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Effectiveness of a Mindfulness‐Based Childbirth Education Pilot Study on Maternal Self‐Efficacy and Fear of Childbirth
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Introduction: This pilot study tested the feasibility and effectiveness of using Mindfulness‐Based Childbirth Education (MBCE), a novel integration of mindfulness meditation and skills‐based childbirth education, for mental health promotion with pregnant women. The MBCE protocol aimed to reduce fear of birth, anxiety, and stress and improve maternal self‐efficacy. This pilot study also aimed to determine the acceptability and feasibility of the MBCE protocol. Methods: A single‐arm pilot study of the MBCE intervention using a repeated‐measures design was used to analyze data before and after the MBCE intervention to determine change trends with key outcome variables: mindfulness; depression, anxiety, and stress; childbirth self‐efficacy; and fear of childbirth. Pregnant women (18‐28 weeks’ gestation) and their support companions attended weekly MBCE group sessions over 8 weeks in an Australian community setting. Results: Of the 18 women who began and completed the intervention, missing data allowed for complete data from 12 participants to be analyzed. Statistically significant improvements and large effect sizes were observed for childbirth self‐efficacy and fear of childbirth. Improvements in depression, mindfulness, and birth outcome expectations were underpowered. At postnatal follow‐up significant improvements were found in anxiety, whereas improvements in mindfulness, stress, and fear of birth were significant at a less conservative alpha level. Discussion: This pilot study demonstrated that a blended mindfulness and skills‐based childbirth education intervention was acceptable to women and was associated with improvements in women's sense of control and confidence in giving birth. Previous findings that low self‐efficacy and high childbirth fear are linked to greater labor pain, stress reactivity, and trauma suggest the observed improvements in these variables have important implications for improving maternal mental health and associated child health outcomes. Ways in which these outcomes can be achieved through improved childbirth education are discussed.
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“Mindfulness seems to have an enhancing effect on maternal self-efficacy [12, 13], self-compassion [11, 13], maternal foetal attachment [16] and women’s well-being [10].”
From Effects of an antenatal mindfulness-based childbirth and parenting programme on the postpartum experiences of mothers: a qualitative interview study. (2017) · cites this paper as [12]
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“Recent studies suggest a relationship between mindfulness and the reduction of perinatal anxiety [10–15], stress [13] and perinatal depression [10, 11, 14, 16, 17].”
From Effects of an antenatal mindfulness-based childbirth and parenting programme on the postpartum experiences of mothers: a qualitative interview study. (2017) · cites this paper as [12]
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“Byrne et al. (Citation2014) suggested that Mindfulness-Based Childbirth Education (MBCE) is acceptable and helpful for pregnant women as it provides skills-based education and mindfulness practices to improve emotional functioning and wellbeing in pregnancy, during birth, and early parenting.”
From The feasibility and acceptability of a single-session Acceptance and Commitment Therapy (ACT) intervention to support women self-reporting fear of childbirth in a first pregnancy. (2023) · cites this paper as Byrne et al., 2014
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Khaikin, R., Marcus, Y., Kelishek, S., & Balik, C. (2016) · Clinical Nursing Studies · doi:10.5430/cns.v4n3p39 · Cited by 14
Gandomi, N., Sharifzadeh, G., Torshizi, M., & Norozi, E. (2022) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_1548_20 · Cited by 14
Hauck, Y. L., Fisher, C. M., Byrne, J., & Bayes, S. J. (2016) · The Journal of Perinatal Education · doi:10.1891/1058-1243.25.3.162 · Cited by 15
Self-citationFrankham, L. J., Thorsteinsson, E., & Bartik, W. J. (2024) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-024-06873-6 · Cited by 13
Prenatal Symptom Cluster of Psychopathology and Associations With Mindfulness and Rumination
Sun, Y., Chen, Q., Li, Y., Wang, J., Bazzano, A. N., & Cao, F. (2022) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001485 · Cited by 14
Howard, S., Houghton, C. M. G., White, R., Fallon, V., & Slade, P. (2023) · Psychology & Health · doi:10.1080/08870446.2021.2024190 · Cited by 22
“Byrne et al. (2014) suggested that Mindfulness-Based Childbirth education (MBCe) is acceptable and helpful for pregnant women as it provides skills-based education and mindfulness practices to improve emotional functioning and wellbeing in pregnancy, during birth, and early parenting.”
BackgroundHamidi, F., Javadnoori, M., Hosseinifard, S., & Nikbakht, R. (2020) · Family Medicine & Primary Care Review · doi:10.5114/fmpcr.2020.100430 · Cited by 13
Skovbjerg, S., Sumbundu, A. D., Kolls, M., Kjærbye‐Thygesen, A., & Fjorback, L. O. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-04194-3 · Cited by 13
Effects of antepartum education on worries about labor and mode of delivery
Yuvacı, H. U., Cinar, N. D., Çaka, S. Y., Topal, S., Pekşen, S., Saglam, N., & Cevrioğlu, A. S. (2020) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2020.1725465 · Cited by 11
Metadata
- Authors
- Byrne, J., Hauck, Y., Fisher, C., Bayes, S., & Schutze, R.
- Corresponding author
- Byrne, Jean
- Venue
- Journal of Midwifery & Women's Health
- Publisher
- Wiley
- Published
- 2013-12-10
- Volume
- 59
- Issue
- 2
- Pages
- 192-197
- ISSN
- 1526-9523 (ISSN-L)
- 1542-2011
- OpenAlex
- W1993392020
- Cited by
- 190
- References
- 19
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 10 · 2023: 17 · 2022: 34 · 2021: 25 · 2020: 16 · 2019: 14 · 2018: 12 · 2017: 19 · 2016: 17 · 2015: 6 · 2014: 1
- FWCI
- 8.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Midwifery & Women s Health (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Research Online (Edith Cowan University) (submittedVersion)
- eSpace (Curtin University) (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
- childbirth self-efficacy, fear of childbirth, maternal mental health, pregnant women, anxiety, depression, stress, mindfulness meditation, intervention feasibility and acceptability, prenatal education
- MeSH terms
- Adult, Anxiety, Australia, Depression, Fear, Female, Humans, Pilot Projects, Pregnancy, Stress, Psychological, Program Evaluation, Patient Satisfaction, Self Efficacy, Parturition, Delivery, Obstetric, Pregnant Women, Pregnant People, Labor Pain, Prenatal Education, Mindfulness
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