Haptotherapy as a new intervention for treating fear of childbirth

A randomized controlled trial

G.A. Klabbers*, Klaas Wijma, K. Marieke Paarlberg, W.H.M. Emons, A.J.J.M. Vingerhoets

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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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 20-24weeks of gestation and the effects were compared at 36weeks of gestation and 6weeks and 6months 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<.001.

Conclusion:

Haptotherapy appears to be more effective in reducing fear of childbirth than psycho-education via Internet and care as usual.



Original languageEnglish
Pages (from-to)38-47
JournalJournal of Psychosomatic Obstetrics and Gynaecology
Volume40
Issue number1
DOIs
Publication statusPublished - 2019

Fingerprint

Education
Intention to Treat Analysis
Midwifery
Teaching Hospitals
Netherlands
Surveys and Questionnaires

Keywords

  • ANXIETY
  • DEPRESSION
  • MENTAL-HEALTH
  • MIDWIVES
  • MOTHERHOOD
  • NULLIPAROUS WOMEN
  • PREGNANT-WOMEN
  • Pregnant women
  • RISK
  • SOCIAL SUPPORT
  • STRESS
  • birth
  • fear of childbirth
  • haptotherapy
  • treatment

Cite this

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title = "Haptotherapy as a new intervention for treating fear of childbirth: A randomized controlled trial",
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 20-24weeks of gestation and the effects were compared at 36weeks of gestation and 6weeks and 6months 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<.001.Conclusion:Haptotherapy appears to be more effective in reducing fear of childbirth than psycho-education via Internet and care as usual.",
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author = "G.A. Klabbers and Klaas Wijma and Paarlberg, {K. Marieke} and W.H.M. Emons and A.J.J.M. Vingerhoets",
year = "2019",
doi = "10.1080/0167482X.2017.1398230",
language = "English",
volume = "40",
pages = "38--47",
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Haptotherapy as a new intervention for treating fear of childbirth : A randomized controlled trial. / Klabbers, G.A.; Wijma, Klaas; Paarlberg, K. Marieke; Emons, W.H.M.; Vingerhoets, A.J.J.M.

In: Journal of Psychosomatic Obstetrics and Gynaecology, Vol. 40, No. 1, 2019, p. 38-47.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Haptotherapy as a new intervention for treating fear of childbirth

T2 - A randomized controlled trial

AU - Klabbers, G.A.

AU - Wijma, Klaas

AU - Paarlberg, K. Marieke

AU - Emons, W.H.M.

AU - Vingerhoets, A.J.J.M.

PY - 2019

Y1 - 2019

N2 - 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 20-24weeks of gestation and the effects were compared at 36weeks of gestation and 6weeks and 6months 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<.001.Conclusion:Haptotherapy appears to be more effective in reducing fear of childbirth than psycho-education via Internet and care as usual.

AB - 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 20-24weeks of gestation and the effects were compared at 36weeks of gestation and 6weeks and 6months 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<.001.Conclusion:Haptotherapy appears to be more effective in reducing fear of childbirth than psycho-education via Internet and care as usual.

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KW - DEPRESSION

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KW - MIDWIVES

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KW - NULLIPAROUS WOMEN

KW - PREGNANT-WOMEN

KW - Pregnant women

KW - RISK

KW - SOCIAL SUPPORT

KW - STRESS

KW - birth

KW - fear of childbirth

KW - haptotherapy

KW - treatment

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