Treatment of severe fear of childbirth with haptotherapy: design of a multicenter randomized controlled trial

BMC Complementary and Alternative Medicine

Ad JJM Vingerhoets³  Wilco HM Emons⁴  K Marieke Paarlberg²  Klaas Wijma¹  Gert A Klabbers⁵ 

[1] Unit of Medical Psychology, Department of Clinical and Experimental Medicine, Linköping University, SE 58183 Linköping, Sweden;Gelre Teaching Hospital Apeldoorn, Albert Schweitzerlaan 31, 7334 DZ Apeldoorn, the Netherlands;Department of Medical and Clinical Psychology Tilburg University, Warandelaan 2, 5037 AB Tilburg, the Netherlands;Department of Methodology and Statistics, Tilburg University, Warandelaan 2, 5037 AB Tilburg, the Netherlands;Therapy Center Ietje Kooistraweg 25, 7311 GZ Apeldoorn, the Netherlands

关键词: Childbirth outcomes;    Well-being;    Anxiety;    Delivery;    Treatment;    Haptotherapy;    Fear of childbirth;    Pregnant women;   

Others  :  1086289
DOI  :  10.1186/1472-6882-14-385

 received in 2014-06-03, accepted in 2014-10-02,  发布年份 2014

【 摘 要 】

Background

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.

Methods/Design

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.

Discussion

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.

Trial registration

This trial was entered in the Dutch Trial Register and registered under number NTR3339 on March 4^th, 2012.

【 授权许可】

   
2014 Klabbers et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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