Center of Research in Psychological and Somatic disorders (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, Box 90153, 5000 LE, Tilburg, The Netherlands.
UvA Minds, Academic Outpatient (Child and Adolescent) Treatment Center, University of Amsterdam, Amsterdam, The Netherlands.
Arch Womens Ment Health. 2021 Apr;24(2):281-292. doi: 10.1007/s00737-020-01062-8. Epub 2020 Sep 8.
Women's subjective childbirth experience is a risk factor for postpartum depression and childbirth-related posttraumatic stress symptoms. Subjective childbirth experience is influenced not only by characteristics of the childbirth itself but also by maternal characteristics. A maternal characteristic that may be associated with a more positive childbirth experience is trait mindfulness. The current study aimed to assess this association and to assess whether trait mindfulness during pregnancy had a moderating role in the possible association between non-spontaneous delivery and perception of childbirth. A subsample of 486 women, participating in a longitudinal prospective cohort study (Holistic Approach to Pregnancy and the first Postpartum Year study), completed the Three Facet Mindfulness Questionnaire-Short Form at 22 weeks of pregnancy. Women completed the Childbirth Perception Scale and the Edinburgh Postnatal Depression Scale between 7 and 21 days postpartum. The mindfulness facets acting with awareness and non-reacting were significantly associated with a more positive perception of childbirth, after adjusting for covariates. Moderation analyses showed a significant interaction between acting with awareness and non-spontaneous delivery and non-judging and non-spontaneous delivery. Non-spontaneous delivery was associated with a more negative perception of childbirth for low/medium scores of acting with awareness and non-judging, but not for high scores on these mindfulness facets. Trait mindfulness during pregnancy may enhance a positive perception of childbirth. Because this is among the first studies examining the association between maternal dispositional mindfulness and perception of childbirth, future research is needed to confirm the results of the current study.
女性对分娩的主观体验是产后抑郁和与分娩相关的创伤后应激症状的一个风险因素。主观分娩体验不仅受分娩本身的特点影响，还受产妇特点影响。可能与更积极的分娩体验相关的产妇特征是特质正念。本研究旨在评估这种关联，并评估怀孕期间的特质正念是否在非自然分娩与对分娩的感知之间的可能关联中起调节作用。一个参加纵向前瞻性队列研究（整体妊娠和产后第一年研究）的 486 名女性的子样本在妊娠 22 周时完成了三方面正念问卷-短式。女性在产后 7 至 21 天完成了分娩感知量表和爱丁堡产后抑郁量表。在调整了协变量后，觉察和不反应的正念特质与对分娩的更积极感知显著相关。调节分析显示，觉察和非自发性分娩以及非评判和非自发性分娩之间存在显著的交互作用。对于觉察和非评判的低/中分数，非自然分娩与对分娩的更消极感知相关，但对于这些正念特质的高分则不然。怀孕期间的特质正念可能会增强对分娩的积极感知。由于这是首次研究母体特质正念与分娩感知之间的关联，因此需要进一步的研究来证实本研究的结果。
