Improving Cesarean Section Experience Through Hypnotherapy

Not Applicable

Completed

• Conditions: Cesarean Section; Pain; Anxiety
• Interventions: Other: hypnosis

• Registration Number: NCT02418026
• Lead Sponsor: Groupe Hospitalier de la Rochelle Ré Aunis

Brief Summary

Cesarean section rates continue to increase worldwide, particularly in middle- and high-income countries. In France, the rate has now stabilized around 20 %. Cesarean section is a particular way of giving birth, sometimes desired, but sometimes feared. If some women do not feel affected by this way of giving birth, it is more difficult for others to live with. In this way, not being able to give birth trough natural way may be disturbing in motherhood. At La Rochelle hospital, more than 230 healthcare providers have been trained according to Erickson's hypnosis methodology. Among them, 40 are part of the anesthesia department and a committee oversees the hypnotherapist activities in pain management. The objective of the present study is to assess the benefit of hypnosis session for improving experience and reducing anxiety in women giving birth through surgery.

Detailed Description

Nonpharmacological approaches for pain management, either as a primary method or as a complement to pharmacological approaches, are suggested for a better perinatal management. The investigators assessed the use of conversational hypnotic induction and therapeutic suggestions during cesarean section as a complement to pharmacological strategy. Women giving birth through scheduled or unplanned cesarean section and who accepted hypnotherapy session were compared to a control group.

Study Timeline

• Study Start: 2013-02
• Primary Completion: 2013-10
• Study Completion: 2013-10
• Study First Submitted: 2015-04-07
• Study First Submitted QC: 2015-04-15
• Study First Posted: 2015-04-16
• Results First Submitted: 2016-11-15
• Results First Submitted QC: 2017-01-11
• Results First Posted: 2017-03-01
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-11
• Last Update Posted: 2024-01-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 79

Inclusion Criteria

• over 18
• scheduled or unplanned cesarean section
• Informed consent

Exclusion Criteria

• Refusal of the patient to participate in the study
• Not French speaking
• Patients under guardianship

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Hypnosis	hypnosis	women who attended the obstetrics department for a scheduled or unplanned cesarean section and who benefited from a hypnosis session during the surgery in addition to general care

Primary Outcome Measures

Name	Time	Method
Wellbeing Measured Using a Comfort Scale	just after surgery, up to 1 hour	The comfort scale is a numeric rating scale ranging from 0 to 10 : 0 corresponds to "no comfort" and 10 corresponds to "most comfortable".

Secondary Outcome Measures

Name	Time	Method
Score at Numeric Pain Rating Scale	day 3	The numeric pain rating scale range from 0 (no pain) to 10 (worst pain imaginable)
Mean Blood Pressure	for 2 hours in the recovery room at regular intervals (average)
Mean Pulse	for 2 hours in the recovery room at regular intervals (average)
Non-steroidal Anti-inflammatory Drug Intake	day 3
Wellbeing Measured Using a Comfort Scale	Day 3	The comfort scale is a numeric rating scale ranging from 0 to 10 : 0 corresponds to "no comfort" and 10 corresponds to "most comfortable".