the positive effect of hynobirthing in the coombe€¦ · hypnobirthing}hypnobirthing is the use of...
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The positive effect of
Hynobirthing in the Coombe
A Presentation by Kathy Cleere, RM
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About meQualified as a Cuidiu Antenatal Teacher in 2000Infant Massage Instructor 2001Pregnancy Yoga Instructor 2004Midwife 2010
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BackgroundThere is increasing interest in alternative methods of pain-relief for labour and birth.These include pregnancy yoga, hypnobirth, hydrotherapy and water birth.There is some evidence hypnobirth can reduce intervention and lead to positive birth outcomes (Smith et al, 2006)
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BackgroundIn 2014, the first Irish Hypnobirth training for midwives was held in Dublin, arranged by the Centre for Midwifery Education. Funding from NMPD Dublin-Mid Leinster enabled midwives from 3 Dublin maternity hospitals to undertake this training.
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Hypnosis: DefinitionAn artificially induced trance state,resembling sleep, characterized by heightened susceptibility to suggestion.
Can be induced by someone else or self-induced.
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An altered state of awareness
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History James BraidThe ‘father of modern hypnotism’1795-1860Proposed hypnosis theory rather than controlling someoneEye focus/concentration
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HistoryDr. Grantly Dick-ReadPioneer of natural childbirthMade the link between fear/tension/painChildbirth without Fear
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HypnotherapyUses the power of the unconscious mind to make changes to thoughts and/or behaviours
Traditionally has been used for smoking cessation and weight loss
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The mind
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So why hypnobirth?FEAR‘not getting to hospital in time‘afraid of serious complications’‘me or the baby dying during delivery’‘afraid of ending up with a c’section’‘terrified of the pain’ (it wasn’t as bad as I expected)
Source: www.babycenter.com
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HypnobirthingHypnobirthing is the use of hypnosis and positive thinking techniques to promote childbirth as a natural bodily function
This enables birthing women and those around them to have a positive experience … no matter what the circumstances
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To facilitate hypnosis, focus the attention using the senses
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So a class would includeInformation on labour and birthRelaxation and breathing techniquesHypnosis/deep relaxation in each session to give positive messages
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Fear-tension-pain cycleFEARFight or Flight (automatic adrenaline release)Decreased oxytocin/endorphinsDecreased blood flow to uterine musclesTensionPain
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Confidence, Calmness, Control
Relaxation reflexIncreased oxytocin and endorphinsDecreased adrenalineEnergy to uterus Muscle fibres relax and moveEasy and gentle birth
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What do women need to do?PracticePracticePractice!
Partners included – script reading, massage, positive affirmations
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Language‘Contraction’
Hard wordMedical jargonTight, associated with PAIN
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Hypnobirthing uses the power of positive language
Surges … positive energy You may feel …You may wish to …Your body is strong and powerfulChildbirth is normal
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How can midwives help a hypnobirthing couple?
Watch your languageDon’t fill the room with ‘chatter’Quiet peaceful environmentClose the doorTurn down the lightingFacilitate movement/birth balls etc.Quietly observe
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OutcomesWomen are very positive after using hypnobirth in labour/birthNo significant reduction in epidural rateHigh satisfaction amongst women postnatally, even after caesarean birth.
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Case study First time mother, low riskT + 7 Spontaneous labour, wanted waterbirthNon reassuring ausculation – CTG commenced on admission (3 cms)Non-reassuring CTG – ARM – Mec IIEpidural at 5cmsSVD 4kg girl
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How did hypnobirth help?“Even though my labour didn't go as I wanted it to or had planned, I still managed to use some of the tools from my hypnobirthing sessions to give me comfort through my labour. Hypnobirthing helped to make me feel calm & remain focused throughout.”
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Current classesClasses commenced in Coombe March 2015 Rotunda - 4 week courseNational Maternity hospital - no separate hypnobirth classes but incorporated into antenatal classes
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Further trainingSecond training was held in February 2015
November 2015 training fully booked
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The futureFurther trainings to include midwives on a national level
Promote birth as a normal life event
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Thank youWith thanks to Centre for Midwifery Education & NMPD Dublin-Mid Leinster
Next midwives training 2016For information please email [email protected]