Clinical Study: Change in Outlook Towards Birth After a Midwife Led Antenatal Education Programme Versus Hypnoreflexogenous Self-Hypnosis Training for Childbirth

Abstract

Aim: To compare the change of maternal outlook towards birth due to a midwife led antenatal education programme versus hypnoreflexogenous self-hypnosis training for childbirth. Method: Before beginning of the classes and after the last class maternal perception on birth was evaluated using Osgood semantic differential questionnaire. The Gießen personality score was evaluated once. Results: 213 patients were enrolled in this study. 155 were in the midwife led education programme and 58 in the self-hypnosis training programme. There was no statistically significant difference between the two groups in regard of participantsʼ characteristics, Gießen personality score and initial Osgood semantic differential scores. After the midwife led course childbirth was emotionally more negatively scored (displeasure, tarnishing, dimension evaluation [p < 0.05]), whereas after the hypnosis course childbirth was emotionally more positively evaluated (pleasure, harmony, dimension evaluation [p < 0.01] and brightness [p < 0.05]). Summary: In this study hypnoreflexogenous self-hypnosis training resulted in a positive maternal outlook towards childbirth, in comparison to the midwife led course. Further prospective randomised studies are required to test these initial results.

Zusammenfassung

Ziel: Vergleich der Veränderung der mütterlichen Einstellung zur Geburt anhand von Hebammen-geführten Geburtsvorbereitungskursen oder hypnoreflexogenem Training zur Geburtsvorbereitung. Methode: Zu Beginn und nach Beendigung der Kurse wurde die mütterliche Einstellung zur Geburt unter Zuhilfenahme des Osgood-Ertel-Eindrucksdifferenzials gemessen. Der Gießen-Test zur Persönlichkeitsbeurteilung wurde einmalig angewendet. Ergebnisse: 213 Frauen waren in die Studie eingeschlossen. 155 davon nahmen an Hebammen-geführten Kursen teil und 58 bekamen hypnoreflexogenes Training. Es waren zu Beginn der Kurse keine statistisch signifikanten Unterschiede feststellbar in Bezug auf die Charakteristiken der Teilnehmerinnen, im Gießen-Test und in den Ergebnissen des Osgood-Ertel-Eindrucksdifferenzials. Nach der Hebammen-geführten Geburtsvorbereitung wurde die Geburt negativer wahrgenommen (Freudlosigkeit, Trübung, Valenzdimension [p < 0,05]), während die Geburt nach dem Hypnosetraining emotional positiver bewertet wurde (Freude, Harmonie, Valenzdimension [p < 0,01] und Helligkeit [p < 0,05]). Zusammenfassung: Hypnoreflexogenes Selbsthypnosetraining zur Geburtsvorbereitung scheint stärkere und positivere mütterliche emotionale Veränderungen in Bezug auf die Einstellung zur Geburt auszulösen als konventionelle Hebammen-geführte Geburtsvorbereitungskurse. Weitere prospektive randomisierte Studien sind nötig, um diese Ergebnisse zu überprüfen.

Key words

childbirth education - pregnancy education - birth - childbirth fear - hypnosis

Schlüsselwörter

Geburtsvorbereitung - Geburt - Geburtsangst - Hypnose

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