Clinical trial NCT05250479: Effect of Mindfulness Education in Primiparous Pregnant Women
Official title: Effect of Mindfulness Education on Fear of Childbirth, Mode of Delivery, Childbirth Experience and Prenatal and Maternal Attachment in Primiparous Pregnant Women
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
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
Lead sponsor: T.C. ORDU ÜNİVERSİTESİ
Sponsor class: OTHER
First posted: 2022-02-22
Enrollment: 88
Sex: FEMALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

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.


Eligibility criteria: 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

Primary outcomes:
measure: Wijma Delivery Expectancy/Experience Questionnaire A (W-DEQ A)
timeFrame: 28-32. pregnant women
measure: Wijma Delivery Expectancy/Experience Questionnaire A (W-DEQ A)
timeFrame: After 32 weeks of pregnancy
measure: Prenatal Attachment Inventory
timeFrame: 28-32. pregnant women
measure: Prenatal Attachment Inventory
timeFrame: After 32 weeks of pregnancy
Secondary outcomes:
measure: Maternal Fetal Attachment Scale
timeFrame: postpartum 1st month
measure: Wijma Delivery Expectancy/Experience Questionnaire B (W-DEQ B)
timeFrame: postpartum 1st month
Other outcomes:
Locations:
city: Rize
country: Turkey
facility: Recep Tayyip Erdogan University Training and Research Hospital
Study officials:
affiliation: T.C. ORDU ÜNİVERSİTESİ
name: Nülüfer Erbil, PhD
role: STUDY_DIRECTOR
References: