The purpose of this small randomized controlled trial (RCT) is to compare the impact of a brief (16 hour) 3rd trimester mindfulness-based childbirth education program, "Mind in Labor (MIL): Working with Pain in Childbirth," with a standard care/"treatment as usual" (TAU) active control condition of standard hospital- and community-based childbirth education. The MIL group is expected to demonstrate a reduction in fear of labor (less pain catastrophizing and greater childbirth self-efficacy), less perceived pain in labor, less use of pain medication in labor, greater birth satisfaction, and better prenatal and postpartum psychological adjustment compared to the TAU group.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Change in Fear of labor (childbirth self-efficacy and pain catastrophizing)
Timeframe: Baseline (pre-intervention, 3rd trimester); Post-intervention (prior to birth)
Perceived labor pain
Timeframe: Postpartum (average of 6 weeks post-birth)
Pain medication use during labor
Timeframe: Labor (during childbirth)
Childbirth satisfaction
Timeframe: Postpartum (average of 6 weeks post-birth)
Change in Depression
Timeframe: Baseline (pre-intervention, 3rd trimester); Post-intervention (prior to birth); Postpartum (average of 6 weeks postbirth); Follow-up (1-2 years post-birth)