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Therapeutic group psychoeducation and relaxation in treating fear of childbirth.

Abstract：

BACKGROUND:The increase in the numbers of women fearing childbirth and requesting cesarean sections call for new forms of antenatal treatment. METHODS:Finnish nulliparous women experiencing severe fear of childbirth (experimental group, n = 102) attended 5 group sessions with a psychologist, once together with a midwife, during the third trimester. One session was held 3 months after the delivery. Each session consisted of a discussion of fear and feelings towards the impending birth and parenthood in a psychotherapeutic atmosphere and of relaxation exercises focused on an imaginary childbirth. The results were compared with those of 85 women treated for fear of childbirth by 2 appointments with an obstetrician (conventional treatment). RESULTS:Before the sessions, among the women in the experimental group, scored fear of childbirth, on a scale of one to ten, was 6.9+/-2.0 (SD), which is similar to the score of those receiving conventional treatment (6.0+/-1.6). After the sessions, 84 women in the experimental group (82.4%) and 57 in the conventional treatment group (67.1%) chose to have a vaginal delivery (p = 0.02). The women in the experimental treatment group rated the helpfulness of the sessions 8.5+/-1.6 on a scale where 10 was maximum help and 1 no help at all, and mentioned "sharing their feelings" twice as often as "receiving information" as the most helpful factor in relieving fear. CONCLUSIONS:Group psychoeducation and relaxation exercises were well received and rated as very helpful. More cesarean section requests were withdrawn than in the comparison group and in previous studies.

journal_name

Acta Obstet Gynecol Scand

journal_title

Acta obstetricia et gynecologica Scandinavica

authors

Saisto T,Toivanen R,Salmela-Aro K,Halmesmäki E

doi

10.1080/00016340600756920

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

1315-9

issue

11

eissn

0001-6349

issn

1600-0412

pii

758238982

journal_volume

85

pub_type

临床试验,杂志文章

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