title: [Psychoprophylaxis and the rate of cesarean section].
abstract: BACKGROUND
  The psychoprophylactic programs (PPP) have been widely used in women to face the fear-tension-pain cycle, reducing anxiety and pain during labour. The aim was to demonstrate if a PPP reduces the caesarean rate.
  
  
  METHODS
  300 low risk pregnant women were included; 100 in the PPP group and 200 in the control group. The PPP participants attended theory and practical sessions; they visited labor, delivery, recovery and hospitalization areas. Chi-square, Student's t test and odds ratio were applied.
  
  
  RESULTS
  Pregnancy ended by caesarean section in 35/100 of PPP group and in 99/200 (49.5%) in control group (p < 0.02, OR = 1.8, IC = 1.1-2.9). Maternal complications occurred in 13/100 in the PPP group, and 42/200 (21%) in control group (p = 0.09, RM = 0.56). The newborn (NB) complications were observed in 9/100 in PPP and 46/200 (23%) in control group (p < 0.02, OR = 0.33). In the PPP group, 70% assisted to three or more sessions. Hospital stance in control group, accumulated 17 days more in mothers and 171 days more in NB than in the PPP group.
  
  
  CONCLUSIONS
  In PPP group observed a caesarean rate reduction with fewer maternal and perinatal complications.
authors.affiliation: Hospital de Gineco-Obstetricia 23, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, Mexico.
authors.forename: Juana
authors.initials: J
authors.lastname: Oyuela-García
authors.forename: Ricardo Jorge
authors.initials: RJ
authors.lastname: Hernández-Herrera
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D011247:Pregnancy; D012064:Relaxation Therapy; D055815:Young Adult