Effects of ‘STOP’ Mindfulness on Decreasing Cortisol in Primigravida Mothers

Anggorowati Anggorowati, Siti Munawaroh, Meidiana Dwidiyanti

Abstract

Background: Stress in pregnant women may give different effects on the development of pregnancy. Mindfulness is an intervention which can be practiced independently by primigravida mothers for stress management. Stress is indicated by a biological parameter of cortisol levels.   

Purpose: This study aimed to analyze the effects of mindfulness on decreasing cortisol levels in primigravida mothers. 

Methods: This study used a pretest-posttest quasy experimental design with a control group. The samples were 30 primigravida mothers who experienced stress in the area of public health centers in Semarang city. A consecutive sampling technique was used to select the samples. Mindfulness with STOP technique (Stop-Take a breath-Observe-Proceed) was given for four meetings for 60 minutes each. Before and after the implementation of mindfulness, 3 ml of blood was taken from the samples for the cortisol examination. Data were analyzed using a paired t-test.

Results: The results showed that the majority of women (46.7%) were in the second trimester of pregnancy, and aged 20-35 years old (86.7%). The mean of cortisol level before and after the intervention was 180.60 and 152.50, respectively. There was a decrease in the level of cortisol after the implementation of mindfulness with a p-value of 0.000 (? <0.05).

Conclusion: Mindfulness is effective in decreasing cortisol levels in primigravida mothers. Mindfulness can be used as an intervention to increase the self-reliance of pregnant women for stress management.

Keywords

Cortisol, mindfulness ‘STOP’, primigravida, stress

Full Text:

PDF

References

Alderdice, F., McNeill, J., & F Lynn. (2013). A systematic review of systematic reviews of interventions to improve maternal mental health and well-being. Midwifery, 29(4), 389–399.

Cunha, A. C. B. da, Akerman, L. F. P., Rocha, A. C., Rezende, K. B. de C., Junior, J. A., & Bornia, R. (2017). Stress and anxiety in pregnant women from a screening program for maternal-fetal risks. Journal of Gynecology & Obstetrics, 1(3), 10–13.

Donnell, K., Connor, T., & Glover, V. (2009). Prenatal stress and neurodevelopment of child: focus on the HPA axis and role of the placenta. Development Neuroscience, 31(4), 285–292.

Duncan, L. G., & Bardacke, N. (2010). Mindfulness-Based Childbirth and Parenting Education : Promoting Family Mindfulness During the Perinatal Period. J CHild Fam Stud, 19, 190–202. http://doi.org/10.1007/s10826-009-9313-7

Dunn, C., Hanieh, E., Roberts, R., & Powrie, R. (2012). Mindful pregnancy and childbirth: effects of mindfulness-based intervention on women’s psychological distress and well-being in the perinatal period. Arch Women's Mental Health, 15(2), 139–143.

Dwidiyanti, M. (2017). Mindfulness caring pada stress [Caring Mindfulness for Stress]. Semarang: Undip Press.

Guardino, C. M., Schetter, C. D., Bower, J. E., Lu, Mi. C., & Smalley, S. L. (2014). Randomized Controlled Pilot Trial of Mindfulness Training for Stress-Reducing during Pregnancy. Psychol Health, 29(3), 334–349. http://doi.org/10.1080/08870446.2013.852670.Randomized

Kiken, & Shook. (2012). Mindfulness and Emotional Distress: The Role of Negatively Biased Cognition. J Personal Differ, 52(3).

Kurniawan, E., Ratep, N., Westa, W., & Denpasar, S. (2013). Factors Lead to Depression During Antenatal Care Every Trimester of Pregnant Mother. E-Jurnal Med Udayana, 2(3), 1–13.

Laplante, D. P., Brunet, A., & King, S. (2015). The effects of maternal stress and illness during pregnancy on infant temperament : Project Ice Storm. Basic Science Investigation, (October), 1–7. http://doi.org/10.1038/pr.2015.177

Mancuso, R. A., Schetter, C. D., Rini, C. M., Roesch, S. C., & Hobel, C. J. (2004). Maternal Prenatal Anxiety and Corticotropin-Releasing Hormone Associated. Psychosomatic Medicine, 66, 762–769. http://doi.org/10.1097/01.psy.0000138284.70670.d5

Muthukrishnan, S., Jain, R., & Batra, S. (2016). Effect of Mindfulness Meditation on Perceived Stress Scores and Autonomic Function Tests of Pregnant Indian Women. Clin Diagnostic Res, 10(4), 5–8.

Narimani, M., Khadijeh, S., & Musavi, S. (2015). Effectiveness of Mindfulness Based Cognitive Therapy on Anxiety, Stress and Depression of Pregnant Youths: a Randomized Clinical Trial. Eur J Forensic Sci, 2(1), 10–13.

Obel, C., Hedegaard, M., & Henriksen, T. B. (2005). Stress and salivary cortisol during pregnancy, 647–656. http://doi.org/10.1016/j.psyneuen.2004.11.006

Schetter, C. D., Tanner, L., & Angeles, L. (2015). HHS Public Access, 25(2), 141–148. http://doi.org/10.1097/YCO.0b013e3283503680.Anxiety

Seng, J. S., Li, Y., Yang, J. J., King, A. P., Low, L. M. K., Sperlich, M., … Liberzon, I. (2018). Gestational and Postnatal Cortisol Pro fi les of Women With Posttraumatic Stress Disorder and the Dissociative Subtype. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 47(1), 12–22. http://doi.org/10.1016/j.jogn.2017.10.008

Seth, S., Lewis, A. J., & Galbally, M. (2016). Perinatal maternal depression and cortisol function in pregnancy and the postpartum period : a systematic literature review. BMC Pregnancy and Childbirth. http://doi.org/10.1186/s12884-016-0915-y

Simonian, M. (2015). The Impact of Mindfulness-Based Prenatal Program on Latino Pregnant Women’s Mindfulness and Stress. California State University.

Strewlow, B., Fellows, N., Fink, S., O’Laughin, D., Radke, G., Stevens, J., & Tweedy, J. (2018). Postpartum depression in older women. JAAPA, 31(3), 15–18.

Upton, P. (2012). Maternal.

Vijayaselvi, R., Beck, M. M., Abraham, A., Kurian, S., Regie, A., & Rebekah, G. (2015). Risk Factors for Stress During Antenatal Period Among Pregnant Women in Tertiary Care Hospital of Southern India. Journal of Clinical Diagnostic Research, 9(10), 1–5. http://doi.org/10.7860/JCDR/2015/13973.6580

Zinn, J. K. (2012). Mindfulness for beginner. Colorado: Souds True.

Refbacks

  • There are currently no refbacks.