Self-Hypnosis for Intrapartum Pain Management in Pregnant Nulliparous Women: A Randomized-Controlled Trial of Clinical Effectiveness

Downe, Soo; Finlayson, Kenneth William; Melvin, Cathie; Spiby, Helen; Ali, Sinan; Diggle, Peter J.; Gyte, Gillian ML; Hinder, Susan; Miller, Vivien; Slade, Pauline; Trépel, Dominic; Weeks, Andrew; Whorwell, Peter J.; Williamson, Mike

doi:10.1097/01.aoa.0000482639.34055.36

Cited by 5 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been debated in some research protocols whether hypnosis-based interventions had an impact on birth outcomes (Werner, et al, 2012 and2013b;Downe et al, 2015). When these same studies focus on the impact of their interventions on childbirth experience, positive results are found (Werner et al, 2013a;Finlayson et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Hypnosis-based interventions during pregnancy and childbirth and their impact on women's childbirth experience: A systematic review

Catsaros

Wendland

2020

Midwifery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Hypnosis-based interventions during pregnancy and childbirth and their impact on women's childbirth experience: A systematic review

Catsaros

Wendland

2020

Midwifery

View full text Add to dashboard Cite

“…Mothers who have symptoms of depression tend to have low selfconfidence in breastfeeding and have difficulty regarding the position of the baby while breastfeeding (Tragea, Chrousos, Alexopoulos, & Darviri, 2014); (Downe et al, 2015). Some studies have reported that emotional stress on the mother inhibits the let-down reflex which causes disruption of milk flow which results in a decrease in milk volume so that it affect the duration of breastfeeding.…”

Section: Introductionmentioning

confidence: 99%

Effect of Relaxation Therapy on Anxiety Level and Breast Milk Production in Pregnant and Postpartum Mothers: Systematic Literature Review

Muthiatulsalimah¹,

Pujiastut²,

Santjaka³

et al. 2022

JRSSEM

View full text Add to dashboard Cite

Anxiety in pregnant and postpartum women can affect the condition of the mother and baby. Psychological stress can influence the hypothalamus and pituitary gland to secrete Adrenocorticotropic Hormone to produce cortisol. The amount of cortisol is high, resulting in inhibited milk production. Relaxation therapy is able to stimulate the milk ejection reflex more efficiently than standard practice in health care facilities which only focus on optimizing body functions, without involving the mind and soul. This review conducted a systematic review to evaluate the effect of interventions using Relaxation Therapy in increasing breast milk production. A literature search was conducted using the PRISMA guidelines including studies of relaxation therapy interventions during the pregnancy and postpartum period. Using a literature keyword search strategy, 718 studies related to relaxation therapy in pregnant and postpartum women were found and 25 studies were eligible for inclusion in the analysis. A total of 10 studies on anxiety in pregnant women, 5 studies on anxiety in postpartum mothers, 3 studies on cortisol hormone levels, 5 studies on breast milk production and 2 studies on prolactin hormone levels. These studies were conducted in Malaysia, France, England, Greece, Korea, Turkey, America, Taiwan, Iran, Indonesia, Spain, Denmark and India. The samples analyzed were 1,608 pregnant women and 1227 postpartum women. Based on the results of a review, Relaxation Therapy in the form of Hypnobreastfeeding and Music Therapy is effective in stimulating the production of breast milk and prolactin hormones in postpartum mothers. Hypnosis, Music Therapy and Benson's relaxation technique were associated with a significant reduction in anxiety levels as indicated by an increase in PSS scores and a decrease in salivary cortisol.

show abstract

“…There are a range of clinical conditions testing the effectiveness of hypnosis as analgesia including chronic pain conditions for children with cancer (Tomé-Pires, 2012), postoperative pain (Lew et al, 2011), chronic back pain (Elkins et al, 2007;Tan et al, 2009), and the reduction of labour pain and anxiety (Abbasi et al, 2009;Downe et al, 2015). Studies examining the effectiveness of hypnosis as an intervention consider use in childbirth an area where it is most effective and rewarding (Cyna et al, 2006;Smith et al, 2006).…”

Section: Virtual Reality Hypnosismentioning

confidence: 99%

Giving Birth on a Beach Women's Experiences of Using Virtual Reality in Labour A Pragmatic Mixed Methods Approach

Massov¹

View full text Add to dashboard Cite

Birth is a normal physiological process, and many women want a natural birth. However, there is worldwide concern over the increasing use of epidural analgesia and other pharmacological pain relief methods for women in labour. This tendency renders birth non-physiological by increasing the use of obstetric interventions with associated risks. Women use a range of non-pharmacological pain relief methods to reduce labour pain intensity, to help manage labour pain and to induce relaxation. The purpose of this study was to explore the experiences of women using virtual reality (VR) as a non-pharmacological method of pain relief in labour and to determine whether there was an effect on labour pain intensity. Virtual reality has been shown to be an effective distraction technique in other acute pain settings and also reduces anxiety. This study used a pragmatic mixed method approach with a sequential exploratory design, combining in-depth antenatal and postnatal interviews with an intervention study in labour in a cross-over within-subjects trial. Thematic analysis was used to analyse the qualitative data. Twenty-six pregnant women were recruited to the study. Fourteen participants reported their pain and had their heart rate and blood pressure measured during active labour while using and not using VR. There were significantly lower reported pain scores (6.14 compared to 7.61, p =<.001) and maternal heart rate (79.86 beats per minute compared to 85.57, p = .033) and mean arterial pressure (88.78 mmHg compared to 92.61 mmHg, p = .022) were lower when using VR during active labour. These differences were all statistically significant. Findings from qualitative postnatal interviews indicated a positive response to the use of VR in labour. Several themes were identified in the data. The first theme, Impact of VR on Labour, described the impact of VR on labour in terms of distraction, relaxation, enjoyment and a positive birth experience. The second theme, Managing the Pain, describes how VR was used by the women to manage their labour pain using breathing techniques and gaining a sense of control. In the third theme, The Challenges and Surprises of Using VR in Labour, women’s narratives recounted the various challenges of using the VR technology. Despite these challenges, ninety-four percent of women reported that they would use VR in labour again and would recommend it to a pregnant friend. This study provides a unique and original contribution to the field of VR in labour and birth. It is consistent with other recent findings of reduced pain with the use of VR, and links decreased pain scales to heart rate and blood pressure, the physiological markers of pain. It also identifies VR as an acceptable and positive experience in the management of labour pain. Results from this study have the potential to inform design for future labour specific VR environments and expand its application in the field of biomedical technology.

show abstract

Self-Hypnosis for Intrapartum Pain Management in Pregnant Nulliparous Women: A Randomized-Controlled Trial of Clinical Effectiveness

Cited by 5 publications

References 0 publications

Hypnosis-based interventions during pregnancy and childbirth and their impact on women's childbirth experience: A systematic review

Hypnosis-based interventions during pregnancy and childbirth and their impact on women's childbirth experience: A systematic review

Effect of Relaxation Therapy on Anxiety Level and Breast Milk Production in Pregnant and Postpartum Mothers: Systematic Literature Review

Giving Birth on a Beach Women's Experiences of Using Virtual Reality in Labour A Pragmatic Mixed Methods Approach

Contact Info

Product

Resources

About