The Effect of Mindfulness-Based Childbirth and Parenting Education on Birth Parameters and Postpartum Adaptation in Pregnant Women With Distress
Phase: NA
Conditions: PRENATAL DISTRESS
Sponsor: Kayseri Training and Research Hospital

Study Protocol: Mindfulness-Based Childbirth and Parenting Education 
1. Introduction 
Date of Last Revision: July 30, 2025 
2. Objectives 
Primary Objective: 
 
- To examine the effect of the mindfulness-based education program on prenatal 
distress levels, measured using the Tilburg Pregnancy Distress Scale (TPDS). 
Secondary Objectives: 
 
- To assess the impact on mindful awareness (MAAS), fear of childbirth (W-DEQ), and 
maternal attachment. 
3. Methodology 
This randomized controlled trial included 31 pregnant women aged 18 to 35. Participants 
were randomly assigned to the intervention group (n=16) or the control group (n=15). The 
intervention group received an 8-week online MBCP-based training. The control group 
received standard prenatal care. 
4. Intervention 
The intervention included weekly 120-minute online sessions comprising formal 
mindfulness practices (e.g., body scan, mindful breathing), informal mindfulness practices 
(e.g., mindful eating), psychoeducation, and group reflection. Participants also completed 
daily home practice with guided audio recordings. 
5. Outcome Measures 
Primary Outcome: 
 
- Change in prenatal distress scores (TPDS) from baseline to post-intervention. 
Secondary Outcomes: 
 
- Changes in mindful awareness (MAAS), fear of childbirth (W-DEQ), and maternal 
attachment measured postpartum. 
6. Eligibility Criteria 
Inclusion Criteria: 
 
- Pregnant women aged 18–35 
 
- TPDS score ≥ 28 
 
- Gestational age between 24–32 weeks 

 
- First-time pregnancy 
 
- Able to attend online sessions 
Exclusion Criteria: 
 
- High-risk pregnancies or multiple gestation 
 
- Prior mindfulness training 
 
- Major psychiatric or medical conditions 
7. Ethics and Consent 
The study was approved by the Institutional Review Board. Written informed consent was 
obtained from all participants. 
Date: August 7, 2025 
Principal Investigator: Merve Gül Tiren 
Mindfulness-Based Childbirth and Parenting Education 
Study Protocol