Treatment of severe fear of childbirth with haptotherapy: design of a multicenter randomized controlled trial
| Autor: | Ad J. J. M. Vingerhoets, K. Marieke Paarlberg, Gert A. Klabbers, Wilco H. M. Emons, Klaas Wijma |
|---|---|
| Přispěvatelé: | Medical and Clinical Psychology, Department of Methodology and Statistics |
| Jazyk: | angličtina |
| Předmět: |
Adult
Complementary Therapies medicine.medical_specialty medicine.medical_treatment Haptotherapy Well-being Pregnant women Fear of childbirth Treatment Delivery Anxiety Childbirth outcomes law.invention Young Adult Study Protocol Obstetrics and gynaecology Randomized controlled trial Pregnancy law medicine Humans Childbirth Caesarean section reproductive and urinary physiology Childbirth Classes business.industry Obstetrics Infant Newborn Parturition Klinisk medicin Social Support Fear General Medicine Delivery Obstetric medicine.disease Complementary and alternative medicine Physical therapy Female Clinical Medicine medicine.symptom business Somatization |
| Zdroj: | BMC Complementary and Alternative Medicine, 14:385. BioMed Central BMC Complementary and Alternative Medicine |
| ISSN: | 1472-6882 |
| DOI: | 10.1186/1472-6882-14-385 |
| Popis: | About six percent of pregnant women suffer from severe fear of childbirth. These women are at increased risk of obstetric labour and delivery interventions and pre- and postpartum complications, e.g., preterm delivery, emergency caesarean section, caesarean section at maternal request, severe postpartum fear of childbirth and trauma anxiety. During the last decade, there is increasing clinical evidence suggesting that haptotherapy might be an effective intervention to reduce fear of childbirth in pregnant women. The present study has been designed to evaluate the effects of such intervention. Included are singleton pregnant women with severe fear of childbirth, age ≥ 18 year, randomised into three arms: (1) treatment with haptotherapy, (2) internet psycho-education or (3) care as usual. The main study outcome is fear of childbirth. Measurements are taken at baseline in gestation week 20–24, directly after the intervention is completed in gestation week 36, six weeks postpartum and six months postpartum. Secondary study outcomes are distress, general anxiety, depression, somatization, social support, mother-child bonding, pregnancy and delivery complications, traumatic anxiety symptoms, duration of delivery, birth weight, and care satisfaction. The treatment, a standard haptotherapeutical treatment for pregnant women with severe fear of childbirth, implies teaching a combination of skills in eight one hour sessions. The internet group follows an eight-week internet course containing information about pregnancy and childbirth comparable to childbirth classes. The control group has care as usual according to the standards of the Royal Dutch Organisation of Midwives and the Dutch Organization of Obstetrics and Gynaecology. This trial was entered in the Dutch Trial Register and registered under number NTR3339 on March 4th, 2012. |
| Databáze: | OpenAIRE |
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