![]() Women in the intervention group had lower actual than anticipated levels of fear and anxiety between baseline and 2 weeks post natal (anxiety: OR -0.72, 95% CI -1.16 to -0.28, P = 0.001) fear (OR -0.62, 95% CI -1.08 to -0.16, P = 0.009). There was no statistically significant difference in epidural use: 27.9% (intervention), 30.3% (control), odds ratio (OR) 0.89, or in 27 of 29 pre-specified secondary clinical and psychological outcomes. RESULTS: Six hundred and eighty women were randomised. Secondary: associated clinical and psychological outcomes cost analysis. MAIN OUTCOME MEASURES: Primary: epidural analgesia. METHODS: Randomisation at 28-32 weeks' gestation to usual care, or to usual care plus brief self-hypnosis training (two × 90-minute groups at around 32 and 35 weeks' gestation daily audio self-hypnosis CD). POPULATION: Nulliparous women not planning elective caesarean, without medication for hypertension and without psychological illness. DESIGN: Multi-method randomised control trial (RCT). Abstract OBJECTIVE: (Primary) To establish the effect of antenatal group self-hypnosis for nulliparous women on intra-partum epidural use. ![]()
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