Hypnopressure Innovation: A Non-Invasive Method For Anxiety And Pain Management In Primigravida Women During Active Labor

Abstract

Psychological factors, fear, and anxiety are often responsible for prolonged delivery length, with 58% of primigravida women experiencing anxiety and 2-4% feeling pain scored between 30 – 40 out of 50 Hypnopressure (HP) is a combination of hypnotherapy and acupressure on the san yin jiao point (Sp6) and hegu point (Li4) 20 times in 3-5 seconds during the first stage of labor contractions.. Therefore, this study aimed to determine the effect of HP on Hegu (Li4) and Sanyinjiao (Sp6) points in reducing anxiety level and pain degree during the active phase of the first delivery stage among primigravida women The design used was a double-blind randomized pre-test and post-test controlled trial, which included 80 subjects. To compare the effects of different interventions and determine which particular intervention is more effective, they were divided into groups. Hypnopressure (HP), hypnotherapy (HA), acupressure (AK), and control (K), each consisting of 20 individuals.The treatment interventions were conducted in the active phase of the first delivery stage, followed by Wilcoxon and Kruskal Wallis statistical tests. The treatment groups of HP (p=0.000), HA (p=0.000), and AK (p=0.002) experienced decreasing anxiety levels. Kruskal Wallis post-test results (after treatment) showed a significant difference (p = 0.000), where HA had the lowest decrease in anxiety compared to the other three groups. Additionally, the degree of delivery pain (p=0.000) was lower in the HP group (4.00±1.496) than in the other three groups. There was a significant difference between the four treatment groups (p=0.000), with HP subjects experiencing lower pain than HA (p=0.000), AK (0.000), and K (p=0.000), suggesting that HP treatment could decrease the level of anxiety and delivery pain degree.