چکیده: (142 مشاهده)
Background: Labor pain presents a significant challenge for many women during childbirth. Effective pain management is essential for a positive birth experience. This study aimed to assess the effect of mindfulness-based training during pregnancy on pain intensity during vaginal delivery among nulliparous women.
Methods: This randomized controlled clinical trial was conducted among 92 healthy nulliparous women at 14 to 28 weeks of gestation in Agh Ghala County, Iran, from 6 July 2024 to 5 March 2025. Participants were randomly assigned to the intervention or control group using block randomization (1:1 ratio). The intervention group attended eight weekly group sessions of mindfulness-based training, whereas the control group received standard antenatal care. Labor pain intensity was assessed using the Visual Analogue Scale at admission, during the active phase, and during the second stage of labor. Of the participants, 74 (38 in the intervention group and 36 in the control group) completed the study and were included in the analysis. Analysis of covariance (ANCOVA) was used to adjust the primary outcomes for potential baseline differences.
Results: The mean ages of the intervention and control groups were 22.00 ± 5.0 and 18.70 ± 2.5, respectively. The mean labor pain intensity score at admission was significantly lower in the intervention group (4.63 ± 2.16) than in the control group (6.69 ± 2.17) (95% CI: -3.05 to -1.07, P < 0.001). At 7-8 cm cervical dilation, the mean score was also significantly lower in the intervention group (7.21 ± 1.71) than in the control group (9.16 ± 1.36) (95% CI: -2.65 to -1.25, P < 0.001). During the second stage of labor, the mean pain intensity score remained significantly lower in the intervention group (8.73 ± 1.40) than in the control group (9.91 ± 0.36) (95% CI: -1.64 to -0.72, P < 0.001).
Conclusion: Mindfulness-based training during pregnancy may help reduce labor pain intensity among nulliparous women. Midwives and midwifery counselors may consider incorporating mindfulness techniques into antenatal education to help women cope with labor pain.
Methods: This randomized controlled clinical trial was conducted among 92 healthy nulliparous women at 14 to 28 weeks of gestation in Agh Ghala County, Iran, from 6 July 2024 to 5 March 2025. Participants were randomly assigned to the intervention or control group using block randomization (1:1 ratio). The intervention group attended eight weekly group sessions of mindfulness-based training, whereas the control group received standard antenatal care. Labor pain intensity was assessed using the Visual Analogue Scale at admission, during the active phase, and during the second stage of labor. Of the participants, 74 (38 in the intervention group and 36 in the control group) completed the study and were included in the analysis. Analysis of covariance (ANCOVA) was used to adjust the primary outcomes for potential baseline differences.
Results: The mean ages of the intervention and control groups were 22.00 ± 5.0 and 18.70 ± 2.5, respectively. The mean labor pain intensity score at admission was significantly lower in the intervention group (4.63 ± 2.16) than in the control group (6.69 ± 2.17) (95% CI: -3.05 to -1.07, P < 0.001). At 7-8 cm cervical dilation, the mean score was also significantly lower in the intervention group (7.21 ± 1.71) than in the control group (9.16 ± 1.36) (95% CI: -2.65 to -1.25, P < 0.001). During the second stage of labor, the mean pain intensity score remained significantly lower in the intervention group (8.73 ± 1.40) than in the control group (9.91 ± 0.36) (95% CI: -1.64 to -0.72, P < 0.001).
Conclusion: Mindfulness-based training during pregnancy may help reduce labor pain intensity among nulliparous women. Midwives and midwifery counselors may consider incorporating mindfulness techniques into antenatal education to help women cope with labor pain.
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