Obstetrics
The use of hypnosis
in obstetrics and hypnosis
in surgery is not new. More than a century ago, mesmerism
as it was called, or hypnosis was one of the principal techniques
for pain relief.
It was unfortunate that the discovery of chemical anesthesia
in the middle of the last century, all but relegated hypnosis
to undeserved oblivion.
In the field of obstetrics, the use of hypnosis provides
many advantages, most significantly that of greater co-operation between
doctor and patient.
Hypnosis can be introduced at any time of the pregnancy, but
it seems that most physicians begin its usage in the final trimester.
The doctor would first inform his patient of the many advantages of
using hypnosis both during and after delivery, and would then
inform the patient about hypnosis itself along with answering
any of the patients concerns.
The benefits and the advantages of hypnosis
in obstetrics are:
1. Reduction or eradication of fear,
tension, and pain
before and during labor with a consequent rise in the pain
threshold.
2. Reduction of chemoanalgesia and anesthesia
or their complete elimination in good hypnotic subjects.
3. Complete control of painful uterine
contractions; the mother can choose to experience the sensations of
childbirth or not, as she sees fit.
4. Decreased shock and speedier recovery.
5. Lessened incidence of operative delivery
since the responsive patient cooperates more fully, particularly during
the expulsive stage. Relaxation and anesthesia of the perineum
are produced by autohypnosis or by direct
suggestion from the hypnotherapist; this eases delivery,
episiotomy, and suturing of the perineum.
6. Lack of
undesirable postoperative effect such as may be encountered with drug
anesthesia; hypnoanesthesia is also more readily controlled.
7. Hypnosis shortens the first
stage of labor by approximately 3 hours in primparae and by more than
2 hours in multiparae.
8. Hypnosis raises the resistance
to fatigue, thus minimizing maternal exhaustion.
9. Hypnosis can be used with debilitated
individuals, in those who have ingested food shortly before delivery,
and in those who are allergic to drugs. Also, it is indicated for premature
delivery.
10. Hypnotic rapport can be transferred
to an associate, an intern or a nurse, or to the husband, any one of
whom, without previous training, can readily induce and maintain the
hypnotic state by means of a prearranged cue called an anchor
(this can be accomplished only with the patient’s permission).
11. No elaborate education or ritualistic
exercises are needed to achieve the strong interpersonal relationship
essential to the success of childbirth under hypnosis. These
are required in such pain-relieving techniques as natural childbirth
and psychoprophylactic and progressive relaxation, which are merely
modifications of the hypnotic method.
12. There is no possibility that harm will
be done to the mother or the baby by hypnoanesthesia. On the
other hand, the literature offers a considerable amount of evidence
that when drugs are given for pain relief they may decrease the oxygen
supply to the fetus. Combined with other asphyxial factors such as trauma
or difficult delivery, this may produce fetal anoxia, and, in its wake,
severe brain damage. With hypnoanesthesia, the danger of fetal
anoxia is markedly decreased.
13. Childbirth
under hypnoanesthesia is an intensely gratifying emotional
experience for well-adjusted mothers. Hearing the baby’s first
cry or seeing him immediately after birth are thrills that mothers can
never feel if they are “knocked out”.
14. Hypnosis can be life-saving
for mother and baby in obstetrical emergencies. Its successful application
has been reported in abruptio placenta with delivery of a live baby.
15. Breast
feeding can also be helped.
When a woman asks to have a baby delivered using
hypnosis, there are three things that the hypnotherapist
must ascertain: her reasons for choosing this form of anesthesia;
possible contraindications, depending on her personality type; and her
responsiveness to hypnotic suggestions.
All patients should be informed that analgesia and anesthesia
will be available on request, should they need it. Moreover, they should
be advised not to feel guilty about asking for it.
Ideally, hypnotic conditioning should begin during the third
or the fourth month of pregnancy, if not sooner. The patient is hypnotized
two or three times a month until maximal hypnosis is achieved.
Exactly how many visits a patient will require before one can feel confident
of satisfactory anesthesia is uncertain. It may vary from one
to 20 or more sessions. Usually, if anesthesia is not obtained
after 10 visits, the
outlook for success is poor, and personally, if success isn't had by
the fifth attempt, I recommend the patient go to another hypnotist.
Patients should be informed in advance that numerous sessions may be
required to obviate discouragement.
During the conditioning period, the patient is taught auto, or self
hypnosis and "glove anesthesia". At each session,
post
hypnotic suggestions emphasize that the patient need have no more
discomfort than she is willing to bear. Repeated conditioning enables
the patient to reach deeper states of hypnosis and raises her
pain threshold. The more these post hypnotic suggestions are
repeated, the more effective they become. The patient is told repeatedly
that when labor begins, she will promptly fall into deep
hypnosis in response to a given cue - usually a touch on the right
shoulder. Glove anesthesia is best achieved through autohypnosis,
and the area to be desensitized is chosen by the patient. This permissive
approach directed toward teaching the patient to be self-reliant should
stop the criticism that hypnosis fosters extreme dependency
on an authoritarian figure.
Hypnosis is almost the treatment of choice for relief of the
psychogenic component responsible for nausea and vomiting during early
pregnancy.
Hypnosis and/or strong suggestion are particularly valuable
in the prevention of habitual abortion. Hypnosis can frequently
diminish the strength and the frequency of the uterine contractions,
and miscarriage can be prevented in properly selected patients if placental
separation has not occurred. Experience indicates that placebos
are as effective as vitamins and hormones in reducing the abortion rate;
contradictory theories, state that varied responses to endocrine therapy,
and the frequent relapses with other types of therapy, all incriminate
the psyche to some extent. Hypnosis can also be employed effectively
in heartburn, to promote lactation, and to curb the "eating for
two" syndrome often responsible for rapid weight gain and subsequent
preeclampsia and toxemia.
As a final note, hypnotic induction can be affected easily
by psychological factors: well-prepared hypnotic subjects often
"go to pieces" when exposed to other screaming women in various
stages of labor; good subjects are often "talked out of it"
by apparently well-meaning friends and neighbors.
I remember taking the pre-delivery classes with my ex-wife at Toronto's
Woman's college Hospital. Here is a hospital specifically directed towards
the needs of the female gender. When the class was taken on a tour of
the obstetrics ward, the woman in the class all became terrified.
There were screams and howls coming from everywhere. I suggested we
make a recording for Halloween. (P.S. Never make a suggestion like this
in such a situation.) Nevertheless, a worse hypnotic experience
for the woman in the class could not have been more suitably constructed.
For more hypnotic
help in these areas visit our Health
and Healing product pages, or email to dr_frank@hypnoticadvancements.com
Mailing address:
Dr. Frank Valente Ph.D.(c)
Hypnotic Advancements
3126 McCarthy Court
Mississauga , ON
Canada L4Y-3Z5
© 2004, Dr. Frank Valente Ph.D.(c)
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