Fear of Childbirth
Conditions
Keywords
fear of childbirth, pregnancy, childbirth education,
Brief summary
Pregnant women often experience fear of childbirth or anxiety toward the labor pain or uncertainties associated with labor process. To develop and evaluate the efficacy of childbirth educational interventions on reduction of fear or anxiety is an important issue in maternal health care.
Detailed description
Fear of childbirth is a common clinical problem among perinatal women and link to adverse health effects on mother's and offspring's well-being. Recently, reducing the childbirth fear becomes a highly important maternity care issues as a result of the fact that the birth rate has been declining rapidly as well as Cesarean rate increased steadily. However, the studies on fear of childbirth among perinatal population in Taiwan were limited. In this proposal the investigators plan to conduct a randomized controlled study examining the effects of mindfulness-based childbirth education. In the randomized controlled study, women will be recruited and randomized into the experiment group (receiving mindfulness-based childbirth education and traditional childbirth education),or will be allocated in the control group receiving traditional childbirth education. Intention-to-treat analysis as well as mixed regression modeling will be used to estimate the effectiveness of the interventions.
Interventions
BEHAVIORALMindfulness-Based Childbirth Education
8-week mindfulness-based childbirth education
Sponsors
Taipei Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
1. aged of 20 years or greater; 2. 12-25 week of gestation, Singleton pregnancy; 3. able to communicate with Mandarin or Taiwanese; 4. High levels of fear of Childbirth (greater 9 or above on Numeric Rating Scale).
Exclusion criteria
1. Current having psychological diseases or substance abuse, unable to follow the mindfulness-based childbirth education; 2. unable to attend every class or each assessment; 3. received any cognitive training in past one year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fear of childbirth | pregnancy 12-24 weeks | Fear of childbirth measure by the Wijma Delivery Expectancy/ Experience Questionnaires, W-DEQ with total score ranging between 0\ 165. The high score indicated higher levels of childbirth fear. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | pregnancy 12-24 weeks | Anxiety measure by State-Trait Anxiety Inventory, STAI |
| Depression | pregnancy 12-24 weeks | Depression measure by Edinburgh Postnatal Depression Scale, EPDS, , with a total score ranging 0,30. A higher score represents a higher level of depression. |
| Mindfulness | pregnancy 12-24 weeks | Mindfulness measure by Chinese Version Mindful Attention Awareness Scale (CMAAS), with a total score ranging 15-90, the higher score and the high levels of mindfulness. |
| Birth outcomes | postpartum 1 week | To analyze the mode of delivery, including vaginal delivery or cesarean delivery. |
Countries
Taiwan
Outcome results
None listed