Cochrane · systematic review · CD009356

Hypnosis for pain management during labour and childbirth

Madden, K, Middleton, P, Cyna, AM, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 11.1%Low 8 · 88.9%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Self‐hypnosis or hypnotherapy versus all for management of pain during labour and childbirth

Population: pregnant women
9 questions
OutcomeEffectEvidenceStatus / GRADE
Use of pharmacological pain relief/anaesthesia
Self‐hypnosis or hypnotherapy vs all
RR 0.73 [0.57, 0.94]8 studies · 2916 participantsVery low
Downgraded: inconsistency
Satisfaction with pain relief (number of women who reported that they felt they had adequate pain relief)
Self‐hypnosis or hypnotherapy vs all
RR 1.06 [0.94, 1.2]1 study · 264 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Satisfaction with pain relief (reported 2 weeks postnatal) ‐ Pethidine Seven‐point scale: 7 = most satisfaction
Self‐hypnosis or hypnotherapy vs all
no estimate extracted1 study · 72 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Satisfaction with pain relief (reported 2 weeks postnatal) ‐ Entenox Seven‐point scale: 7 = most satisfaction
Self‐hypnosis or hypnotherapy vs all
no estimate extracted1 study · 357 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Satisfaction with pain relief (reported 2 weeks postnatal) ‐ Self‐hypnosis Seven‐point scale: 7 = most satisfaction
Self‐hypnosis or hypnotherapy vs all
no estimate extracted1 study · 160 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Satisfaction with pain relief (reported 2 weeks postnatal) ‐ Epidural Seven‐point scale: 7 = most satisfaction
Self‐hypnosis or hypnotherapy vs all
no estimate extracted1 study · 127 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Satisfaction with pain relief (reported 2 weeks postnatal) ‐ Water immersion Seven‐point scale: 7 = most satisfaction
Self‐hypnosis or hypnotherapy vs all
no estimate extracted1 study · 174 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Coping in labour
Self‐hypnosis or hypnotherapy vs all
no estimate extracted1 study · 420 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Spontaneous vaginal birth
Self‐hypnosis or hypnotherapy vs all
RR 1.12 [0.96, 1.32]6 studies · 2361 participantsLow
Downgraded: risk of bias, imprecision, inconsistency