An interventional study of Mindfulness-Based Childbirth and Parenting Education in PRENATAL DISTRESS, sponsored by Kayseri Training and Research Hospital. Completed at 1 site in Turkey (Türkiye). Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2025-08-14.
Sponsored by Kayseri Training and Research Hospital · Not applicable, Interventional, and Supportive care
This randomized controlled trial aimed to evaluate the effects of a mindfulness-based childbirth and parenting education program on pregnant women experiencing prenatal distress. A total of 31 participants were randomly assigned to either an intervention group, which received an 8-week mindfulness-based education, or a control group, which received standard prenatal care. The study assessed outcomes such as pregnancy-related stress, fear of childbirth, conscious awareness, maternal attachment, and postpartum adaptation.
This study was conducted to investigate the effects of a mindfulness-based childbirth and parenting education program on pregnant women who were identified as having prenatal distress. A randomized controlled trial design was used with a pre-test/post-test model. The participants were recruited from Kayseri City Training and Research Hospital's Pregnancy School and Outpatient Clinic between November and December 2022.
A total of 201 pregnant women were screened using the Tilburg Pregnancy Distress Scale (TPDS), and 31 women who scored 28 or higher and met the inclusion criteria were selected. Participants were randomly assigned into two groups: an intervention group (n=16) that received an 8-week mindfulness-based childbirth and parenting education program, and a control group (n=15) that received standard prenatal education.
The mindfulness-based program was conducted online and included guided mindfulness practices, psychoeducation, breathing exercises, and home assignments. Each session lasted approximately 120 minutes and was held once a week for eight consecutive weeks. Participants were also encouraged to practice formal and informal mindfulness exercises at home throughout the program.
The data were collected using several validated instruments, including the Tilburg Pregnancy Distress Scale, Mindful Attention Awareness Scale (MAAS), Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), Visual Analog Scale (VAS) for labor pain, Maternal Attachment Scale, and Postpartum Self-Evaluation Questionnaire. Data collection occurred at multiple time points: before the intervention, after the intervention, on the first postpartum day, and during the first and fourth postpartum months.
Kayseri Training and Research Hospital is the lead sponsor of 5 studies on the registry; 1 is open to participants now.
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Inclusion Criteria:Female participants aged 18 to 35
First-time pregnancy (primigravida)
Gestational age between 24 and 32 weeks
No chronic medical or psychiatric conditions
Able to participate in online sessions
TPDS (Tilburg Pregnancy Distress Scale) score of 28 or higher
Minimum literacy level to understand consent and questionnaires
Voluntary participation and signed informed consent
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Exclusion Criteria:
Multiple pregnancy (e.g., twins or more)
Existing diagnosis of major psychiatric disorders
Participation in any previous mindfulness training
Inability to complete follow-up assessments
Non-consent or withdrawal from the study
Participants in this group received routine prenatal care and standard childbirth education provided by the hospital without any mindfulness component.
Participants in this group received an 8-week mindfulness-based childbirth and parenting education program, including guided mindfulness practices, psychoeducation, and home assignments.
Behavioral: Mindfulness-Based Childbirth and Parenting Education
The intervention was an 8-week mindfulness-based childbirth and parenting education program specifically adapted for pregnant women experiencing prenatal distress. The program included weekly 120-minute online sessions combining formal mindfulness practices (such as mindful breathing, body scan, and sitting meditation), informal exercises (e.g., mindful eating, mindful walking), psychoeducation, group sharing, and guided reflections. Participants were also asked to complete daily home practice assignments using audio recordings. The content was adapted from the Mindfulness-Based Childbirth and Parenting (MBCP) curriculum and integrated with prenatal education. The intervention was delivered by a trained instructor and tailored to meet the emotional and cognitive needs of expectant mothers.
Change in Prenatal Distress Level
Measured using the Tilburg Pregnancy Distress Scale (TPDS), which assesses pregnancy-related emotional distress.
Time frame: From baseline (pre-intervention) to immediately post-intervention (approximately 8 weeks)
Change in Mindful Awareness
Measured using the Mindful Attention Awareness Scale (MAAS). Higher scores indicate greater mindfulness.
Time frame: Baseline and post-intervention (8 weeks)
Documents are hosted by the registry — open the source record to download them.
Plan to share: No — Individual participant data (IPD) will not be shared due to ethical concerns regarding participant privacy, as well as institutional restrictions on data sharing without explicit participant consent.
This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.
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Kayseri Training and Research Hospital