Pregnancy Related, Stress, Psychological
Conditions
Brief summary
The purpose of this study is to explore the differences between stress, depression, childbirth self-efficacy, mindfulness and postnatal maternal outcomes in pregnant women with Mindfulness-Based Childbirth and Parenting education program.
Detailed description
Being a mother is a huge change for women, and she will undergo a high degree of change and a strong threat in this transformation process. The purpose of this study is to explore the efficacy of a Mindfulness-Based Childbirth and Parenting(MBCP) Education Program on prenatal stress, depression, mindfulness, childbirth self-efficacy, and postnatal maternal outcomes. Randomized Controlled Trial comparing two education programs with health and singleton pregnant women is run by the Random Allocation Software (Saghaei, 2004). Use the G-Power 3.1.9 windows: repeated measures and between factors among two groups to calculate the number of samples, and setting the power = .8, α = .05, effect size = .25. The estimated number of samples may be lost 20%, total 104 samples ( 52 samples in each group). The protocol for the study used MBCP education, this program helps participants practice in the present moment, so that they may develop more confidence and well-being during pregnancy. The MBCP course is held for 3 hrs once a week for 8 weeks. They also had the home practice of 30 minutes a day with a DVD for the experimental group. The control group attending a hospital-based antenatal education program for 2 hrs once a month for 2 months from hospital staff nurses in all aspects of pregnancy, childbirth and postpartum. This study uses a standard verbal script to the eligible participants who were volunteers of pregnant women in the waiting room of metropolitan hospital in Taiwan.
Interventions
BEHAVIORALMBCP education
MBCP education involves mindfulness breathing and other skills with mindfulness meditations.
BEHAVIORALHospital-based antenatal education
Hospital-based antenatal education involves all aspects of pregnancy, childbirth and postpartum.
Sponsors
National Taipei University of Nursing and Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Subjects were pregnant from 13th to 28th weeks gestation with a singleton pregnancy * Subjects were at the age over 20 * Could speak and read Chinese fluently * Willing and be able to attend the education program * Determined to have a vaginal birth
Exclusion criteria
* Taking medication for diagnosing mental illness * With complicated or high-risk pregnancies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change of prenatal and postnatal stress | Baseline, T1: After 2-month intervention, T2: At 36th week pregnancy, T3: 6 months after childbirth | Self reported the perception of stress change from baseline to 6 months after childbirth using The Perceived Stress Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change of symptoms with depression and anxiety | Baseline, T1: After 2-month intervention, T2: At 36th week pregnancy, T3: 6 months after childbirth | Self reported the symptoms with depression and anxiety change from baseline to 6 months after childbirth using the Edinburgh Postnatal Depression Scale |
| change of the childbirth self-efficacy | Baseline, T1: After 2-month intervention, T2: At 36th week pregnancy, T3: 6 months after childbirth | Self reported the childbirth self-efficacy change from baseline to 6 months after childbirth using the Childbirth Self-Efficacy Inventory |
| postpartum medical records | After the childbirth within 24 hours will be collected | This instrument was to explore whether recording of pregnancy outcome in medical records |
| change of mindfulness | Baseline, T1: After 2-month intervention, T2: At 36th week pregnancy, T3: 6 months after childbirth | Self reported the mindfulness change from baseline to 6 months after childbirth using Five Factor Mindfulness Questionnaire |
Outcome results
None listed