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Hypnosis: practical applications and theoretical considerations in normal labour

M W Jenkins, M H Pritchard

    British Journal of Obstetrics and Gynaecology
    |March 1, 1993
    PubMed
    Summary
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    Hypnotherapy significantly shortened labor duration and reduced analgesic needs in pregnant women. This study highlights hypnotherapy

    Area of Science:

    • Obstetrics and Gynecology
    • Complementary and Alternative Medicine
    • Psychosomatic Medicine

    Background:

    • Labor duration and pain management are critical aspects of childbirth.
    • Hypnotherapy is an alternative approach that may influence labor experiences.

    Purpose of the Study:

    • To evaluate the impact of hypnotherapy on the duration of the first and second stages of labor.
    • To assess analgesic requirements during labor in women undergoing hypnotherapy.

    Main Methods:

    • A semi-prospective case-control study involving 126 primigravid and 136 parous women receiving six hypnotherapy sessions.
    • Age-matched controls (300 each group) were used for comparison.
    • Inclusion criteria specified spontaneous deliveries only.

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    Main Results:

    • Hypnotherapy reduced the first stage of labor by approximately 3 hours in primigravid women (6.4 vs. 9.3 hours) and 1 hour in parous women (5.3 vs. 6.2 hours).
    • The second stage of labor showed a trend towards reduction in primigravid women (37 vs. 50 minutes) but not in parous women (24 vs. 22 minutes).
    • Significant reduction in analgesic use (P < 0.001) was observed in both hypnotherapy groups compared to controls.

    Conclusions:

    • Hypnotherapy offers significant benefits in reducing labor duration and the need for analgesia.
    • The findings suggest hypnotherapy can positively influence the labor process.
    • The study provides insights into the psychological components influencing labor duration, particularly in first-time mothers.