Pregnancy Related
Conditions
Keywords
fear of birth, midwife, pregnant, comfort, self-compassion, primiparous, stress
Brief summary
The purpose of this study was to determine the effects of mindfulness-based self-compassion training provided to primiparous women on fear of childbirth, pregnancy stress, and comfort. Research Hypotheses H1a: Mindfulness-based self-compassion training provided to primiparous women reduces fear of childbirth. H1b: Mindfulness-based self-compassion training provided to primiparous women reduces pregnancy stress. H1c: Mindfulness-based self-compassion training provided to primiparous women increases comfort.
Detailed description
The research will be conducted as a randomized controlled experimental study. The research is planned to be conducted at the Pregnancy School of Sincan Training and Research Hospital between August 1, 2025 and August 1, 2026. Sincan Training and Research Hospital has eight obstetrics and gynecology outpatient clinics, each staffed by one doctor, one midwife, and one medical secretary. The hospital also has one prenatal school, which provides prenatal education for pregnant women. Two midwives work at the prenatal school. Patient privacy will be protected throughout the research period. The study population will consist of primiparous women applying to the Pregnancy School of Sincan Training and Research Hospital. The study sample was determined using the G\*Power 3.1.9.7 program. In the power analysis, a large effect size (d=0.80) was used, based on the effect size range table reported by Cohen (11). According to the calculation; With an effect size of d = 0.80, a margin of error of 0.05 (α = 0.05), a confidence level of 0.95 (1-α), and a representativeness of 0.95 for the universe (1-β = 0.95), the sample size was calculated as at least 36 women for each group (SExperiment = 36, SControl = 36), a total of 72 women, including the experimental and control groups. When the dropout rate in the study was evaluated as 10%, it was decided to include a total of 80 women in each group (SExperiment = 40, SControl = 40). Women who agreed to participate in the study and met the inclusion criteria will be assigned to the experimental and control groups using the simple randomization method. The sampling process of the study will be carried out based on CONSORT criteria.
Interventions
As a midwifery intervention, primiparous women in the experimental group were provided with mindfulness-based self-compassion training. The self-compassion training program consisted of encouraging women to be kind and understanding toward themselves, recognizing that suffering is a part of human life and that being present in the here and now contributes to the human spirit and consciousness, providing a discussion environment for sharing their experiences, and homework assignments related to the program content. The researcher conducted an eight-week mindfulness-based self-compassion training. The training program will be conducted in six sessions, using face-to-face meetings at the pregnancy school. While the duration of each session will vary depending on the women's compliance and needs, each session is planned to last approximately 30-40 minutes. The mindfulness-based self-compassion training will be implemented by the researcher. Each session will cover an introduction to self-c
Sponsors
Inonu University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Intervention model description
randomized controlled trial control and experimental group
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Women aged between 18 and 45, Women who are pregnant for the first time, Women who live with their partner, Women who are 28 weeks or older in pregna
Exclusion criteria
* Women with multiple pregnancies, Women with any communication disorder, Women with a diagnosed psychiatric disorder, Women who have any health problems during pregnancy (such as hypertension, gestational diabetes, etc.) will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Description: Wijma Childbirth Expectation/Experience Scale Version A | Self-compassion training will be provided to primiparous women in six sessions to reduce fear of childbirth and pregnancy stress and increase comfort. | Wijma Childbirth Expectation/Experience Scale Version A The W-DEQ version A is a 33-item scale with six Likert-type scales. Responses are numbered from zero to five. Zero represents "completely," and five represents "not at all." The maximum possible score is 0, with a maximum score of 165. It is assumed that the level of fear of childbirth increases as the total scale score increases. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tilburg Pregnancy Distress Scale | Self-compassion training will be applied to primiparas for 6 weeks to reduce stress. | This scale, which can be administered to pregnant women 12 weeks or more, consists of 16 items and is scored on a 4-point Likert scale (0 points for very often, 1 point for quite often, 2 points occasionally, and 3 points for rarely/never). The total score obtained from the scale ranges from 0 to 48. A cut-off score of 28 or higher indicates that the pregnant woman is at risk for distress. |
Countries
Turkey (Türkiye)
Contacts
CONTACTESRA GÜNEY, PhD
CONTACTMevhibe Çoban, PhD student
Outcome results
None listed