preterm labor. preterm labour and delivery
Conditions
Interventions
Intervention 1: . Intervention group: In this group, hypnosis will be done and if delivery hasn't occurred, in addition to routine treatments, the mothers will be taught self-hypnosis and self-hypnosi
Sponsors
Sari University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
15 Years to 49 Years
Inclusion criteria
Inclusion criteria: Preterm labor, recognizing regular uterine contractions by physical examination and recording uterine activity by Toco machine, during 25-37 weeks pregnancy or 24 weeks pregnancy if fetal weight estimation is more than 750gr or if cervical dilatation is more than 1cm No signs of severe depression Dilatation less than 4cm while reception No suicidal or self-harm thoughts No signs of paranoid personality, anti-social and psychosis disorders in clinical interviews by psychologist No signs of placental abruption in diagnostic ultrasonography imaging and clinical symptoms No signs of pre-eclampsia diagnosed by gynecologist Diagnostic criteria: Blood pressure equal or more than 140/90 mmHg after 20 weeks pregnancy and Proteinuria equal or more than 300 mg in 24 hours No sign of fetal distress is diagnosed by gynecologist. Diagnostic criteria: no variability patterns or decreased variability less than 5 beats per minute (bpm) with late deceleration or moderate-to-severe variable deceleration, or beat pattern less than 110bpm for 10minutes or more No rupture of membranes without any history of sudden and severe vaginal discharge diagnosed by experienced gynecologist through vaginal examination
Exclusion criteria
Exclusion criteria: Mother's addiction Maternal chronic -systemic diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity and number of uterine contractions. Timepoint: Before doing hypnosis, after doing hypnosis, and then every one hour till dilatation 4cm and in control group every one hour till dilatation 4cm. Method of measurement: The on line analysis of the mechanical (TOCO).;Amount of felt pain. Timepoint: Immediately after determining the groups and then after doing hypnosis in intervention group. Method of measurement: Visual Analog Scale (VAS).;Birth weight and Apgar score. Timepoint: Immediately after birth. Method of measurement: Digital scale and Apgar.;Age of pregnancy in termination time. Timepoint: In termination time. Method of measurement: According to the first day of the last menstrual period and ultrasonography imaging of early pregnancy.;Mother's anxiety. Timepoint: In termination time. Method of measurement: Pregnancy Related Anxiety Questionnaire (PRAQ 17). | — |
Secondary
| Measure | Time frame |
|---|---|
| Time from intervention to delivery. Timepoint: before intervention and at delivery. Method of measurement: document the time. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSoghra khani
Sari University of Medical Sciences
Outcome results
None listed