الملخص
ObjectiveTo analyze the effects of mindfulness-based childbirth on procedural fear， pain and pregnancy outcome in pregnant women， so as to provide references for clinical application of mindfulness-based childbirth. MethodsA total of 100 pregnant women in the Third Hospital of Mianyang from January 2018 to January 2019 were selected， and divided into experimental group and control group by random number table method， each with 50 cases. All pregnant women received routine nursing， based on this， experimental group received an 8-week mindfulness-based childbirth intervention. Then pregnant women were evaluated with Childbirth Attitudes Questionnaires （CAQ） and Numerical Rating Scale （NRS）， meantime， the labour course and mode of delivery were recorded. Thereafter， the two groups were compared in terms of fear， pain， labor course and delivery mode. ResultsThe scores of CAQ ［（30.46±9.27） vs.（43.24±14.54）， t=-5.242， P<0.01］ and NRS ［（6.64±0.80） vs.（7.32±0.77）， t=-4.331， P<0.01］ yielded statistical differences between experimental group and control group. The labor course of experimental group was shorter than that of control group ［（10.10±1.91）h vs.（13.28±3.28）h， t=-5.921， P<0.01］. The vaginal delivery rate was 84.00% in experimental group and 60.00% in control group， and the cesarean section rate was 16.00% and 40.00%， respectively， with statistical difference （χ2=7.143， P<0.01）. ConclusionMindfulness-based childbirth may alleviate the labor fear and pain， shorten the labor course and promote vaginal delivery.
الملخص
ObjectiveTo explore the effect of mindfulness-based childbirth on pregnant women's anxiety and depression， and to provide references for related psychological intervention. MethodsA total of 80 pregnant women who attended the obstetrics department of the Third People's Hospital of Mianyang from October 2018 to March 2019 and met the diagnostic criteria of mild to moderate anxiety and depression in the Diagnostic and Statistical Manual of Mental Disorders， fifth edition （DSM-5） were selected， and they were divided into two groups by random number table method， each with 40 cases. Both groups received regular mental health education. On this basis， experimental group received mindfulness-based childbirth training for 8 times， once a week. Meantime， all pregnant women were assessed using Patient Health Questionnaire-9 item （PHQ-9） and Generalized Anxiety Disorder Scale （GAD-7） at the baseline and after intervention. ResultsAt the baseline and after intervention， the scores of PHQ-9 ［（6.95±1.40） vs. （2.10±1.34）， P<0.05］ and GAD-7 ［（7.23±1.29） vs. （2.08±1.51）， P<0.05］ in the experimental group had statistical significance， and the scores of PHQ-9 ［（7.00±1.43） vs. （3.65±1.35）， P<0.05］ and GAD-7 ［（7.18±1.57） vs. （3.38±1.66）， P<0.05］ in the control group had statistical significance. Moreover， the post-intervention scores of PHQ-9 and GAD-7 were significantly lower in experimental group than in control group （t=5.161， 3.666， P<0.01）. ConclusionCompared with mental health education alone， its combination with mindfulness-based childbirth achieves better effect in alleviating the anxiety and depression status of pregnant women.