Effect of MBSR Training on Childbirth Fear, Bonding and Breastfeeding in Adolescent Pregnant Women

Inonu University54 enrolled

Overview

This randomized controlled study aims to evaluate the effect of Mindfulness-Based Stress Reduction (MBSR) training given to adolescent pregnant women and their partners on fear of childbirth, maternal and paternal bonding, and breastfeeding success. Adolescent pregnancy is associated with increased stress, fear of childbirth and parenting anxiety, which negatively affect mother-infant and father-infant bonding and breastfeeding outcomes. MBSR training is expected to reduce fear of childbirth, strengthen maternal and paternal bonding, and improve breastfeeding success in adolescent pregnant women and their partners compared to the control group receiving routine care.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Pregnancy in Adolescence

Interventions

Mindfulness-Based Stress Reduction (MBSR) TrainingBEHAVIORAL

Mindfulness-Based Stress Reduction (MBSR) training program delivered to adolescent pregnant women and their partners. The program consists of 8 sessions in total, conducted twice a week for 4 weeks. Each session lasts approximately 40 minutes and includes mindfulness meditation, breathing exercises, body scan and stress management techniques. The training aims to reduce fear of childbirth, strengthen maternal and paternal bonding, and improve breastfeeding success.

Eligibility

Sex: ALLMin age: 15 YearsMax age: 19 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Being between 15-19 years of age 2. Being in the third trimester of pregnancy (30-33 weeks of gestation) 3. Being primiparous 4. Having no history of miscarriage, abortion or similar obstetric problems during pregnancy 5. Not having a high-risk pregnancy diagnosis 6. Being literate 7. Partner accepting to actively participate in the parenting process Exclusion Criteria: 1. Having a chronic disease 2. Having physical or psychological health problems 3. Having a psychiatric diagnosis in the participant or their partner 4. Having a detected health problem or congenital anomaly in the fetus 5. Having previously received Mindfulness-Based Stress Reduction (MBSR) training 6. Not completing the planned training program 7. Voluntarily withdrawing from the study

Outcomes

Primary Outcomes

Fear of Childbirth

Fear of childbirth will be measured using the Wijma Delivery Expectancy/Experience Questionnaire Version A (W-DEQ-A) in adolescent pregnant women and their partners. Scores range from 0 to 165, with higher scores indicating greater fear of childbirth.

Time frame: Baseline and 4 weeks after the intervention

Secondary Outcomes

Maternal Bonding

Maternal bonding will be assessed using the Maternal Attachment Scale. Scores range from 26 to 104, with higher scores indicating stronger maternal attachment.