Synnytyspelon hoito terapeuttisen ryhmän ja rentoutumisharjoituksen avulla

Abstract

Koska synnytyspelot ja keisarinleikkaustoiveet lisääntyvät, on tärkeää löytää uusia hoitomuotoja tulevien äitien kohtaamiseksi. Synnytyspelkoisille ensisynnyttäjille on HUS:n Naistenklinikalla vuodesta 1998 alkaen tarjottu mahdollisuus osallistua psykologin ohjaamaan Nyytti-ryhmään, jossa keskusteluin, tunteiden ja tiedon jakamisen ja rentoutumisharjoituksen avulla valmistaudutaan synnytykseen. Nyytti-ryhmään osallistuneiden synnyttäjien kokema synnytyspelko lieveni huomattavasti ryhmäprosessin aikana.

This study examined nulliparous women in their thirty-first gestational week and experiencing severe fear of childbirth (n = 76). The subjects attended five group therapy sessions with a psychologist and one therapy session with a midwife during pregnancy and one therapy session three months postpartum. Psychotherapeutic group sessions and psychoeducation were incorporated with relaxation and imaginary childbirth exercises. At the start of therapy, on a scale of 1-10, fear of childbirth interfered with the women's lives at a mean score of 7,3 +- 2,0 (SD). Most of the women considered requesting a CS because of their fear. After the sessions, only ten individuals (13,1 %) requested a CS when asked to estimate the helpfulness of the sessions on a scale of 1-10 (10 as maximal help, 1 as no help at all), the subjects judged the sessions at 8,5 +- 1,6 (mean +- SD). The most beneficial factor for relieving fear of childbirth was sharing feelings mentioned thrice as often as receiving information. The group therapy was well accepted and estimated highly helpful. The withdrawal rate for CSs was higher than in previous studies. The strength of this therapy lies in a small intense group of people with a limited problem.