Monthly Archives: October 2018

  • What is Mindful Birthing?

    Written by Amy Jane Wood

    Pregnancy and childbirth can be some of the most special, significant and singular experiences in a woman’s life. But for so many, they also bring a lot of fear, pain and uncertainty. Happily, research from the University of Oxford has shown that mindful birthing may hold the power to transform and ease the experience of pregnancy, labour and delivery, as well as the relationship with the new baby after birth.

    At this point you might be wondering if mindful birthing has a connection to hypnobirthing. Although there is some common ground between the two practices – both place emphasis on breathing exercises, for example – they are essentially quite different. Hypnobirthing focuses on self-hypnosis – using affirmations, visualisations and relaxation techniques that help to prepare for a positive labour and birth. Mindful birthing, however, follows the principles of mindfulness to support both pregnancy and birth. It teaches how to skillfully work with pain, fear and uncertainty, and to shift perspectives by optimising the mind/body connection. Pioneered by Nancy Bardacke, an experienced midwife and mindfulness teacher, it is also known as the MBCP (Mindfulness-based Childbirth and Parenting) course -- an adaptation of the Mindfulness-Based Stress Reduction (MBSR).

    Mindfulness is uniquely positioned to help with the birthing process because in its modern form it was initially devised to help with pain management. Jon Kabat-Zinn was the first to study the connection between mindfulness meditation and pain when he set up his MBSR program in 1979 to treat chronic pain patients at the University of Massachusetts Medical School. His landmark study years later showed that patients who were trained in the program and took a mindful approach to their physical pain, experienced significant reductions in intensity.

    In this way, mindfulness strategies can give mothers-to-be the tools to change the way they manage pain during labour and delivery. Fear and resistance can sustain and inflame physical pain, so by learning to relate differently to the discomfort that may surround intense physical sensations – to welcome it and work with it – women can reduce the likelihood of being overwhelmed and losing control.

    Beyond pain management, expectant mothers will benefit from the core principles of mindfulness – acceptance, letting go and trusting – which can help them to prepare for the unexpected during labour and delivery: a change to birth plans, sudden interventions or unforeseen outcomes. Cultivating the skill of awareness during pregnancy – which is the ability to notice thoughts and feelings as they arise – also allows expectant mothers to observe any fearful stories that the mind may be creating about birth from a more objective standpoint, and therefore identify with them less, which can help to reduce overall stress and anxiety.

    Recent research by BMC Pregnancy and Childbirth also shows that mindfulness may offer important maternal mental health benefits following childbirth. In 2017, pregnant women who undertook in an intensive course based on the Mindfulness-Based Childbirth and Parenting (MBCP) education reported benefits including improved psychological adjustment and reduced postpartum depression symptoms. Well beyond pregnancy and childbirth, mindfulness skills keep giving, because they are skills for life. With regular practice, they have the power to transform future experiences of parenting, as well as all other areas of life. 

    COURSES/WORKSHOPS:

    Mindful Pregnancy & Birthing Workshop

    Mindful Parenting Workshop

  • A Dose of Meditation: Using Mindfulness for Mental Health

    Written by Amy Jane Wood

    ‘Mental health’ is defined by the World Health Organisation as ‘a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community’(1). Today, on World Mental Health Day 2018, we know that this is not the case for millions of people worldwide. In the UK alone, approximately one in four people will experience a mental health problem this year. According to mental health charity Mind, how people cope with mental health problems is also getting worse – with the number of people who self-harm or have suicidal thoughts on the increase.

    While mindfulness is no magical cure-all elixir, there is emerging evidence to show that it could support a state of mental wellbeing. In instances of mild to moderate depression and anxiety, for example, mindfulness-based interventions hold great promise to ease symptoms. With regular practice and the support and guidance of a teacher during an MBSR (Mindfulness-Based Stress Reduction) or MBCT (Mindfulness-Based Cognitive Therapy) course, studies have shown that the benefits include stress reduction, emotion and attention regulation and reduced rumination. It also has as much power to prevent depressive relapse as antidepressants, shown by to a large-scale study published by the Oxford Mindfulness Centre in 2015.

    Essentially, mindfulness works because it gives us better access to resources that may help us deal positively with our experience of anxiety and/or depression. Firstly, we are introduced to the skill of awareness – which is the ability to notice our thoughts and feelings as they arise. Awareness creates space and allows us to observe our mental processes more objectively so we identify with them less. Secondly, we cultivate an open and accepting attitude, which allows us to welcome whatever arises, rather than trying to suppress it, avoid it or become overwhelmed by it. In this way, there is less internal conflict – which can make things a little lighter. Beyond the power of attention training, practicing mindfulness in a community may also play an important role in easing symptoms. Anxiety and depression can heighten feelings of isolation and self-judgement -- which may further feed our suffering. Learning mindfulness and sharing our experiences in a group setting such as an MBCT, helps us realise there is a common humanity to these conditions and that we are not so alone.

    There are instances, however, in which mindfulness should be approached with caution where mental health is concerned. As we turn towards ourselves to face our thoughts and feelings, mindfulness can often heighten our experience and perhaps even intensify symptoms for a short period. In this way, it can be incredibly difficult to maintain motivation. For those with a history of certain mental health conditions, such as psychosis, borderline personality disorder, bipolar or PTSD, mindfulness needs to be approached with care and often a tailored one-on-one approach with the specialist knowledge of a mental health professional is advised.

    While mental health awareness has improved dramatically over the past decade, we still have a way to go to change the conversation we have around it – to break social stigmas, encourage education and strengthen our response. Mindfulness may not be a short-term fix, but with continued practice it could provide a long-term solution for mild to moderate disorders, by giving us the power to respond to unpleasant emotions and distressing situations more reflectively rather than reflexively. We know from emerging neuroscientific research that mindfulness also facilitates plasticity, and herein lies the hope -- that each time we respond differently, we create new, more positive connections and pathways in the brain.

    (1) WHO: Mental health: a state of well-being http://www.who.int/features/factfiles/mental_health/en/