Antenatal self-hypnosis for labour and childbirth: a pilot study.
In our institution we have used antenatal training in self-hypnosis for over three years as a tool to provide relaxation, anxiolysis and analgesia for women in labour. To assess the effects of hypnotherapy, we prospectively collected data related to the use of hypnosis in preparation for childbirth, and compared the birth outcomes of women experiencing antenatal hypnosis with parity and gestational age matched controls.


METHODS
Prospective data about women taught self-hypnosis in preparation for childbirth were collected between August 2002 and August 2004. Birth outcome data of women using hypnosis were compared with routinely collected retrospective data from parity and gestational age matched women delivering after 37 weeks gestation during 2003.


RESULTS
Seventy-seven antenatal women consecutively taught self-hypnosis in preparation for childbirth were compared with 3,249 parity and gestational age matched controls. Of the women taught antenatal self-hypnosis, nulliparous parturients used fewer epidurals: 36% (18/50) compared with 53% (765/1436) of controls (RR 0.68 [95%CI 0.47-0.98]); and required less augmentation: 18% (9/50) vs 36% (523/1436) (RR 0.48 [95%CI 0.27-0.90]).


CONCLUSIONS
Our clinical findings are consistent with recent meta-analyses showing beneficial outcomes associated with the use of hypnosis in childbirth. Adequately powered, randomized trials are required to further elucidate the effects of hypnosis preparation for childbirth.
Cyna
A M
AM
Department of Women's Anaesthesia, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Andrew
M I
MI
McAuliffe
G L
GL
D000223:Adaptation, Psychological; D000328:Adult; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D000773:Anesthesia, Obstetrical; D005260:Female; D005403:Fixation, Ocular; D005865:Gestational Age; D006801:Humans; D006991:Hypnosis, Anesthetic / Q000379:methods / Q000523:psychology; D010298:Parity; D036801:Parturition; D010865:Pilot Projects; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies