expectancy/Experience Questionnaire B (W-DEQ B)	determining the level fear of childbirth	postpartum 1st month