Hypnotherapie bei vorzeitiger Wehentätigkeit
| Autor: | H. Hatzmann, Sven Schiermeier, Joscha Reinhard, H. Hüsken-Janßen |
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| Rok vydání: | 2008 |
| Předmět: | |
| Zdroj: | Geburtshilfe und Frauenheilkunde. 68:603-606 |
| ISSN: | 1438-8804 0016-5751 |
| DOI: | 10.1055/s-2008-1038618 |
| Popis: | BACKGROUND: Most patients with preterm labour have higher levels of psychosocial stress. Hypnosis can play an important role in reducing preterm labour. METHOD: A literature review of 13 856 articles on preterm labour was carried out; only 7 reports on preterm labour and hypnosis could be identified (Evidence level 3 and 4 a). RESULTS: Schwarz (1963) and Logan (1963) each described three case reports in which preterm labour was stopped using hypnosis. Brown and Massarelli (2002) used hypnosis in a quadruplet pregnancy. Goldman (1992) showed that with the use of hypnosis preterm labour can be influenced on different levels, including controlling psychosocial stress and the cognitive awareness of the preterm level, as well as inducing relaxation to reduce the side effects of medication, directly relaxing the uterine muscles and reducing the chance of preterm delivery. Omer (1987) compared a hypnosis group with a control group which only received standard therapy. The hypnosis group showed a significant prolongation of pregnancy and an increased birth weight compared with the standard therapy (prolongation of pregnancy; t [111] = 3.09; p < 0.002; weight 2917 g vs. 2692 g; t [111] = 1.64; p = 0.05). With regard to the prevention of preterm labour, Cheek (1995) described a special effect through the processing of conscious and unconscious anxieties of pregnant women using psychotherapy and hypnosis. Many studies have shown a correlation between stress and preterm labour. Brown et al. (2007) described a reduction in the rate of preterm labour (6.8 to 2.6%) through the introduction of hypnosis and the use of ideomotor signals. CONCLUSION: Hypnosis seems to be a new, effective therapy with no side effects and can prolong pregnancy in cases with preterm labour. Further multi-centre randomised controlled studies are needed. |
| Databáze: | OpenAIRE |
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