Participation in an Online Prenatal Mindfulness- Relationship-Based (PMRB) Program: Outcomes for Maternal Mindfulness, Mental Health, Interoception, and Mother-Infant Relationship during Pregnancy and Post-Partum

Abstract

This feasibility study sought to investigate the impact of an online 9-session Prenatal Mindfulness Relationship-Based (PMRB) group treatment program upon maternal mental health (depression, anxiety, and stress), interoception, and mother-infant relationship during pregnancy and post-partum. The study was designed in two parts 1) a quantitative examination of pre, post-treatment and 10-12 weeks post-partum measures targeting 13 pregnant women from a non-clinical population and 2) a qualitative exploration of the same pregnant women’s experiences of the PMRB program reported during the sessions, including their birth stories. Responses to an open-ended question about how the program had supported them during pregnancy, labor/birth and the first post-partum trimester were summarised using thematic analysis. Women (N = 36) were recruited to the non-randomised feasibility study and 13 were allocated to the PMRB program. Women were excluded due to the online recruitment timeframe, missing baseline gestational age and unavailability for the proposed time. All the allocated women completed the program during pregnancy and the baseline and post-treatment surveys. There were 12 women who completed the post-partum follow-up. Only one participant was lost to the follow up for unknown reasons. Results revealed an improvement in mindfulness, depression, interoception and mother-infant relationship post-treatment and at postpartum follow-up. The qualitative analysis led to the identification of 16 themes, which were organized in four categories describing the experience of participants. Findings provide preliminary support for the feasibility of the PMRB program to improve maternal mindfulness, interoception, mental wellbeing and mother-infant relationship during pregnancy and post-partum. The qualitative evaluation suggested the PMRB program may help women cope with emotional challenges and be more connected to their bodies and infant. The program may also help women become more aware of their unborn infant as a sentient being and the influence of their health and mental wellbeing on the infant development and health. Furthermore, it may be a facilitator of the mother-infant relationship during pregnancy and post-partum, promoting infant’s healthy development.