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Mindfulness and perinatal mental health: A systematic review
Open accessAbstract
Background Perinatal stress is associated with adverse maternal and infant outcomes. Mindfulness training may offer a safe and acceptable strategy to support perinatal mental health.Aim To critically appraise and synthesise the best available evidence regarding the effectiveness of mindfulness training during pregnancy to support perinatal mental health.Methods The search for relevant studies was conducted in six electronic databases and in the grey literature. Eligible studies were assessed for methodological quality according to standardised critical appraisal instruments. Data were extracted and recorded on a pre-designed form and then entered into Review Manager.Findings Nine studies were included in the data synthesis. It was not appropriate to combine the study results because of the variation in methodologies and the interventions tested. Statistically significant improvements were found in small studies of women undertaking mindfulness awareness training in one study for stress (mean difference (MD) -5.28, 95% confidence intervals (CI) -10.4 to -0.42, n=22), two for depression (for example MD -5.48, 95% CI -8.96 to -2.0, n=46) and four for anxiety (for example, MD -6.50, 95% CI -10.95 to -2.05, n=32). However the findings of this review are limited by significant methodological issues within the current research studies.Conclusion There is insufficient evidence from high quality research on which to base recommendations about the effectiveness of mindfulness to promote perinatal mental health. The limited positive findings support the design and conduct of adequately powered, longitudinal randomised controlled trials, with active controls.
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“mindfulness level can be improved by program based on mindfulness meditation.”
From Acceptance Mindfulness-Trait as a Protective Factor for Post-Natal Depression: A Preliminary Research (2022) · cites this paper as [37]
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“To date, there has only been one published review of mindfulness training in the perinatal period [31].”
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“There have been meta-analyses of mindfulness interventions in pregnancy (Hall et al. 2016; Taylor et al. 2016), focused on outcomes in common mental health symptoms, with both reviews highlighting issues with the quality of the data.”
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BackgroundCitation patterns and trends of systematic reviews about mindfulness
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InfluentialCalmer, Kinder, Wiser: A Novel Threefold Categorization for Mindfulness-Based Interventions
Furnell, M., Gordon, W. V., & Elander, J. (2023) · Mindfulness · doi:10.1007/s12671-023-02273-7 · Cited by 23
“…practices and prosocial behaviour (Berry et al., 2020; Donald et al., 2019; Ferug-lio et al., 2022), mindfulness practices and social and emotional well-being (Lomas et al., 2017; Matvienko-Sikar et al., 2016), and mindfulness practices and mental health (Hall et al., 2016; Janssen et al., 2018).”
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“However, there are only few studies of pregnancy-specific eMBIs with only small samples and lacking randomized controlled approaches (43, 51, 55, 63).”
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“Interventions based on or including mindfulness-based stress-reduction components were reported as more effective than other mindfulness interventions in one review (Hall et al., 2016).”
BackgroundMethodA Randomized Control Trial of Meditation for Mothers Pumping Breastmilk for Preterm Infants
Massa, K., Ramireddy, S., Ficenec, S., Mank, C., Josephsen, J. B., & Babbar, S. (2022) · American Journal of Perinatology · doi:10.1055/a-1787-7576 · Cited by 12
“35,36 Although mindfulness-based interventions in peripartum women have yielded modest results in reducing stress, anxiety, and depression, 37,38 some studies have showed promise in this population.”
BackgroundEvaluating a nurse-led community model of service for perinatal mental health
Harvey, S. T., Bennett, J. A., Burmeister, E. A., & Wyder, M. (2018) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/j.colegn.2017.12.005 · Cited by 11
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“…the perinatal period, a handful of such studies, as well as a growing body of experimental data, suggest that mindful awareness (as measured by the Mindful Attention and Awareness Scale; Brown & Ryan, 2003) is consistently inversely related to perinatal depression and anxiety (Hall et al., 2016).”
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“…interventions encourage awareness of emotions and body sensations, enhancing stress tolerance and reducing reactivity, all abilities improving responsiveness, understanding of an infant’s needs and feelings and emotional regulation, thus important for parenting (Hall et al., 2015).”
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“…for reducing mental distress (e.g., stress, anxiety, depression, posttraumatic stress disorder [PTSD]) in a wide range of populations, including children and adolescents (Kallapiran et al., 2015), pregnant women (Hall et al., 2016), and diabetes patients (Fisher et al., 2023; Ni et al., 2020).”
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Akça, E. İ., Gökbulut, N., & Cengizhan, S. Ö. (2023) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2023.2227219 · Cited by 8
“Perinatal mental health problems are serious problems affecting the mother, the baby, and society (Pan et al., 2019), and mindfulness training, which is among behavioural interventions, is a safe and acceptable practice used to support mental health in the perinatal period (Hall et al., 2016).”
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Dağlar, Ö. Ş., & Şahin, N. H. (2021) · Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi · doi:10.48071/sbuhemsirelik.951950 · Cited by 7
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“conditions including back pain [27], nausea and vomiting [11], and anxiety [27], that may be overlooked in conventional care as a minor complaint.”
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“This was sufficient to evaluate the feasibility of the intervention, and was consistent with other feasibility studies of mindfulness-based interventions for antenatal mental health, smoking cessation, and weight management [36,43,66].”
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Pengaruh Terapi Mindfulness untuk Menurunkan Tingkat Depresi pada Ibu Hamil Risiko Tinggi
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“…strategies for perinatal stress and/or anxiety has demonstrated inconsistent findings; however, methodological limitations of individual studies have been noted, for example (Beddoe and Lee 2008; Davenport et al ., 2018; Evans et al ., 2018; Hall et al ., 2016; Matvienko-Sikar et al ., 2023, 2021).”
Caldwell, J., Meredith, P. J., Whittingham, K., & Ziviani, J. M. (2022) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2203028 · Cited by 3
Mindfulness for men with pregnant partners: An integrative literature review (Part one)
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Mindfulness and Cardiometabolic Health During Pregnancy: An Integrative Review
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“…emotional and mental well-being benefits of mindfulness practice during pregnancy have been repeatedly shown in prior studies (Dhillon et al., 2017; Hall et al., 2016; Lever Taylor et al., 2016; Lucena et al., 2020), pregnant participants of future research trials that aim to examine the impact on…”
Validity and Reliability of the Turkish Version of the Maternal Ambivalence Scale
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“These mechanisms may contribute to the observed intervention outcomes of stress reduction and relaxation, paralleling evidence on the role of meditative relaxation techniques for reducing depressive symptoms (Hall et al., 2016; Li et al., 2020).”
Fu, Y., Yf, W., Zhu, Z., & Zhang, D. (2025) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2025.2588224 · Cited by 2
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The effect of yoga on maternal stress and anxiety: A systematic review
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“women are exploring alternatives such as yoga and other mind-body therapies to improve psychological health during pregnancy.(14,15) In particular, patients suffering from anxiety are more likely to access mindbody therapies as an adjunct to medical treatment as they are perceived to improve mental health outcomes.”
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“Structured prenatal education programs incorporating stress management techniques, such as mindfulness [41] and relaxation training [42], further enhance psychological well-being.”
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Assessing the Effects of Mindfulness-Based Intervention on Anxiety and Cortisol in Pregnancy
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New treatments: Opportunities and challenges
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“86 Both reviews cited methodological inconsistencies between studies.”
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Mindfulness for men with pregnant partners: An integrative literature review (Part two)
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Effect of Prenatal Stress on Cognitive and Behavioral Development
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Coping strategies in pregnancy and perinatal period in times of COVID-19
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Postpartum Depression from the Perspective of Third-Wave Psychotherapies
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Metadata
- Authors
- Hall, H. G., Beattie, J., Lau, R., East, C., & Anne Biro, M.
- Affiliations
- University of Technology Sydney (AU)
- Monash University (AU)
- Monash Medical Centre (AU)
- Corresponding author
- Hall, Helen G.
- Venue
- Women and Birth
- Publisher
- Elsevier BV
- Published
- 2016-02
- Volume
- 29
- Issue
- 1
- Pages
- 62-71
- ISSN
- 1871-5192 (ISSN-L)
- OpenAlex
- W1897667819
- Cited by
- 105
- References
- 43
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 14 · 2023: 16 · 2022: 12 · 2021: 11 · 2020: 16 · 2019: 7 · 2018: 7 · 2017: 7 · 2016: 5
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Women and Birth (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- UTS ePRESS (University of Technology Sydney) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- mindfulness training, perinatal mental health, perinatal stress, depression, anxiety, pregnancy, mindfulness-based interventions, maternal mental health, infant outcomes
- MeSH terms
- Anxiety, Depression, Female, Humans, Mental Health, Pregnancy, Perinatal Care, Pregnant People, Pregnant Women, Mindfulness
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