Enhancing Prenatal Mindfulness Through Self-Affirmation and Yoga: A Case Study Approach

Yustina Tyas Kurniawati

Abstract


Anchored in SDG 3’s imperative to “ensure healthy lives,” but roughly 20% of women experience anxiety worldwide, including pregnant women. To overcome it, they should deepen self-knowledge, bolster self-compassion, and enhance resilience against prenatal distress. This study uses a one-group post-test only design with purposive sampling to assess the impact of combined self‑affirmation and prenatal yoga on mindfulness. Employing a pre-experimental, single‑case design with healthy women at 20–36 weeks’ gestation, the intervention was practiced by a midwife who is certified yoga facilitator. After each weekly private yoga session, including breathing exercises, verbal self-affirmation, yoga sequences, and praying, participants completed the FFMQ to assess mindfulness. Among 18 pregnant women, most were primiparous. Based on the FFMQ results, mean scores for Observing (30.3), Describing (24.1), and Acting with Awareness (19.2) were above the median values 29.5, 24, 19.5, while mean Non‑Judging (19.0) closely approximated its median (19.5), and mean Non‑Reactivity (20.6), while the median (20.0). The combined prenatal yoga and self‑affirmation program improved key mindfulness facets: Observing, Describing, and Acting with Awareness, while preserving Non‑Judging and Non‑Reactivity, thereby enhancing attentional focus and emotional labeling to buffer prenatal stress. Good scores mean greater mindfulness. This approach effectively fosters emotional resilience and well‑being in pregnancy.


Keywords


Mindfulness; Prenatal yoga; Self-affirmation

Full Text:

PDF

References


Benyian FF. Impact of prenatal anxiety on pregnancy outcome among women in Baghdad teaching hospitals. J Educ Health Promot [Internet]. 2025 Mar 1 [cited 2025 Sep 28];14(1):102. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12017411/

United Nations. The sustainable development goals report 2025 [Internet]. [cited 2025 Sep 28]. Available from: https://unstats.un.org/sdgs/report/2025/The-Sustainable-Development-Goals-Report-2025.pdf

Nevarez-Brewster M, Demers CH, Deer LBK, Aran Ö, Gallop RJ, Haase MH, et al. Association between prenatal maternal sleep quality, neonatal uncinate fasciculus white matter, and infant negative emotionality. EBioMedicine [Internet]. 2024 Nov 1 [cited 2025 Sep 28];109:105384. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11564983/

Corrigan L, Moran P, McGrath N, Eustace-Cook J, Daly D. The characteristics and effectiveness of pregnancy yoga interventions: a systematic review and meta-analysis. BMC Pregnancy Childbirth [Internet]. 2022 Dec 1 [cited 2025 Sep 28];22(1). Available from: https://pubmed.ncbi.nlm.nih.gov/35337282/

Zhou Y, Tang ZM, Mei L, Yang XC, Zheng HL, Liao BZ, et al. Effect of mindfulness group therapy on maternal psychological distress and perinatal outcomes in twin pregnancy: a randomized controlled trial. Front Psychiatry [Internet]. 2025 [cited 2025 Sep 28];16:1572633. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12130052/

Sansone A, Stapleton P, Patching A. A qualitative investigation of a prenatal mindfulness relationship-based (PMRB) program to support maternal mental health and mother–baby relationship during pregnancy and post-partum. Mindfulness (N Y) [Internet]. 2024 Jul 1 [cited 2025 Oct 1];15(7):1759–77. Available from: https://link.springer.com/article/10.1007/s12671-024-02399-2

Dhillon A, Sparkes E, Duarte R V. Mindfulness-based interventions during pregnancy: a systematic review and meta-analysis. Mindfulness (N Y) [Internet]. 2017 Dec 1 [cited 2025 Oct 20];8(6):1421. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5693962/

Liang IJ. The wonders of mind-body practices during pregnancy: A topical review. Taiwan J Obstet Gynecol [Internet]. 2024 Jul 1 [cited 2025 Oct 20];63(4):486–91. Available from: https://www.sciencedirect.com/science/article/pii/S1028455924001232

Khajuria A, Kumar A, Joshi D, Kumaran SS. Reducing stress with yoga: a systematic review based on multimodal biosignals. Int J Yoga [Internet]. 2024 Sep [cited 2025 Oct 20];16(3):156. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10919405/

Gothe NP, Khan I, Hayes J, Erlenbach E, Damoiseaux JS. Yoga effects on brain health: a systematic review of the current literature. Brain Plast [Internet]. 2019 Jun [cited 2025 Oct 20];5(1):105–22. Available from: https://pubmed.ncbi.nlm.nih.gov/31970064/

Dutcher JM, Eisenberger NI, Woo H, Klein WMP, Harris PR, Levine JM, et al. Neural mechanisms of self-affirmation’s stress buffering effects. Soc Cogn Affect Neurosci [Internet]. 2020 Nov 10 [cited 2025 Oct 20];15(10):1086–96. Available from: https://dx.doi.org/10.1093/scan/nsaa042

Jhunjhunwala T. The impact of self-affirmation on individuals’ stress levels and performance - a longitudinal study [Internet]. Claremont; 2022 [cited 2025 Oct 20]. Available from: https://scholarship.claremont.edu/scripps_theses

Xu X, Abdullah B Bin, Samsudin S Bin, Tan Y. Integrating mindfulness and physical activity: a meta-analysis of mindful movement interventions for symptoms of anxiety and depression among university students. PeerJ [Internet]. 2025 Jul 1 [cited 2025 Oct 20];13:1–25. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12226987/

United Nations. Transforming our world: the 2030 Agenda for Sustainable Development [Internet]. 2015 [cited 2025 Sep 28]. Available from: https://docs.un.org/en/A/RES/70/1

Nikoozad S, Safdari - Dehcheshmeh F, Sharifi F, Ganji F. The effect of prenatal education on health anxiety of primigravid women. BMC Pregnancy Childbirth [Internet]. 2024 Dec 1 [cited 2025 Oct 1];24(1):541. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11325567/

Pan WL, Lin LC, Kuo LY, Chiu MJ, Ling PY. Effects of a prenatal mindfulness program on longitudinal changes in stress, anxiety, depression, and mother–infant bonding of women with a tendency to perinatal mood and anxiety disorder: a randomized controlled trial. BMC Pregnancy Childbirth [Internet]. 2023 Dec 1 [cited 2025 Oct 1];23(1):1–11. Available from: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05873-2

Nombela E, Marchena C, Duque A, Chaves C. The efficacy of psychological interventions on well-being during the perinatal period: A systematic review. Gen Hosp Psychiatry [Internet]. 2025 Mar 1 [cited 2025 Oct 1];93:40–51. Available from: https://www.sciencedirect.com/science/article/pii/S0163834325000064

Gkintoni E, Vassilopoulos SP, Nikolaou G. Mindfulness-based cognitive therapy in clinical practice: a systematic review of neurocognitive outcomes and applications for mental health and well-being. Vol. 14, Journal of Clinical Medicine. Multidisciplinary Digital Publishing Institute (MDPI); 2025.

Reangsing C, Punsuwun S, Oerther S. Effects of mindfulness-based interventions (MBIs) on depression in pregnant women: A systematic review and meta-analysis. J Affect Disord [Internet]. 2024 May 1 [cited 2025 Oct 1];352:51–9. Available from: https://pubmed.ncbi.nlm.nih.gov/38360361/

Estevao C, Chiarpenello C, Kwok W, Bhargav H, Jasti N, Chandra P, et al. Co-designing and evaluating a prenatal yoga intervention for ethnic minority women: a feasibility study. Pilot Feasibility Stud [Internet]. 2025 Dec 1 [cited 2025 Oct 1];11(1):1–18. Available from: https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-025-01667-9

Abera M, Hanlon C, Daniel B, Tesfaye M, Workicho A, Girma T, et al. Effects of relaxation interventions during pregnancy on maternal mental health, and pregnancy and newborn outcomes: A systematic review and meta-analysis. PLoS One [Internet]. 2024 Jan 1 [cited 2025 Oct 1];19(1):e0278432. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10810490/

Innab A, Al-khunaizi A, Al-otaibi A, Moafa H. Effects of mindfulness-based childbirth education on prenatal anxiety: A quasi-experimental study. Acta Psychol (Amst) [Internet]. 2023 Aug 1 [cited 2025 Oct 19];238:103978. Available from: https://www.sciencedirect.com/science/article/pii/S0001691823001543

Monfaredkashki M, Maleki A, Amini K. The effect of integrating midwifery counseling with a spiritual content on improving the antenatal quality of life: A randomized controlled trials. J Mother Child [Internet]. 2022 Mar 1 [cited 2025 Oct 20];26(1):18. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10062411/

Van der Riet P, Francis L, Rees A. Exploring the impacts of mindfulness and yoga upon childbirth outcomes and maternal health: an integrative review. Scand J Caring Sci [Internet]. 2020 Sep 1 [cited 2025 Oct 20];34(3):552–65. Available from: /doi/pdf/10.1111/scs.12762




DOI: https://doi.org/10.33992/jik.v13i2.4813

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Ilmiah Kebidanan (The Journal of Midwifery)
Published by Midwifery Department of Health Polytechnic, Ministry of Health, Denpasar
Jl. Raya Puputan No. 11A, Renon, Denpasar, Bali
Phone: +62 812-3974-4087
Website: http://www.poltekkes-denpasar.ac.id/kebidanan//
Email: jikpolkesden01@gmail.com

ISSN: 2338-669X (Print)
ISSN: 2721-8864 (Online)
DOI : 10.33992/jik

"