Hypnosis for Childbirth Preparation

Six Session Protocol

by Chaplain Paul G. Durbin,Ph.D.

(Durbin teaching a class on "Preparation for Childbirth)

FIRST SESSION: (Client must have a referral from her physician for "hypnosis for childbirth preparation." For more on first session information go to Initial Hypnosis Session Protocol)

1. Have client fill out Information Form and complete Suggestibility Questionnaire.

2. If husband or significant other comes with her, have him fill out Suggestibility Questionnaire. Recommend that husband/significant other come for each session or at least come for the last three sessions.

3. Follow usual first session information as to what hypnosis is and is not, allow any questions, get information from client as to expectations and desires. Inform client that chemical anesthesia will be available if needed and it is ok to request it if needed. 

4. Go over the following information with client and give hand out for her and her physician.

USES OF HYPNOSIS IN OBSTETRICS:

(1) Reduction or eradication of fear, tension and pain before, during and after labor and delivery.

(2) Reduction of the amount of pain mediation to maintain patients comfort.

(3) Allows the mother to be conscious and cooperative with the physician

( 4) Allows the mother to speed up or slow down her labor, and premature labor may be prevented by hypnotic suggestion.

(5) Reduces chemical-analgesia and anesthesia or completely eliminates them.

(6) Reduces postoperative nausea, vomiting, anoxia, and other side effects of chemical anesthetics.

(7) Unlike medication, places no extra stress on the circulatory, respiratory, hepatic or renal system.

(8) Produces resistance to fatigue.

(9) Controls painful uterine contractions.

(10) Shortens labor time by approximately two hours to four for most mothers.

(11) Eases delivery.

(12) Requires no elaborate education.

(13) Allows for quicker healing.

(14) Hypnotic rapport can be transferred to a nurse, husband or other individuals participating in the birthing process to assist the patient using self-hypnosis.

FOR PHYSICIAN AND NURSES WORKING WITH CLIENT:

(1) Avoid words and phrases should as

Labor pain

Pain medication

This will hurt a little

Are your pains getting worse

How can you not be hurting

(2) Preferred word and phrases:

Are you comfortable

Are you experiencing contractions

Let yourself relax deeper with each contraction

Are your contractions getting closer

With each contraction imagine yourself drifting deeper down, deeper relaxed(If chemical anesthesia is needed say, "Allow yourself to relax even deeper as you receive medication to help you with your childbirth.")

5. Recommend a music time for the baby. (Get speaker to put on mother's stomach and play good music for the baby.)

6. Do suggestibility exercises and convert to induction.

7. Regular first session protocol for trigger mechanism, deepening of hypnotic state and teach relaxation exercise and self-hypnosis.

(Chaplain Durbin going over 6 session "Hypnosis for Childbirth Protocol" with Scott and Cindy.)

8. Scripts used at first session:

(1) "Calm and Relaxed"

(2) "Setting Sun Pain Metaphor'

(3) "Glove Anesthesia"

(4) 'Building Self-Confidence"

8. Give 'Stress Reduction and Self Confidence" tape to client.

SESSION TWO:

1. Update conversation with client and if husband/significant other is present, inform him that he will be asked to do the induction and give suggestions at next session.

2. '20 - 1 Induction"

3. Scripts used at second session:

(1) 'Yardstick for Deepening"

(2) 'Hypnotic Natural Childbirth Imagery" and give copy to husband/significant other for his hypnosis sessions with wife. Give husband/significant other 'induction/relaxation scripts" and "glove anesthesia script"

Hypnotic Natural Childbirth Imagery

1 UP TO 20 -- COMING OUT OF HYPNOSIS: (After therapy and suggestions..

4. Give client and husband/significant other "INTERACTING WITH YOU BABY THROUGHOUT PREGNANCY" handout and Childbirth hypnosis tape.

SESSION THREE:

1. Update conversation with client and husband/significant other.

2. Have husband/significant other practice hypnosis (demonstrate glove anesthesia and other techniques and suggestions) with client. Take note while he works with client. After the hypnosis session with client, go over with husband/significant other suggestion for improving techniques or suggestions.

3. Therapist helps the client to return to the hypnotic state, uses "Breathing induction" and introduce client and husband/client to the wrist squeeze technique for deepening.

BREATHING FOR PAIN REDUCTION INDUCTION SCRIPT:

Scripts used at third session:

(1) PREGNANCY/CHILDBIRTH:

(2) "HYPNOSIS BIRTHING AFFIRMATION SCRIPT"

HYPNOSIS BIRTHING AFFIRMATIONS FOR THERAPIST:

6. Give client "HYPNOSIS BIRTHING AFFIRMATIONS FOR MOTHER"

HYPNOSIS BIRTHING AFFIRMATIONS FOR MOTHER:

Give "Pain Management and healing enhancement" tape

SESSION FOUR:

1. Update conversation with client and if husband/significant other is present.

2. Have husband/significant other practice hypnosis (demonstrate glove anesthesia and other techniques and suggestions) with client. Take note while he works with client. After the hypnosis session with client, go over with husband/significant other suggestion for improving techniques or suggestions.

3. Induction and give client "BIRTHING SCRIPT"

SESSION FIVE:

1. Update from client and husband/significant other.

2. Have husband/significant other do induction, deepening and give suggestions.

3. Discuss any questions or problems the client may be having with procedures, etc..

SESSION SIX:

1. Update from client and husband/significant other.

2. Have husband/significant other do induction, deepening and give suggestions.

3. Begin to use hypnosis as soon as labor begins, but go to hospital as instructed by your physician. When in the hospital, re-induce hypnosis and deepen but responsive to physician and nurses. Remembering to discount any negative impute.

4. Induce hypnosis and address any concerns, use any of the childbirth or other scripts as needed.

FOR A CASE HISTORY, GO TO CINDY CANNON'S ARTICLE ON HER HYPNOSIS FOR CHILDBIRTH EXPERIENCE.  FOR ANOTHER STORY OF HYPNOSIS FOR CHILDBIRTH GO TO MELISSA BARNES' ARTICLE HYPNOSIS FOR CHILDBIRTH