Postpartum adaptation and competence of mothers who use hypnosis to birth.

摘要

This qualitative study investigated the postpartum experiences of mothers who used hypnosis to birth. This research project was based on a constructivist version of Grounded Theory. Qualitative inquiry and analysis were conducted on 15 semi-structured interviews; two pilot interviews were also conducted. Phone and in-person interviews were completed with Caucasian, Hispanic, and multiracial mothers who were between one month and 15 months postpartum. The following 12 major themes emerged: bonded with child, development of self-efficacy, breastfeeding success, family criticism, online support, impact on family, practice effect, amazement to misevaluation, induction overwhelm, holistic benefits, minimal post partum depression, and birth stories. Mothers of two or more children appreciated birth more, reported an increased sense of calm and closeness within their nuclear and extended family, believed that the benefits of hypnosis for birthing assisted in the areas of bonding with their newborn, self-efficacy, breastfeeding and overall postpartum success. First-time mothers appreciated the physical aspect of recovery after delivery. They emphasized the birth narrative despite cultural differences in sharing their stories. Although they attributed much success to the use of hypnosis for birthing, they tended to make more indirect attributions to the bond with their child, self-efficacy, breastfeeding, and overall postpartum success. Mothers who required a c-section, epidural, or induction during birth experienced feelings of guilt and viewed hypnosis as an isolated tool for birth and a tool to reduce guilt and stress postpartum. Mothers who birthed naturally used hypnosis postpartum in more ways. Hispanic mothers expressed greater difficulty with balancing their roles as a career woman and mother. They had different expectations around the participation of their partner during birth preparation and postpartum. Breastfeeding was most important to this group and reflected communal values. Hypnosis for birthing was described as being helpful for mothers who had a psychological history with depression, anxiety, or trauma. Participants reported overall effectiveness of hypnosis for birthing methods despite mixed reactions from birthing professionals, family, and friends. The importance of these findings for counseling psychology is discussed.