A comparative evaluation of obstetrical hypnosis and antenatal childbirth training

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Abstract
Obstetrical hypnosis and antenatal trahhg methods arecompared in terms of philosophy, methodology, and successful outcome. A review of previous studies failed to show any differences between hypnosis and antenatal training in terms of outcome. Outcome is defined here as labor length, medication requirements, overt behavioral signs of pain, subjective reporta of pain, and experiential childbirth testimonies. In view of the fact that no measurable differences between the two methods could be found, the reminder of the review is devoted to comparing the decta of no childbirth preparation with hypnosis and antenatal training, collectively. In genenal, the claims that hypnosis and antenatal training result in less medication, calmer behavior, and more positive childbirth experiences are supported. There are little data to support claims that either hypnosis or antenatal training reduces labor length or reducesthe experience of pain. Future studies are needed which correct a number of methodological flaws before conclusions can be drawn concerning the specific training factors that influence childbirth outcome. Such preparation factors as relaxation and breathing training as well as verbal suggestions may be less important than factors such as doctor and staff attitudes. The most important factor may turn out to be the woman's desire and ability to participate in childbirth.

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