Improving Cesarean Section Experience Through Hypnotherapy

Improving Cesarean Section Experience Through Hypnotherapy: a Prospective Single Center Case-control Study

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.

Study Overview

• Status: Completed
• Conditions: Pain; Anxiety; Cesarean Section
• Intervention / Treatment: Other: hypnosis

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 Type: Interventional
• Enrollment (Actual): 79
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult)
• Accepts Healthy Volunteers: No

Description

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 Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Non-Randomized
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control; women who attended the obstetrics department for a scheduled or unplanned cesarean section and who benefited from general care
Experimental: 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	Other: hypnosis; Conversational hypnotic induction and therapeutic suggestions

What is the study measuring?

Primary Outcome Measures

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

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wellbeing Measured Using a Comfort Scale	The comfort scale is a numeric rating scale ranging from 0 to 10 : 0 corresponds to "no comfort" and 10 corresponds to "most comfortable".	Day 2
Wellbeing Measured Using a Comfort Scale	The comfort scale is a numeric rating scale ranging from 0 to 10 : 0 corresponds to "no comfort" and 10 corresponds to "most comfortable".	Day 3
Score at Numeric Pain Rating Scale	The numeric pain rating scale ranges from 0 (no pain) to 10 (worst pain imaginable)	just after surgery, up to 1 hour
Score at Numeric Pain Rating Scale	The numeric pain rating scale ranges from 0 (no pain) to 10 (worst pain imaginable)	day 1
Score at Numeric Pain Rating Scale	The numeric pain rating scale range from 0 (no pain) to 10 (worst pain imaginable)	day 3
Mean Blood Pressure		preoperative, up to 2 hours
Mean Blood Pressure		during surgery (average), up to 2 hours
Mean Blood Pressure		for 2 hours in the recovery room at regular intervals (average)
Mean Pulse		preoperative, up to 2 hours
Mean Pulse		during surgery (average), up to 2 hours
Mean Pulse		for 2 hours in the recovery room at regular intervals (average)
Non-steroidal Anti-inflammatory Drug Intake		day 3

Collaborators and Investigators

• Sponsor: Groupe Hospitalier de la Rochelle Ré Aunis
• Investigators: Principal Investigator: Sandrine DELAVAUX, Groupe Hospitalier de la Rochelle Ré Aunis

Study record dates

Study Major Dates

• Study Start: February 1, 2013
• Primary Completion (Actual): October 1, 2013
• Study Completion (Actual): October 1, 2013

Study Registration Dates

• First Submitted: April 7, 2015
• First Submitted That Met QC Criteria: April 15, 2015
• First Posted (Estimated): April 16, 2015

Study Record Updates

• Last Update Posted (Estimated): January 17, 2024
• Last Update Submitted That Met QC Criteria: January 11, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: 2014/P01/034