Daily Meditation Program in Women Admitted to the Antepartum Unit

Daily Meditation Program in Women Admitted to the Antepartum Unit: A Randomized Controlled Trial

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.

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