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CONFERENCE PROCEEDING
Cognitive behavioral therapy-based midwifery care for anxiety in high-risk pregnant women: A pilot randomized controlled trial in Japan
1
United Graduate School of Child Development- Osaka University, Research Center for Child Mental Development- Chiba University, Chiba city, Japan
2
Chiba University, Research Center for Child Mental Development, Chiba city, Japan
Eur J Midwifery 2026;10(Supplement 1):A677
ABSTRACT
BACKGROUND:
Pregnant women with high-risk complications such as preeclampsia and placenta previa tend to experience anxiety regarding pregnancy management and outcomes. These conditions may adversely affect child development. Cognitive behavioral therapy (CBT) has been shown to be effective for perinatal anxiety. However, only a few midwife-led CBT-based clinical trials have focused on anxiety in high-risk pregnant women.
OBJECTIVES:
This study evaluated the feasibility and effectiveness of midwife-led CBT-based care for anxiety in high-risk pregnant women in Japanese clinical settings.
METHODS:
In this open-label, randomized controlled trial, pregnant women (24–35 weeks of gestation) with obstetric complications were randomly assigned to the CBT-based midwifery care (N=40) or usual care (N=40) groups at two hospitals. The intervention comprised six individual sessions that focused on anxiety regarding preterm birth, birth experience, and parenting concerns. The intervention was based on standard midwifery care models covering antenatal education, birth planning, and birth review and incorporates CBT components, such as psychoeducation, cognitive reconstruction, and behavioral activation. Anxiety was assessed five times using the State-Trait Anxiety Inventory from pregnancy through 1 month postpartum. Analyses were conducted using intent-to-treat and per-protocol approaches, employing mixed models for repeated measures and t-tests. The Ethics Committee of Tokyo Women's Medical University approved this study. (approval number 2024-0092). Trial registration, UMIN000055936 registered on 24/10/2024.
RESULTS:
This clinical trial is ongoing. As of May 2025, it is in the middle phase, with 56 pregnant women participants. We plan to recruit a total of 80 pregnant women. Preliminary data suggested a trend toward reduced anxiety in both groups.
CONCLUSIONS:
Integrating CBT-based care into standard midwifery care models is a promising approach for supporting high-risk pregnant women. This study provides preliminary data for a full-scale randomized controlled trial.
KEY MESSAGE:
CBT-based midwifery care may offer practical and clinically applicable solutions for addressing perinatal anxiety in high-risk pregnant women. Poster session 2 (Group A)
Pregnant women with high-risk complications such as preeclampsia and placenta previa tend to experience anxiety regarding pregnancy management and outcomes. These conditions may adversely affect child development. Cognitive behavioral therapy (CBT) has been shown to be effective for perinatal anxiety. However, only a few midwife-led CBT-based clinical trials have focused on anxiety in high-risk pregnant women.
OBJECTIVES:
This study evaluated the feasibility and effectiveness of midwife-led CBT-based care for anxiety in high-risk pregnant women in Japanese clinical settings.
METHODS:
In this open-label, randomized controlled trial, pregnant women (24–35 weeks of gestation) with obstetric complications were randomly assigned to the CBT-based midwifery care (N=40) or usual care (N=40) groups at two hospitals. The intervention comprised six individual sessions that focused on anxiety regarding preterm birth, birth experience, and parenting concerns. The intervention was based on standard midwifery care models covering antenatal education, birth planning, and birth review and incorporates CBT components, such as psychoeducation, cognitive reconstruction, and behavioral activation. Anxiety was assessed five times using the State-Trait Anxiety Inventory from pregnancy through 1 month postpartum. Analyses were conducted using intent-to-treat and per-protocol approaches, employing mixed models for repeated measures and t-tests. The Ethics Committee of Tokyo Women's Medical University approved this study. (approval number 2024-0092). Trial registration, UMIN000055936 registered on 24/10/2024.
RESULTS:
This clinical trial is ongoing. As of May 2025, it is in the middle phase, with 56 pregnant women participants. We plan to recruit a total of 80 pregnant women. Preliminary data suggested a trend toward reduced anxiety in both groups.
CONCLUSIONS:
Integrating CBT-based care into standard midwifery care models is a promising approach for supporting high-risk pregnant women. This study provides preliminary data for a full-scale randomized controlled trial.
KEY MESSAGE:
CBT-based midwifery care may offer practical and clinically applicable solutions for addressing perinatal anxiety in high-risk pregnant women. Poster session 2 (Group A)
| eISSN: | 2585-2906 |
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