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Haptotherapy as a new intervention for treating fear of childbirth: a randomized controlled trial |
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| Authors: | Gert A. Klabbers Klaas Wijma K. Marieke Paarlberg Wilco H. M. Emons Ad J. J. M. Vingerhoets |
| Affiliation: | 1. Department of Medical and Clinical Psychology, Tilburg University, Tilburg, the Netherlands;2. Unit of Medical Psychology, Department of Clinical and Experimental Medicine, Link?ping University, Link?ping, Sweden;3. Department of Obstetrics and Gynaecology, Gelre Hospitals, Apeldoorn location, the Netherlands;4. Department of Methodology and Statistics, Tilburg University, Tilburg, the Netherlands |
| Abstract: | Objective: To evaluate the effect of haptotherapy on severe fear of childbirth in pregnant women. Design: Randomized controlled trial. Setting: Community midwifery practices and a teaching hospital in the Netherlands. Population or Sample: Primi- and multigravida, suffering from severe fear of childbirth (N?=?134). Methods: Haptotherapy, psycho-education via Internet and care as usual were randomly assigned at 20–24?weeks of gestation and the effects were compared at 36?weeks of gestation and 6?weeks and 6?months postpartum. Repeated measurements ANOVA were carried out on the basis of intention to treat. Since there were crossovers from psycho-education via Internet and care as usual to haptotherapy, the analysis was repeated according to the as treated principle. Main outcome measures: Fear of childbirth score at the Wijma Delivery Expectancy/Experience Questionnaire. Results: In the intention to treat analysis, only the haptotherapy group showed a significant decrease of fear of childbirth, F(2,99)?=?3.321, p?=?.040. In the as treated analysis, the haptotherapy group showed a greater reduction in fear of childbirth than the other two groups, F(3,83)?=?6.717, p? Conclusion: Haptotherapy appears to be more effective in reducing fear of childbirth than psycho-education via Internet and care as usual. |
| Keywords: | Pregnant women fear of childbirth haptotherapy treatment birth |