Attitude, Fear of Childbirth, Mindfulness, Pregnancy Related
Conditions
Keywords
primiparous, pregnant women, fear of childbirth, prenatal attachment, mindfulness education, childbirth experiences, mode of birth, maternal attachment, nursing
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.
Interventions
BEHAVIORALMindfulness education
44 primiparous pregnant women will receive mindfulness education
Sponsors
Ordu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wijma Delivery Expectancy/Experience Questionnaire A (W-DEQ A) | 28-32. pregnant women | determining the level fear of childbirth |
| Prenatal Attachment Inventory | 28-32. pregnant women | determine prenatal mother-infant attachment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maternal Fetal Attachment Scale | postpartum 1st month | determine maternal fetal attachment |
| Wijma Delivery Expectancy/Experience Questionnaire B (W-DEQ B) | postpartum 1st month | determining the level fear of childbirth |
Countries
Turkey (Türkiye)
Contacts
Primary ContactÖZLEM AKIN, PhD student
Outcome results
None listed