Volume 6, Issue 1 ( Summer 2020)                   SJNMP 2020, 6(1): 106-117 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Heydarpour S, Feli R, Yazdanbakhsh K, Heydarpour F. The Impact of Mindfulness-based Counseling on the Levels of Anxiety during Pregnancy and on Newborns’ Physiological Parameters. SJNMP 2020; 6 (1) :106-117
URL: http://sjnmp.muk.ac.ir/article-1-328-en.html
1- Nursing and Midwifery Faculty, Kermanshah University of Medical Sciences , s.heydarpour1394@yahoo.com
2- Student Research Committee, Kermanshah University of Medical Sciences
3- Razi University
4- Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences
Abstract:   (3131 Views)
Background & Aim: Anxiety is one of the most common accompanying symptoms in pregnant mothers and is associated with adverse maternal and neonatal consequences. The aim of the present study was to examine the impact of mindfulness-based counseling on the levels of anxiety during the pregnancy period and on newborns’ physiological parameters.
Materials & Methods: This study was a semi experimental pretest-posttest with a control group. Sixty primiparous pregnant women who referred to the health clinics of Kermanshah were selected using convenient sampling and were randomly assigned into either experiment or control group. The control group received routine prenatal care, and the experimental group underwent eight groups mindfulness-based counseling sessions (60-90min) twice a week, in addition to routine prenatal care. Before, immediately after and one month after the intervention, both groups completed the Vandenberg Gestational Anxiety Questionnaire. In addition, after delivery, the newborns’ physiological parameters (weight, height, gestational age and Apgar score) checklist was completed. The data was analyzed using Mann-Whitney, Independent t-test, and Friedman's tests using SPSS- 25.
Results: Pregnancy anxiety was not significant between the control and intervention groups before the intervention (p = 0.694). However, immediately and one month after the intervention the difference was significant (p≤ 0.001). After delivery, the physiological parameters of infants born to women in the intervention and control groups were not significantly different.
Conclusion: According to the study results, mindfulness-based counseling was effective in reducing pregnancy anxiety, but did not affect the physiological parameters of newborns at birth.
Full-Text [PDF 964 kb]   (2254 Downloads)    
Type of Study: Research | Subject: Special
Received: 2020/05/20 | Revised: 2020/09/19 | Accepted: 2020/05/28 | Published: 2020/06/30 | ePublished: 2020/06/30

References
1. Fink NS, Urech C, Cavelti M, Alder J. Relaxation during pregnancy: what are the benefits for mother, fetus, and the newborn? A systematic review of the literature. J Perinat Neonat Nur. 2012;26(4):296-306. [DOI:10.1097/JPN.0b013e31823f565b]
2. Akbarzadeh M, Sharif F, Zare N, Ghodrati F. Prevalence of symptoms post-partum anxiety and baby blues and factors effective uponit in women with high risk pregnancies. J Fam Res. 2009;5(1):57-71. [In Persian].
3. Babanazari L, Kafi M. Relationship of pregnancy anxiety to its different periods, sexual satisfaction and demographic factors. Iran J Psychiatry Clin Psychol. 2008;14(2):206-13. [In Persian].
4. Da Costa D, Dritsa M, Verreault N, Balaa C, Kudzman J, Khalifé S. Sleep problems and depressed mood negatively impact health-related quality of life during pregnancy. Arch Womens Ment Health. 2010;13(3):249-57. [DOI:10.1007/s00737-009-0104-3]
5. Rafiee B, Akbarzade M, Asadi N, Zare N. Comparison of attachment and relaxation training effects on anxiety in third trimester and postpartum depression among primipara women. hayat. 2013;19(1):76-88. [In Persian].
6. Kent A. Psychiatric disorder in pregnancy. Obstet Gynaecol Reprod Med. 2011(11):317-22. [DOI:10.1016/j.ogrm.2011.09.002]
7. Schmid G, Schreier A, Meyer R, Wolke D. Predictors of crying, feeding and sleeping problems: a prospective study. Child: Care Health Dev. 2011;37(4):493-502. [DOI:10.1111/j.1365-2214.2010.01201.x]
8. Richter R, Bergmann RL, Dudenhausen JW. Previous caesarean or vaginal delivery: which mode is a greater risk of perinatal death at the second delivery? Eur J Obstet Gynecol Reprod. Biol. 2007;132(1):51-7. [DOI:10.1016/j.ejogrb.2006.06.002]
9. Glover V. Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best Practice & Research. Clin Obstet Gynecol. 2014;28(1):25-35. [DOI:10.1016/j.bpobgyn.2013.08.017]
10. Susman EJ, Schmeelk KH, Ponirakis A, Gariepy JL. Maternal prenatal, postpartum, and concurrent stressors and temperament in 3-year-olds: a person and variable analysis. Dev Psychopathol. 2001;13(3):629-52. [DOI:10.1017/S0954579401003121]
11. Van den Bergh PhD B. The influence of maternal emotions during pregnancy on fetal and neonatal behavior. J Prenat Perinat Psychol Health. 1990;5(2):119-30.
12. Arai YC, Ueda W, Ushida T, Kandatsu N, Ito H, Komatsu T. Increased heart rate variability correlation between mother and child immediately pre-operation. Acta Anaesthesiol. Scand. 2009;53(5):607-10. [DOI:10.1111/j.1399-6576.2009.01912.x]
13. Pakari N, Zahrani ST, Nasiri M, Mahmoodi Z. Spatio-Temporal Distribution of Entomophages in Phytocenoses of Anthropogenically Modified Landscape in the Forest-Steppe of Western Siberia. Biosci Biotechnol Res Asia. 2016;13(1): [In Persian]. [DOI:10.13005/bbra/2029]
14. Vieten C, Astin J. Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: results of a pilot study. Arch Womens Ment Health. 2008;11(1):67-74. [DOI:10.1007/s00737-008-0214-3]
15. Dhillon A, Sparkes E, Duarte RV. Mindfulness-based interventions during pregnancy: A systematic review and meta-analysis. Mindfulness. 2017;8(6):1421-37. [DOI:10.1007/s12671-017-0726-x]
16. Goodman JH, Guarino A, Chenausky K, Klein L, Prager J, Petersen R, et al. CALM Pregnancy: results of a pilot study of mindfulness-based cognitive therapy for perinatal anxiety. Arch Womens Ment Health. 2014;17(5):373-87. [DOI:10.1007/s00737-013-0402-7]
17. Shi Z, MacBeth A. The effectiveness of mindfulness-based interventions on maternal perinatal mental health outcomes: a systematic review. Mindfulness. 2017;8(4):823-47. [DOI:10.1007/s12671-016-0673-y]
18. Huizink AC, Mulder EJ, de Medina PGR, Visser GH, Buitelaar JK. Is pregnancy anxiety a distinctive syndrome? Early hum dev. 2004;79(2):81-91. [DOI:10.1016/j.earlhumdev.2004.04.014]
19. Karamoozian M, Askarizadeh G, Behroozi N. The Study of psychometric properties of pregnancy related anxiety questionnaire. J Clin Nurs Midwife. 2017;5(4):22-34. [In Persian]
20. Bowen A, Baetz M, Schwartz L, Balbuena L, Muhajarine N. Antenatal group therapy improves worry and depression symptoms. Isr J Psychiatr Rel. 2014;51(3):226-31.
21. Beddoe AE, Yang C-PP, Kennedy HP, Weiss SJ, Lee KA. The effects of mindfulness-based yoga during pregnancy on maternal psychological and physical distress. J Obstet Gynecol Neonatal Nurs. 2009;38(3):310-9. [DOI:10.1111/j.1552-6909.2009.01023.x]
22. Dunn C, Hanieh E, Roberts R, Powrie R. Mindful pregnancy and childbirth: effects of a mindfulness-based intervention on women's psychological distress and well-being in the perinatal period. Arch. Womens. Ment. Health. 2012;15(2):139-43. [DOI:10.1007/s00737-012-0264-4]
23. Woolhouse H, Mercuri K, Judd F, Brown SJ. Antenatal mindfulness intervention to reduce depression, anxiety and stress: a pilot randomised controlled trial of the MindBabyBody program in an Australian tertiary maternity hospital. BMC Pregnancy Childbirth. 2014;14(1):369. [DOI:10.1186/s12884-014-0369-z]
24. Roth B, Robbins D. Mindfulness-based stress reduction and health-related quality of life: Findings from a bilingual inner-city patient population. Psychosom Med. 2004;66(1):113-23. [DOI:10.1097/01.PSY.0000097337.00754.09]
25. Aslami E, Alipour A, Aghayusefi A, Najib F. Assessing the effectiveness of mindfulness-based Islamic -spiritual schemas on anxiety of mothers pregnancy and infants physiological health. Health Psychol. 2016;4(14):1-10. [In Persian].
26. McBride DM. The process of research in psychology: Sage Publications; 2015.
27. Rahimi F, Islami F, Kahangi MM. Effects of Prenatal Education on Maternal and Neonatal Outcomes in High risk Pregnant Women. Pajouhan. 2018;16(3):48-57. [In Persian]. [DOI:10.21859/psj.16.3.48]
28. Chuang L-L, Lin L-C, Cheng P-J, Chen C-H, Wu S-C, Chang C-L. The effectiveness of a relaxation training program for women with preterm labour on pregnancy outcomes: A controlled clinical trial. Int J Nurs. Stud. 2012;49(3):257-64. [DOI:10.1016/j.ijnurstu.2011.09.007]
29. Toosi M, Akbarzadeh M, Zare N, Sharif F. The role of relaxation training to pregnant mothers on health index of infants. J Jahrom Univ Med Sci. 2013;11(1):15-21. [In Persian] [DOI:10.29252/jmj.11.1.3]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Scientific Journal of Nursing, Midwifery and Paramedical Faculty

Designed & Developed by : Yektaweb