The Effect of Mindful Awareness on Fear and Satisfaction of Childbirth.

The aim of this study is to conduct a randomized controlled experimental study to determine the effect of online mindfulness-based childbirth anxiety training on childbirth anxiety and birth satisfaction in pregnant women.

Detailed Description: Childbirth anxiety is a common problem among women and affects their health and well-being before, during, and after pregnancy.

This problem can lead to negative pregnancy outcomes and can also cause psychological problems for the woman.

Childbirth anxiety can also affect the choice of delivery method and lead to an increase in cesarean section rates.

Healthcare services provided by midwives and other healthcare professionals during pregnancy and childbirth have the power to reduce or increase childbirth anxiety.

The most important midwifery intervention that can be used to reduce childbirth anxiety is counseling. The importance of childbirth anxiety for the midwifery profession is clearly evident from the fact that women prefer more interventions during childbirth. Large epidemiological studies provide good evidence that women experiencing childbirth anxiety prefer interventions during childbirth. When mindfulness training is examined in general, it is seen that mindfulness-based interventions can be effective in increasing positive emotions and decreasing negative emotions. The use of mindfulness-based interventions is increasing day by day, and their clinical benefits are being proven by studies. In light of these studies, it can be said that the method can be used in women not only to reduce stress but also as an effective method with physiological benefits. It is necessary to increase basic mindfulness training for pregnant women, to include midwives in mindfulness-based interventions, to develop intervention programs for women's specific life stages by ensuring necessary collaborations, and to evaluate the results of these programs. Studies have indicated that mindfulness training during counseling increases women's self-esteem. With mindfulness training, pregnant women's sense of control and self-confidence during childbirth can be increased, and birth outcomes can be improved positively. This study was conducted to determine the effect of mindfulness-based childbirth fear management training given to women on childbirth fear and birth satisfaction. The hypothesis that there was no difference in the mean childbirth fear and satisfaction scores between the intervention and control groups after the intervention was tested.

Inclusion criteria

• Between 20-35 years of age,
• At least a secondary school graduate,
• Residing within the borders of Aydın province,
• Being between 28-32 weeks pregnant according to the last menstrual period,
• Having no obstacles to giving birth vaginally,
• Having decided to give birth vaginally,
• Having the conditions to receive online training (internet, computer, smartphone, etc.),
• Being able to speak and understand Turkish,
• Pregnant women who are having their first pregnancy will be included.

Exclusion criteria

• • Women whose current pregnancy is high-risk (such as multiple pregnancy, preeclampsia, diabetes, heart disease, placenta previa, oligohydramnios),

• Women diagnosed with mental illnesses (depression, anxiety disorder, schizophrenia, bipolar disorder, etc.),
• All pregnant women who have undergone infertility treatment and become pregnant will not be included in the study.