Yoga online: Inter-conception care to prevent PTSD symptoms after stillbirth

项目总结/摘要 死产的丧亲母亲（妊娠20周以上死亡）患产后抑郁症的风险高出6倍以上。 创伤性应激障碍（PTSD）与活产后的母亲相比。PTSD的下降速度较慢， 与其他失去亲人的人群相比，失去亲人的母亲的死亡率更高，而且往往在随后的怀孕中加剧。 因为超过85%的女性会在18个月内怀孕，所以受孕间隔期是一个关键时期。 是时候改善死产母亲的身心健康了。非药物 瑜伽等方法可能是死产妇女的另一种选择。瑜伽是 作为一种有效，安全，可接受和具有成本效益的方法来改善心理健康， 各种人群，包括孕妇和产后妇女，并作为科普PTSD的一种手段 与在创伤事件中幸存有关我们不知道有任何研究探讨瑜伽，以减少 死产母亲的创伤后应激障碍此外，在线流媒体瑜伽（在 家庭）最近越来越受欢迎，并可能解决死产妇女可能 有. 该项目的主要目标是确定一个为期12周，以家庭为基础， 在线流媒体瑜伽（www.Udaya.com）对死产丧亲母亲的干预。我们亦会 调整并确定可用于未来更大试验的对照组的可接受性。最后我们 我将探索一个以家庭为基础的，在线流媒体的瑜伽的初步效果（不为功效提供动力）。 用不同剂量（低剂量和中等剂量）对PTSD症状及其共病状况（即， 焦虑，抑郁）和潜在的机制（即，自我同情、情绪调节和睡眠 瑜伽可以改善PTSD症状。这是一个三组随机可行性试验 基线、干预后（自基线起12周）和随访（自基线起20周）的研究 评估。将女性随机分为三组（干预低剂量（LD）= 60分钟/周 瑜伽;干预中等剂量（MD）= 150分钟/周瑜伽）;或拉伸和张力控制组（STC）。 这项研究对我们了解瑜伽和创伤后应激障碍在丧亲者中的相关结果起着重要作用 死胎的母亲这项研究将通知设计一个更大的研究，以测试在线瑜伽的有效性 作为一种低成本、非药物的孕期护理策略，以改善孕产妇和胎儿结局 为死产的丧亲母亲服务

PROJECT SUMMARY/ABSTRACT Bereaved mothers with stillbirth (death at >20 weeks of gestation) have more than a 6-fold higher risk for Post Traumatic Stress Disorder (PTSD) compared to mothers after live birth. PTSD declines at a slower rate among bereaved mothers compared to other bereaved populations and often escalates in subsequent pregnancies. Because more than 85% of women will get pregnant within 18-months, the inter-conception period is a critical time to improve the mental and physical health of bereaved mothers with stillbirth. Non-pharmacological approaches, such as yoga, may be an alternative option for bereaved women with stillbirth. Yoga has been established as an effective, safe, acceptable, and a cost effective approach to improving mental health in a variety of populations, including, pregnant and post-partum women and as a means to cope with PTSD associated with surviving a traumatic event. We are unaware of any studies that have explored yoga to reduce PTSD in bereaved mothers with stillbirth. Furthermore, online-streamed yoga (on-demand videos played in the home) has recently grown in popularity and may address the unique barriers that women with stillbirth may have. The primary goal of this project is to determine the feasibility and acceptability of a 12-week, home-based, online-streamed yoga (www.Udaya.com) intervention for bereaved mothers with stillbirth. We will also make adaptations and determine acceptability of a control group that can be used for a future, larger trial. Finally, we will explore the preliminary effects (not powered for efficacy) of a home-based, online-streamed, yoga intervention with differing doses (low and moderate) on symptoms of PTSD and its comorbid conditions (i.e., anxiety, depression) and the potential mechanisms (i.e., self-compassion, emotional regulation, and sleep disturbance) by which yoga may improve PTSD symptoms. This is a three-group randomized feasibility pilot study with baseline, post-intervention (12 weeks from baseline), and follow-up (20 weeks from baseline) assessments. Women will be randomized into one of three arms (intervention low dose (LD) = 60 mins/wk yoga; intervention moderate dose (MD) = 150 mins/wk yoga); or a stretch and tone control group (STC). This study plays an important role in our understanding about yoga and PTSD related outcomes in bereaved mothers with stillbirth. This study will inform the design of a larger study to test the effectiveness of online yoga as a low-cost, non-pharmacological strategy for inter-conception care to improve maternal and fetal outcomes for bereaved mothers with stillbirth.