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Prenatal stress is a pressing issue. However, there is a lack of robust evidence for psychosocial interventions to manage this problem. This study aimed to examine the effectiveness of a mindfulness-based intervention on reducing prenatal stress compared to participation in health education groups. A randomized controlled trial was conducted in a prenatal clinic of comprehensive tertiary care from April to October 2017. A total of 108 pregnant women were randomly assigned to an intervention or a control group. Participants completed self-report measures of depression, anxiety, perceived stress, fatigue, positive and negative affect, and mindfulness before, immediately after, and 15   weeks after the 4-week intervention period. Generalized estimating equations were used to analyze the intervention outcomes. The results supported greater improvement in terms of perceived stress ( Wald χ2 =26.94,  p&lt; 0.001), fatigue ( Wald χ2 =17.61,  p&lt; 0.001), positive affect ( Wald χ2 =9.03,  p  = 0.011), negative affect ( Wald χ2 =11.37,  p  = 0.003), and mindfulness ( Wald χ2 =24.97,  p&lt; 0.001) in the intervention group than in the control group. The self-help mindfulness intervention decreased prenatal stress and negative affect and improved positive affect and mindfulness.

Prenatal stress self-help mindfulness intervention via social media: a randomized controlled trial