{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:52:51Z","timestamp":1791946371194,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fear of childbirth is common among pregnant women. Mindfulness\u2010based interventions have been used widely in obstetrics. However, the evidence of the effects on fear of childbirth is controversial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the effects of mindfulness\u2010based interventions on fear of childbirth, pain catastrophising, labour pain intensity, use of pain relief medication, mode of delivery and duration of labour among pregnant women planned for normal delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this systematic review, 10 databases were searched from inception to 7 November 2024. Randomized controlled trials implementing mindfulness\u2010based interventions for fear of childbirth or related outcomes were included. Two reviewers assessed the methodological quality and certainty of evidence independently. Standardized mean difference (SMD), risk ratio (RR), and 95% confidence intervals (CI) were used to evaluate effect sizes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 16 studies from 15 trials were included. Based on very low to moderate certainty of evidence, mindfulness\u2010based interventions were effective in decreasing fear of childbirth both immediately post\u2010intervention and within 6\u2010week postpartum (SMD: \u22120.72; 95% CI \u22120.89, \u22120.55; SMD: \u22120.63; 95% CI \u22120.91, \u22120.35, respectively), labour pain intensity (SMD: \u22121.22; 95% CI \u22122.07, \u22120.37), caesarean section rate (RR: 0.58; 95% CI 0.36, 0.93), and total duration of labour (SMD: \u22121.03; 95% CI \u22121.34, \u22120.72), and improving mindfulness level both immediately post\u2010intervention and within six\u2010week postpartum (SMD: 0.48; 95% CI 0.31, 0.66; SMD: 0.50; 95% CI 0.27, 0.73, respectively), but had no significant effect on pain catastrophising (SMD: \u22120.36; 95% CI \u22120.72, 0.01) and epidural analgesia use rate (RR: 0.77; 95% CI 0.57, 1.03).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>Mindfulness\u2010based interventions have potential effects on reducing fear of childbirth and promoting labour\u2010related outcomes. These interventions might be an effective approach in obstetrics clinical practice to enhance the pregnancy and labour experiences among pregnant women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO registration number: CRD42024610793<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70101","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T04:51:29Z","timestamp":1768884689000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of Mindfulness\u2010Based Interventions for Fear of Childbirth Among Pregnant Women Planned for Normal Birth: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8963-1105","authenticated-orcid":false,"given":"Ruohan","family":"Wang","sequence":"first","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong  Shatin Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1991-6286","authenticated-orcid":false,"given":"Yinge","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology; Guangdong\u2010Hong Kong\u2010Macao Greater Bay Area Higher Education Joint Laboratory of Maternal\u2010Fetal Medicine The Third Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Guangzhou Women and Children's Medical Center Guangzhou Medical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ka Ming","family":"Chow","sequence":"additional","affiliation":[{"name":"The Nethersole School of Nursing, Faculty of Medicine The Chinese University of Hong Kong  Shatin Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.04.020"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.55975\/hyqx2172"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2017.04.006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890\u2010024\u201002923\u2010z"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnaa208"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010psych\u2010042716\u2010051139"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm\u20102016\u20100282"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010017\u20101319\u20103"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2024.104088"},{"issue":"4","key":"e_1_2_10_11_1","first-page":"56","article-title":"Impact of Mindfulness\u2010Based Psychosomatic Health Course on Pregnant Women With Fear of Childbirth: A Multi\u2010Center Randomized Controlled Trial","volume":"35","author":"Gao M.","year":"2024","journal-title":"Chinese Journal of Woman and Child Health Researeh"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.13238"},{"issue":"2","key":"e_1_2_10_13_1","first-page":"157","article-title":"Effects of Mindfulness\u2010Based Childbirth on Procedural Fear,Pain and Outcome in Pregnant Women","volume":"35","author":"Guo Q.","year":"2022","journal-title":"Sichuan Mental Health"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hoc.2018.01.013"},{"key":"e_1_2_10_15_1","unstructured":"Higgins J. 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