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CONFERENCE PROCEEDING
preventing perinatal depression: Harnessing translational & interdisciplinary approaches to improve maternal/child health
1
Oregon Health &- Science University, School of Nursing Department of Midwifery and School of Medicine Department of Obstetrics and Gynecology, Portland- Oregon, United States
2
Rutgers University, School of Nursing, Newark, United States
Eur J Midwifery 2026;10(Supplement 1):A652
ABSTRACT
BACKGROUND:
With 11 – 20% of pregnant people developing depression during pregnancy or postpartum, perinatal depression (PD) [defined as a significant depressive episode occurring during pregnancy or up to one year following delivery] is a leading cause of preventable maternal morbidity and is a leading driver of maternal mortality. Depression during pregnancy and/or postpartum also is associated with worse neonatal/child outcomes. Delivered during pregnancy, Mindfulness Cognitive Behavioral Therapy is 74% effective in preventing PD; however, there are multiple barriers to model implementation. We developed and tested a ‘light touch’, telehealth and digital based version of this model, Center M, designed for integration into routine prenatal care and wider appeal among pregnant people.
OBJECTIVES:
The purpose of this pilot study is to evaluate the acceptability and feasibility of Center M as a preventive intervention for pregnant people.
METHODS:
A prospective, mixed methods, observational study design was employed.
RESULTS:
Depressive symptoms significantly decreased preintervention to postintervention (P =0.03), and mindfulness capacity significantly increased preintervention to 6 weeks postpartum (P = 0.004). Higher mindfulness at 6 weeks postpartum significantly predicted fewer depression symptoms at 6 weeks postpartum (P = 0.006). Improved emotional regulation was significantly associated with decreased depressive symptoms at 6 weeks postpartum (P = 0.012). Qualitative themes indicated high Center M acceptability and appeal.
CONCLUSIONS:
Center M, an innovative and integrative preventive prenatal mental health care program, demonstrated feasibility, acceptability, and early evidence supporting proposed mechanisms of action. Research findings signal early promise that Center M is effective in reducing PD risk and overcomes common implementation barriers and add to the nascent literature identifying 2 mechanisms of action that may mediate mental health interventions and symptoms of depression. Prenatal care is a limited window of opportunity; effective mental health interventions should be designed to capitalize on this.
KEY MESSAGE:
Prenatal telehealth mindfulness CBT can prevent perinatal depression. Poster session 2 (Group A)
With 11 – 20% of pregnant people developing depression during pregnancy or postpartum, perinatal depression (PD) [defined as a significant depressive episode occurring during pregnancy or up to one year following delivery] is a leading cause of preventable maternal morbidity and is a leading driver of maternal mortality. Depression during pregnancy and/or postpartum also is associated with worse neonatal/child outcomes. Delivered during pregnancy, Mindfulness Cognitive Behavioral Therapy is 74% effective in preventing PD; however, there are multiple barriers to model implementation. We developed and tested a ‘light touch’, telehealth and digital based version of this model, Center M, designed for integration into routine prenatal care and wider appeal among pregnant people.
OBJECTIVES:
The purpose of this pilot study is to evaluate the acceptability and feasibility of Center M as a preventive intervention for pregnant people.
METHODS:
A prospective, mixed methods, observational study design was employed.
RESULTS:
Depressive symptoms significantly decreased preintervention to postintervention (P =0.03), and mindfulness capacity significantly increased preintervention to 6 weeks postpartum (P = 0.004). Higher mindfulness at 6 weeks postpartum significantly predicted fewer depression symptoms at 6 weeks postpartum (P = 0.006). Improved emotional regulation was significantly associated with decreased depressive symptoms at 6 weeks postpartum (P = 0.012). Qualitative themes indicated high Center M acceptability and appeal.
CONCLUSIONS:
Center M, an innovative and integrative preventive prenatal mental health care program, demonstrated feasibility, acceptability, and early evidence supporting proposed mechanisms of action. Research findings signal early promise that Center M is effective in reducing PD risk and overcomes common implementation barriers and add to the nascent literature identifying 2 mechanisms of action that may mediate mental health interventions and symptoms of depression. Prenatal care is a limited window of opportunity; effective mental health interventions should be designed to capitalize on this.
KEY MESSAGE:
Prenatal telehealth mindfulness CBT can prevent perinatal depression. Poster session 2 (Group A)
| eISSN: | 2585-2906 |
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