Evidence-based clinical hypnosis for obstetrics, labor and delivery, and preterm labor.
ABSTRACT This paper reviews the benefits and effectiveness of hypnosis in obstetrics and labor and delivery, demonstrating significant reductions in the use of analgesics and anesthesia and in shorter Stages 1 and 2 labors. It presents empirical and theoretical rationales for use of hypnosis in preterm labor (PTL) and labor and delivery at term. The benefits of hypnosis in relation to labor length, pain levels, and the enjoyment of labor, as well as its effectiveness in preterm labor are noted in randomized controlled trials and in a meta-analysis. Risk factors are reported for preterm delivery; hypnosis significantly prolongs pregnancy. Six cases are presented of hypnosis stopping PTL a number of times and when indicated at term. A case report of successful use of hypnosis in quadruplets is presented with some scripts. Suggestions are made for further research.
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Geburtshilfe und Frauenheilkunde 06/2008; 68(6):603-606. DOI:10.1055/s-2008-1038618 · 0.96 Impact Factor
Article: Preterm labour and clinical hypnosis[Show abstract] [Hide abstract]
ABSTRACT: Hypnosis may play an important role in reducing preterm labour for patients who have higher levels of psychosocial stress. This study examines the rate of late-preterm birth in a hypnosis group (directed to all women) and a historical control group. From July 2007 all women (n = 64), who were in their 28th to 34th weeks' gestation, were offered self-hypnosis training using the hypnoreflexogenous protocol after Hüsken-Janßen and Schauble. Expectant mothers with uncertain anticipated days of delivery were excluded. All women who delivered after 31 weeks' gestation served as a control group (n = 2135) from January 2006 till June 2007. In the hypnosis group there were three preterm deliveries (4.7%) (before 37 + 0 weeks' gestation) whereas in the control group there were 220 preterm deliveries (10.3%) (p = 0.01). Average cigarette usage during the current pregnancy was lower in the hypnosis group (p = 0.02). Higher work-educated employments (p = 0.01), higher age of the mother (p < 0.001) and fewer previous pregnancies (p < 0.03) were found in the hypnosis group. Preterm birth correlated with the number of previous pregnancies (−0.38; p < 0.001) but not with smoking. Hypnosis was shown to be effective therapy without side-effects, which can reduce preterm delivery. This clinical study showed a significant prevention of preterm delivery. Prospective randomized controlled studies are required to evaluate fully the preventive value of clinical hypnosis. Copyright © 2009 British Society of Experimental & Clinical Hypnosis. Published by John Wiley & Sons, Ltd.Contemporary Hypnosis 01/2009; 26(4):187-193. DOI:10.1002/ch.387