Research

LifeBreath Institute and Compassion Center of Chicago research project Explore the Benefits of Yoga Nidra to Reduce Cumulative Psychological Stress and Prevent Burnout, Moral Injury, and Birth Trauma in Birth Providers, Medical Practitioners, and Allied Professionals, 2024.

Lillian Lennox, MA, LMHC, C-iRest, E-RYT500, Mary Sommers, MPS, LPM, CPM, IBVLC

Issues to be Addressed

The work environment for birth providers, medical practitioners, and allied professionals has become increasingly stressful. Post-pandemic workplace stressors continue to include severe staffing shortages, where staff are required to work overtime to cover. Birth centers are seeing birth workers leaving direct patient care, which contributes to an even greater overstretched, stressed workforce. In addition, healthcare providers suffer the impact of an overstretched healthcare system.

One outcome is that health care system stress and Birth Centers are seeing a significant increase in providers presenting with cumulative psychological stress injury symptoms, including compassion fatigue (1), vicarious trauma (2), and moral injury (3). Research shows that cumulative psychological stress injury (4) will result in burnout (5), where burnout symptoms include significant mind and body illness that has the potential to be a career-ender. Additionally, symptoms that are part of a psychological stress injury diagnostic criteria, including depression, anxiety, fatigue, and sleep disturbance, are also on the increase.

The reality for birth providers, medical practitioners, and allied professionals is that cumulative psychological stress injury, including burnout, is on the rise. These essential workers urgently need to become the recipients of compassionate care and need practical skills and resources to prevent, heal, and integrate these injuries.

Research Project Objectives

  1. To reduce the symptoms of compassion fatigue, vicarious trauma, moral injury, burnout, and associated symptoms, including anxiety, depression, and sleep disturbance associated with cumulative psychological stress injury in birth workers.

  2. Prevent, heal, and integrate symptoms of cumulative psychological stress injury, including compassion fatigue, vicarious trauma, burnout, and moral injury in birth workers.

  3. Explore the benefits of Yoga Nidra to improve the overall well-being of birth providers, medical practitioners, and allied professionals.

Plans to Disseminate Findings

The goal is to share research findings and healing insight with the birth center community. This research project will benefit the birth center model by providing much-needed CAM practices and resources for those seeking non-pharmaceutical options. The researchers also intend to present at other aligned conferences and podcasts, write a pilot program descriptive brief, and jointly create a publication with one of the research teams exploring this as part of a larger study and discussion.

An additional outcome of this study, should the findings merit it, could be seeing study participants incorporating these findings and practices into their organizations. Further, there could be an opportunity for birth centers to develop a curriculum for their care providers that would become part of the organization's practices and policies.

In addition, the researchers intend to continue to offer practice to postpartum individuals and increase and further develop a curriculum to serve individuals in their perinatal phase.

We are grateful to the American Association of Birth Centers Foundation for supporting this research project.


Research on Stress

73% of people regularly experience psychological symptoms caused by stress. American Institute of Stress

33% of Americans have yet to discuss ways to manage stress with their healthcare provider. American Psychological Association

63% of hospital nurses reported that their work had caused nurse burnout. Mayo Clinic

More than 40% of all adults say they lie awake at night because of stress. American Psychological Association

Stress is the underlying cause of 60% of all human illness and disease. American Institute of Stress


LifeBreath Institute Pilot Study on the Effectiveness of iRest Yoga Nidra as a Tool to Improve Sleep Disturbances Relating to Birth Trauma, 2023

Lillian Lennox, LMHC, C-iRest, E-RYT 500, Mary Sommers, MPS, CPM, IBCLC, Audrey Stillerman, MD.

Summary

Participants attended an iRest Yoga Nidra weekend retreat followed by ongoing support in the practice of iRest Yoga Nidra. The practice of iRest comes from the Yoga Nidra tradition, which utilizes a state of consciousness between wake/sleep through guided meditation to help reduce the effects of trauma or moral injury that may be contributing to hyperventilate states of awareness, including night tremors, insomnia and nightmares.

This study’s researchers work in healthcare and/or with healthcare workers.

Study participants will be recruited from the birth worker field, including doulas and midwives working for birth justice organizations.

Birth Trauma is defined as distress experienced by a mother during and after childbirth and can affect sleep and postpartum well-being. Increased health disparities’ role in the rise in maternal morbidity and mortality contributes to the increase in postpartum mood disorders, including nightmares/night disturbances. Healthcare workers are also suffering the impact of an overstretched healthcare system, leading to burnout and increased stress. Birth providers often suffer from disturbed sleep due to stress from working in the birth field, which includes:

  • severe staffing shortages,

  • working overtime during a pandemic,

  • and vicarious trauma/moral injury effects due to fatigue/sleep disturbances