The Effects of a Mindfulness-Based Intervention on Mental Health Outcomes in Pregnant Woman: A Systematic Review and Meta-Analysis.
Yanti Puspita Sari, Yu-Yun Hsu, Tram Thi Bich Nguyen
PMID 38036493WHAT IT FOUND
In pregnant women, mindfulness-based programmes reduced stress and anxiety, but did not clearly reduce depression.
The overall benefit was small to moderate, with large differences between programmes.
Key findings
01Across 13 studies, mindfulness-based interventions had a small-to-medium effect on overall mental health outcomes.
02Stress and anxiety each showed a moderate reduction.
03Depression showed no significant effect.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The 13 studies used different mindfulness programmes, session lengths, and measurement tools, and heterogeneity was high (I² = 87%), so the pooled result may not apply to any single programme. The funnel plot was asymmetric, suggesting possible publication bias and overly small sample sizes. Nearly all studies used single-blind outcome measures, and attrition rates ranged from 6% to 27%, which may have affected the results. Only English studies of singleton pregnancies without physical or psychological complications were included, so the findings may not apply to higher-risk or multiple pregnancies. The review did not examine trimester, parity, age, or cultural factors, and it did not include qualitative studies, so it cannot say which women benefit most or what participants experienced. Three of the 13 studies were quasi-experimental, not randomized.
The easy way to misread this
Do not conclude that mindfulness-based programmes treat depression in pregnancy. The pooled analysis showed no significant effect on depression, and the reported benefit was limited to stress and anxiety.