Adapting Mindfulness-Based Cognitive Therapy for Perinatal Depression to Improve Access and Appeal of Preventive Care

Ellen L. Tilden, Leah R. Holmes, Cirila Estela Vasquez Guzman, Catherine Polan Orzech, Kristen Mackiewicz Seghete, Veronica Eyo, Nisha Supahan, Ginger R. Rogers, Aaron B. Caughey, David Starr, Jennifer L. DiPietro, Philip A. Fisher, Alice M. Graham

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Existing and emerging evidence indicates that perinatal depression is a key contributor to preventable morbidity and mortality during and after childbearing. Despite this, there are few effective options for prevention and treatment that are readily accessible for and appealing to pregnant people. Aspects of routine health care systems contribute to this situation. Furthermore, societal and health care systems factors create additional barriers for people of color, people living in rural regions, and people living in poverty. Our interprofessional team of perinatal care providers, mental health providers, community partners, health services scientists, health equity scientists, and business leaders developed and are piloting a perinatal mental health preventive intervention designed to increase access and appeal of a program incorporating mindfulness cognitive behavioral therapy with proven efficacy in preventing perinatal depression. In this article, we briefly summarize key systems barriers to delivering preventive care for perinatal depression in standard prenatal care clinics. We then describe Mindfulness-Based Cognitive Therapy for Perinatal Depression and outline our adaptation of this intervention, Center M. Finally, we identify next steps, challenges, and opportunities for this recent innovation.

Original languageEnglish (US)
Pages (from-to)707-713
Number of pages7
JournalJournal of Midwifery and Women's Health
Issue number6
StatePublished - Nov 1 2022


  • Mindfulness Based Cognitive Therapy for Perinatal Depression
  • health care systems
  • maternal morbidity
  • maternal mortality
  • perinatal depression
  • prenatal care
  • prevention
  • telehealth
  • translational science

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery


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