The effect of mindfulness-based counselling on the anxiety levels and childbirth satisfaction among primiparous pregnant women: a randomized controlled trial

• Published in: BMC psychiatry 2024-12, Vol.24 (1), p.964, Article 964
• Main Authors: Feli, Rozhin, Heydarpour, Sousan, Yazdanbakhsh, Kamran, Heydarpour, Fatemeh
• Format: Article
• Language: English
• Subjects: Adult; Analysis; Anxiety - prevention & control; Anxiety - psychology; Anxiety - therapy; Clinical trials; Counseling - methods; Female; Humans; Iran; Mindfulness - methods; Mindfulness meditation; Parity; Parturition - psychology; Patient Satisfaction; Personal Satisfaction; Postpartum depression; Pregnancy; Pregnancy Complications - psychology; Pregnancy Complications - therapy; Pregnant women; Pregnant Women - psychology; Prenatal Care - methods; Young Adult
• ISSN: 1471-244X; 1471-244X
• DOI: 10.1186/s12888-024-06442-3

Anxiety during pregnancy is linked to adverse maternal and neonatal outcomes, as well as dissatisfaction with childbirth, and may contribute to the development of postpartum depression. This study aimed to evaluate the effect of mindfulness-based counselling on the anxiety levels and childbirth satisfaction among primiparous pregnant women. This two-group, parallel, randomized controlled trial involved 60 eligible primiparous pregnant women who were referred to health centers in Kermanshah province (western Iran). Participants were selected based on inclusion/exclusion criteria and randomly assigned to either the experimental or control group using a simple randomization method. The control group (n = 30) received routine prenatal care, while the experimental group (n = 25) participated in eight group mindfulness-based counseling sessions (60-90 min each), held twice a week, in addition to routine prenatal care. The intervention was based on the Mindfulness-Based Childbirth and Parenting Program (MBCP), which aims to promote the health and well-being of families by integrating mindfulness practices throughout pregnancy, childbirth, and early parenthood. Both groups completed the Pregnancy-Related Anxiety Questionnaire (PRAQ) before, immediately after, and one month after the intervention. Additionally, 24 h post-delivery, both groups completed the Scales for Measuring Maternal Satisfaction in Normal and Caesarean Births (SMMS-normal and SMMS-caesarean). The scores were then compared. Recruitment took place between June and December 2019, and 55 participants completed the study. Data were analyzed using the Mann-Whitney U test, Independent t-test, and Friedman test with SPSS (25), and significance was set at p