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Journal of advanced nursing
Jan, 2021;77 (1): 125-146.

Mind-body interventions on stress management in pregnant women: A systematic review and meta-analysis of randomized controlled trials.

Pingping Guo, Xuehui Zhang, Na Liu, Jie Wang, Dandan Chen, Weijia Sun, Ping Li, Wei Zhang
Author Information
  1. Pingping Guo: School of Nursing, Jilin University, Changchun, Jilin, China. ORCID
  2. Xuehui Zhang: School of Nursing, Jilin University, Changchun, Jilin, China. ORCID
  3. Na Liu: School of Nursing, Jilin University, Changchun, Jilin, China.
  4. Jie Wang: School of Nursing, Jilin University, Changchun, Jilin, China.
  5. Dandan Chen: School of Nursing, Jilin University, Changchun, Jilin, China.
  6. Weijia Sun: School of Nursing, Jilin University, Changchun, Jilin, China.
  7. Ping Li: Department of Developmental Pediatrics, Second Hospital of Jilin University, Changchun, Jilin, China.
  8. Wei Zhang: School of Nursing, Jilin University, Changchun, Jilin, China. ORCID
PMID: 33048358 DOI: 10.1111/jan.14588

Abstract

AIM: To quantify the effect of mind-body interventions on stress in pregnant women.
DESIGN: A systematic review and meta-analysis of randomized controlled trials was performed.
DATA SOURCES: PubMed, Embase, CENTRAL, Web of Science and PsycINFO were searched from each database inception to January 2020.
REVIEW METHODS: Randomized controlled trials regarding mind-body interventions for stress in pregnant women were included. Methodological quality was evaluated using the Cochrane Collaboration 'Risk of Bias' tool and meta-analysis was performed via RevMan 5.3. Subgroup analysis and publication bias assessment were conducted. Post hoc sensitivity analysis was performed to investigate the source of heterogeneity.
RESULTS: In total, 28 studies comprising 1944 participants were included. The overall meta-analysis showed that antenatal stress of pregnant women in the mind-body interventions groups showed significant high improvements (SMD=-0.94; 95% CI [-1.25, -0.63]; p < .00001) compared with the control groups. Results of subgroup analyses indicated that all types of mind-body interventions including mindfulness intervention, cognitive behavioural therapy, relaxation techniques and yoga were beneficial to antenatal stress. Both groups and individual formats mind-body interventions were effective. 4-8 weeks mind-body interventions were seemed as the optimal choice. Moreover, mind-body interventions were concomitant with reducing antenatal anxiety and depression.
CONCLUSION: Mind-body interventions are promising approaches for stress reduction in pregnant women. Nevertheless, the results should be interpreted with caution because of high heterogeneity and publication bias. Further high-quality studies are needed to verify the findings.
IMPACT: Mind-body interventions have been widely implemented to ameliorate antenatal stress, but conflicting results were found across studies. This systematic review and meta-analysis suggested that mind-body interventions are relatively safe and convenient and can successfully promote antenatal stress. The suggestions proposed in this review may be useful for developing a scientific mind-body interventions regimen and encouraging the application of mind-body interventions in pregnant women, thereby managing antenatal stress effectively.

Keywords

meta-analysis mind-body intervention nursing pregnant women randomized controlled trial stress systematic review

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MeSH Term

Female
Humans
Mindfulness
Pregnancy
Pregnant People
Randomized Controlled Trials as Topic
Relaxation Therapy
Yoga
Journal Article Meta-Analysis Review Systematic Review
Article has an altmetric score of 11

Word Cloud

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