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Daily Meditation Program in Women Admitted to the Antepartum Unit

Not Applicable
Completed
Conditions
Pregnancy Related
Pregnancy, High Risk
Interventions
Behavioral: Meditation
Behavioral: Routine Care
Registration Number
NCT03737279
Lead Sponsor
The University of Texas Health Science Center, Houston
Brief Summary

The purpose of this study is to assess whether a daily mindful meditation program for women admitted to the antepartum floor will decrease maternal state anxiety compared to routine care.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
56
Inclusion Criteria
  • ≥ 18 years of age
  • ≥ 23.0 weeks gestation
  • Planned inpatient care for > 3 days from randomization
  • Women cared for by UT physicians
Exclusion Criteria
  • Known major lethal fetal anomalies (eg. trisomy 13, trisomy 18, anencephaly, Potter's Syndrome)
  • Non-English speaking women
  • Planned delivery ≤ 3 days from randomization
  • Previous fetal surgery in the current pregnancy (twin twin transfusion syndrome laser ablation, spina bifida repair, etc)
  • Women who have practiced a form of meditation in the current pregnancy (including yoga) in the last 4 weeks
  • Women who are currently using patient-controlled analgesia (PCA) (eg. sickle cell crisis)
  • Admission diagnosis of ecclampsia or HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome
  • Diagnosed personality disorder including borderline personality disorder, histrionic personality disorder, schizoid personality disorder, schizotypal personality disorder, schizophrenia
  • Diagnosed anxiety, depression, bipolar or other psychiatric illness on medications for these disorders
  • Non-reassuring fetal heart tracing on admission
  • Intrauterine fetal demise at randomization
  • Inability to gain access to phone application

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
MeditationMeditationIntervention Group: Routine care plus twice daily mindful meditation
MeditationRoutine CareIntervention Group: Routine care plus twice daily mindful meditation
Routine careRoutine CareControl Group: Routine care which includes ACOG educational pamphlets on day 1, 2 and 3 after randomization
Primary Outcome Measures
NameTimeMethod
Maternal state anxiety as assessed by the State Anxiety Scale1-3 days

The State Anxiety Scale Ranges from 20 to 80, with higher scores indicating a higher anxiety level.

Secondary Outcome Measures
NameTimeMethod
Latency periodAt delivery.

Latency period is defined as time from randomization until delivery

Maternal state anxiety as assessed by the State Anxiety Scale1 to 11 weeks.

The State Anxiety Scale score ranges from 20 to 80, with higher scores indicating a higher anxiety level.

Stress as assessed by the Perceived Stress Scale3 days to 11 weeks.

The Perceived Stress Scale score ranges from 0 to 40, with higher scores indicating a higher stress level.

Depression as assessed by the Edinburgh Depression Scale3 days to 11 weeks.

The Edinburgh Depression Scale score ranges from 0 to 30, with higher scores indicating a higher depression level.

Patient satisfaction3 days to 11 weeks.

The Patient satisfaction questionnaire will be scored by a 5-point Likert Scale. Two questions will be asked relating to overall experience with the research trial and overall experience in the hospital. Each of the two questions will be rated with a 5-point Likert, with a total score ranging from 2 to 10 and with higher scores indicating a \[better/worse\] outcome.

Duration of meditation sessions11 weeks

Meditation duration as reported per patient and documented by phone application.

Number of meditation sessions11 weeks

Meditation sessions as reported per patient and documented by phone application.

Trial Locations

Locations (1)

The University of Texas Health Science Center at Houston

🇺🇸

Houston, Texas, United States

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