Unexpected consequences: women's experiences of a self-hypnosis intervention to help with pain relief during labour
Unexpected consequences: women's experiences of a self-hypnosis intervention to help with pain relief during labour
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DOI：
10.1186/s12884-015-0659-0
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发表时间：
2015-09-25
影响因子：
3.1
通讯作者：
Whorwell, Peter
中科院分区：
文献类型：
--
作者：
Finlayson, Kenneth;Downe, Soo;Whorwell, Peter
背景：自我催眠作为分娩疼痛管理的一种手段越来越受欢迎。以前的研究产生了混合的结果。关于女性在这种情况下使用催眠的观点和经历的数据很少。作为自我催眠缓解产痛的随机对照试验的一部分（SHIP试验）我们对随机分配到干预组的妇女进行了定性访谈，以探讨她们在分娩和分娩期间使用自我催眠的观点和经验。参与者是从研究的干预组中随机选择的，其中包括两个产前自我催眠训练课程和一张支持CD，鼓励妇女从怀孕32周开始每天听，直到婴儿出生。那些同意的人在出生后8-12周在自己家中接受了采访。转录后，采访进行了反复分析，并在作者之间讨论新出现的概念，以产生组织主题。然后，这些被用来开发一个主要的组织隐喻或全球主题，在一个过程中被称为主题网络分析。在干预组的343名女性中，有48人受邀接受采访，其中16人在2012年2月至2013年1月的12个月内接受了采访。数据编码和后续分析揭示了“意外后果”的全球主题，由5个组织主题支持，“在恐惧的气氛中保持冷静”，“从怀疑者到信徒”，“寻找我的空间”，“延迟和失望”和“个人偏好”。大多数受访者报告了自我催眠的积极体验，并强调了平静，自信和赋权的感觉。他们发现这种干预是有益的，并使用了一系列新颖的策略来个性化他们的自我催眠实践。偶尔妇女报告感到沮丧或失望时，他们的放松状态被误解的助产士入院时，或当他们的劳动和分娩的经验不符合他们的expectation.Conclusion：在这项研究中的妇女普遍赞赏产前自我催眠训练，并发现它是有益的劳动和分娩。如果要在产科服务中实施干预措施，提供者需要认识到使用该技术的妇女所经历的集中放松状态。
Background: Self-hypnosis is becoming increasingly popular as a means of labour pain management. Previous studies have produced mixed results. There are very few data on women's views and experiences of using hypnosis in this context. As part of a randomized controlled trial of self-hypnosis for intra-partum pain relief (the SHIP Trial) we conducted qualitative interviews with women randomized to the intervention arm to explore their views and experiences of using self-hypnosis during labour and birth.Methods: Participants were randomly selected from the intervention arm of the study, which consisted of two antenatal self-hypnosis training sessions and a supporting CD that women were encouraged to listen to daily from 32 weeks gestation until the birth of their baby. Those who consented were interviewed in their own homes 8-12 weeks after birth. Following transcription, the interviews were analysed iteratively and emerging concepts were discussed amongst the authors to generate organizing themes. These were then used to develop a principal organizing metaphor or global theme, in a process known as thematic networks analysis.Results: Of the 343 women in the intervention group, 48 were invited to interview, and 16 were interviewed over a 12 month period from February 2012 to January 2013.Coding of the data and subsequent analysis revealed a global theme of 'unexpected consequences', supported by 5 organising themes, 'calmness in a climate of fear', 'from sceptic to believer', 'finding my space', 'delays and disappointments' and 'personal preferences'. Most respondents reported positive experiences of self-hypnosis and highlighted feelings of calmness, confidence and empowerment. They found the intervention to be beneficial and used a range of novel strategies to personalize their self-hypnosis practice. Occasionally women reported feeling frustrated or disappointed when their relaxed state was misinterpreted by midwives on admission or when their labour and birth experiences did not match their expectations.Conclusion: The women in this study generally appreciated antenatal self-hypnosis training and found it to be beneficial during labour and birth. The state of focused relaxation experienced by women using the technique needs to be recognized by providers if the intervention is to be implemented into the maternity service.