Streibert L A, Reinhard J, Yuan J, Schiermeier S, Louwen F
Johann Wolfgang Goethe-University Frankfurt am Main, Faculty of Medicine, Department of Obstetrics and Gynaecology, Frankfurt am Main.
St. Marienkrankenhaus, Frauenklinik, Frankfurt.
Geburtshilfe Frauenheilkd. 2015 Nov;75(11):1161-1166. doi: 10.1055/s-0035-1558250.
To compare the change of maternal outlook towards birth due to a midwife led antenatal education programme versus hypnoreflexogenous self-hypnosis training for childbirth. 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. 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 participants' 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]). 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.
比较由助产士主导的产前教育项目与分娩时的催眠反射性自我催眠训练对产妇分娩观念的影响。在课程开始前和最后一节课后，使用奥斯古德语义差异问卷评估产妇对分娩的认知。吉森人格评分仅评估一次。213名患者参与了本研究。155名参加助产士主导的教育项目，58名参加自我催眠训练项目。两组在参与者特征、吉森人格评分和初始奥斯古德语义差异评分方面无统计学显著差异。助产士主导的课程结束后，产妇对分娩的情绪评分更负面（不愉快、有损、维度评估[p < 0.05]），而催眠课程结束后，产妇对分娩的情绪评价更积极（愉快、和谐、维度评估[p < 0.01]和光明[p < 0.05]）。在本研究中，与助产士主导的课程相比，催眠反射性自我催眠训练使产妇对分娩有更积极的观念。需要进一步的前瞻性随机研究来验证这些初步结果。
