Hypno-birthing

Dept. Anaesthesia, Women’s and Children’s Hospital, Adelaide SA 5006, Australia. cynaa@cywhs.sa.gov.au

Cyna AM, Andrew MI, Robinson JS, Crowther CA, Baghurst P, Turnbull D, Wicks G, Whittle C.

Abstract

BACKGROUND: Although medical interventions play an important role in preserving lives and maternal comfort they have become increasingly routine in normal childbirth. This may increase the risk of associated complications and a less satisfactory birth experience. Antenatal hypnosis is associated with a reduced need for pharmacological interventions during childbirth. This trial seeks to determine the efficacy or otherwise of antenatal group hypnosis preparation for childbirth in late pregnancy.

Research conducted by :
Department of Women’s Anaesthesia, Women’s and Children’s Hospital, Adelaide, South Australia, Australia
Cyna AM, Andrew MI, McAuliffe GL.

Abstract

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.

British Journal of Obstetrics & Gynecology
1993 Mar;100(3):221-6. Jenkins MW, Pritchard MH

Abstract

OBJECTIVE: To assess the effects of hypnotherapy on the first and second stages of labour in a large group of pregnant women.

DESIGN: A semi-prospective case control study in which women attending antenatal clinics were invited to undergo hypnotherapy.

SUBJECTS: One hundred twenty-six primigravid women with 300 age matched controls, and 136 parous women having their second baby with 300 age matched controls. Only women who had spontaneous deliveries were included.

British Journal of Anesthesia

Abstract

Background. In view of widespread claims of efficacy, we examined the evidence regarding the effects of hypnosis for pain relief during childbirth.

Methods. Medline, Embase, Pubmed, and the Cochrane library 2004.1 were searched for clinical trials where hypnosis during pregnancy and childbirth was compared with a non-hypnosis intervention, no treatment or placebo. Reference lists from retrieved papers and hypnotherapy texts were also examined. There were no language restrictions. Our primary outcome measures were labour analgesia requirements (no analgesia, opiate, or epidural use), and pain scores in labour. Suitable comparative studies were included for further assessment according to predefined criteria. Meta-analyses were performed of the included randomized controlled trials (RCTs), assessed as being of ‘good’ or ‘adequate’ quality by a predefined score.

Kehamilan seharusnya menjadi saat-saat yang paling membahagiakan bagi seorang Ibu. Namun terkadang, sebagai seorang calon Ibu (apalagi karena baru pertama kali menghadapi kehamilan) ada saja rasa kekhawatiran yang berlebihan sehubungan dengan semakin dekatnya proses kelahiran. Sekitar 10-20% wanita berusaha untuk melawan gejala depresi dan seperempat sampai setengahnya terkena depresi yang berat. Pada suatu studi terhadap 360 ibu hamil, maka 10% dari mereka mengalami depresi saat kehamilan dan hanya 6,8% yang mengalami depresi pasca kehamilan.

Polyhidramnion atau disingkat hidramnion saja didefinisikan sebagai suatu keadaan dimana jumlah air ketuban melebihi 2 liter. Sedangkan secara klinik adalah penumpukan cairan ketuban yang berlebihan sehingga menimbulkan rasa tidak nyaman pada pasien. Sedangkan secara USG jika Amniotic Fluid Index (AFI)>20 atau lebih.