Self-hypnosis for coping with labour pain: A randomised controlled trial

Werner, A; Uldbjerg, N; Zachariae, R; Rosen, G; Nohr, EA

Self-hypnosis for coping with labour pain: A randomised controlled trial

Werner, A Uldbjerg, N Zachariae, R Rosen, G Nohr, EA

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Publication Type:: Journal Article
Citation:: BJOG: An International Journal of Obstetrics and Gynaecology, 2013, 120 (3), pp. 346 - 353
Issue Date:: 2013-02-01

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Field	Value	Language
dc.contributor.author	Werner, A	en_US
dc.contributor.author	Uldbjerg, N	en_US
dc.contributor.author	Zachariae, R	en_US
dc.contributor.author	Rosen, G	en_US
dc.contributor.author	Nohr, EA	en_US
dc.date.available	2012-10-15	en_US
dc.date.issued	2013-02-01	en_US
dc.identifier.citation	BJOG: An International Journal of Obstetrics and Gynaecology, 2013, 120 (3), pp. 346 - 353	en_US
dc.identifier.issn	1470-0328	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117603
dc.description.abstract	Objective To estimate the use of epidural analgesia and experienced pain during childbirth after a short antenatal training course in self-hypnosis to ease childbirth. Design Randomised, controlled, single-blinded trial using a three-arm design. Setting Aarhus University Hospital Skejby in Denmark during the period July 2009 until August 2011. Population A total of 1222 healthy nulliparous women. Method Use of epidural analgesia and self-reported pain during delivery was compared in three groups: a hypnosis group receiving three 1-hour lessons in self-hypnosis with additional audiorecordings to ease childbirth, a relaxation group receiving three 1-hour lessons in various relaxation methods and mindfulness with audiorecordings for additional training, and a usual care group receiving ordinary antenatal care only. Main outcome measures Primary outcome: Use of epidural analgesia. Secondary outcomes included self-reported pain. Results There were no between-group differences in use of epidural analgesia - 31.2% (95% confidence interval [95% CI] 27.1-35.3) in the hypnosis group, 29.8% (95% CI 25.7-33.8) in the relaxation group and 30.0% (95% CI 24.0-36.0) in the control group. No statistically significant differences between the three groups were observed for any of the self-reported pain measures. Conclusion In this large randomised controlled trial of a brief course in self-hypnosis to ease childbirth, no differences in use of epidural analgesia or pain experience were found across study groups. Before turning down self-hypnosis as a method for pain relief, further studies are warranted with focus on specific subgroups. © 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.	en_US
dc.relation.ispartof	BJOG: An International Journal of Obstetrics and Gynaecology	en_US
dc.relation.isbasedon	10.1111/1471-0528.12087	en_US
dc.subject.classification	Obstetrics & Reproductive Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Labor Pain	en_US
dc.subject.mesh	Pain Measurement	en_US
dc.subject.mesh	Hypnosis	en_US
dc.subject.mesh	Prenatal Care	en_US
dc.subject.mesh	Self Care	en_US
dc.subject.mesh	Analgesia, Epidural	en_US
dc.subject.mesh	Analgesia, Obstetrical	en_US
dc.subject.mesh	Single-Blind Method	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Relaxation Therapy	en_US
dc.subject.mesh	Intention to Treat Analysis	en_US
dc.title	Self-hypnosis for coping with labour pain: A randomised controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	120	en_US
utslib.for	111006 Midwifery	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	120	en_US

Abstract:

Objective To estimate the use of epidural analgesia and experienced pain during childbirth after a short antenatal training course in self-hypnosis to ease childbirth. Design Randomised, controlled, single-blinded trial using a three-arm design. Setting Aarhus University Hospital Skejby in Denmark during the period July 2009 until August 2011. Population A total of 1222 healthy nulliparous women. Method Use of epidural analgesia and self-reported pain during delivery was compared in three groups: a hypnosis group receiving three 1-hour lessons in self-hypnosis with additional audiorecordings to ease childbirth, a relaxation group receiving three 1-hour lessons in various relaxation methods and mindfulness with audiorecordings for additional training, and a usual care group receiving ordinary antenatal care only. Main outcome measures Primary outcome: Use of epidural analgesia. Secondary outcomes included self-reported pain. Results There were no between-group differences in use of epidural analgesia - 31.2% (95% confidence interval [95% CI] 27.1-35.3) in the hypnosis group, 29.8% (95% CI 25.7-33.8) in the relaxation group and 30.0% (95% CI 24.0-36.0) in the control group. No statistically significant differences between the three groups were observed for any of the self-reported pain measures. Conclusion In this large randomised controlled trial of a brief course in self-hypnosis to ease childbirth, no differences in use of epidural analgesia or pain experience were found across study groups. Before turning down self-hypnosis as a method for pain relief, further studies are warranted with focus on specific subgroups. © 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.

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http://hdl.handle.net/10453/117603