The Effect of Mindfulness Compassionate Living Training on Unwanted Pregnancies

The Effect of Mindfulness Compassionate Living Training on Depression, Anxiety, Stress, Self-compassion, and Acceptance Levels in Pregnant Women With Unwanted Pregnancies: A Randomized Controlled Trial.

This study will be conducted as a single-blind, randomized controlled trial with pregnant women who do not want or plan a pregnancy and do not intend to terminate it, and who apply for pregnancy examination at the Obstetrics and Gynecology outpatient clinic of a training and research hospital in Turkey. Data will be collected at the Obstetrics and Gynecology outpatient clinic of the Training and Research Hospital in Ağrı between March 2026 and June 2026. The study population will consist of pregnant women aged 18 to 45 who apply to the Obstetrics and Gynecology outpatient clinic during the specified period, and who have an unwanted or unplanned pregnancy. The sample size was calculated using the GPower computer program. Using power analysis at the α=0.05 level, the effect size was calculated as 150, 153 (d=0.8) and the study power as 90%, indicating that at least 68 pregnant women should be included in the sample. Pregnant women who meet the research criteria and agree to participate in the study will be randomly assigned to an experimental group and a control group. The study will use a pregnancy profile form prepared by the researcher in accordance with the literature, containing socio-demographic data of pregnant women who applied to the Obstetrics and Gynecology outpatient clinic; the Self-Acceptance Scale for Pregnant Women (SAPS) to determine the pregnant woman's level of self-acceptance; the Depression, Anxiety, and Stress Scale (DASS-21) to evaluate the symptoms of depression, anxiety, and stress; and the Self-Compassion Scale Short Form (SCI-S) to evaluate self-compassion.

Research data will be collected face-to-face by the researcher. The study will be conducted with pregnant women who meet the inclusion criteria (unwanted or unplanned pregnancy, being pregnant between the ages of 18 and 45, willingness to participate in the research, and openness to communication and cooperation). Pre-test measurement tools will be administered to the pregnant women participating in the study. Following this, Mindfulness-Based Compassionate Living Training will be applied. Eighth, final test data will be administered after the session application process.

Inclusion Criteria:

• The pregnancy must be unwanted or unplanned,
• The pregnancy must be between the ages of 18 and 45,
• The pregnancy must involve having at least one child,
• The pregnancy must involve having a smartphone and internet access,
• The pregnancy must not involve any other significant illnesses.

Exclusion Criteria:

• Having a diagnosis of a mental disorder,
• Having any obstacle that would impair communication,
• Being the first pregnancy,
• Being a desired pregnancy,
• Having a significant chronic illness (the presence of another disease that could pose a risk to pregnancy)