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The Effect of Hypnotherapy on Serum Cortisol Levels in Post-Cesarean Patients

Inne Rizkiani, Supriyadi Hari Respati, Sri Sulistyowati, Uki Retno Budihastuti, Hanung Prasetya

Abstract

Background: After cesarean section, there is often an increase in stress and anxiety which can have a negative effect on pain perception. Cortisol is the main stress hormone that regulates the duration and intensity of the stress response. Hypnotherapy is a therapy with a hypnotic method to reach someone's subconscious mind. Hypnotherapy is thought to be able to help patients in the post-section coping method because it can cause feelings of pleasure, satisfaction, safety, comfort and can make a person feel they have the strength of themselves to deal with the anxiety they experience. This study aims to analyze the effect of hypnotherapy on serum cortisol levels in postareaal section patients.

Subjects and Method: This study was an experimental single-blind randomized controlled trial post-test group design which was conducted in the Obstetrics and Gynecology wards of Dr. Moewardi Hospital Surakarta and Dr. R Soetijono Blora Hospital. The subjects of the study were post-sectional patients who were hospitalized and met the inclusion and exclusion criteria. Subjects were divided into 2 groups, namely the hypnotherapy group which consisted of 15 post-sectional patients who received hypnotherapy and the control group which consisted of 15 postareaal patients who did not receive hypnotherapy. All subjects were examined for cortisol levels in the Prodia laboratory using the Chemiluminescent microparticle immunoassay (CMIA) method. The data of both groups were analyzed using the Mann-Whitney test.

Results: The median, minimum, and maxi-mum cortisol levels in the hypnotherapy group were 3.60, 2.10, and 4.40 respectively, while the median, minimum and maximum cortisol values in the control group were 10.50, 8.20 and 32.80 respectively. Effect size= -2,2. The results of the analysis test showed a significant difference in mean values (p <0.001).

Conclusion: Hypnotherapy has an effect on decreasing cortisol levels in post-cesarean section patients.

Keywords: Hypnotherapy, Cortisol, Post-cesarean section

Correspondence: Inne Rizkiani. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Sura-karta, Jl. Kolonel Sutarto, Jebres, Surakarta, Central Java 57126.

Journal of Maternal and Child Health (2021), 01(03): 258-266
https://doi.org/10.26911/thejmch.2021.06.03.01

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References

Akbarzade M, Rafiee B, Asadi N, Zare N (2015). The effect of maternal relaxation training on reactivity of nonstress test, Basal fetal heart rate, and number of fetal heart accelerations: a randomized controlled trial. Int J Community Based Nurs Midwifery, 3(1): 51–59. https://www.ncbi.nlm.nih.gov/pubmed/25553334.


Alizamar A, Ifdil I, Fadli R, Erwinda L, Zola N, Churnia E, Bariyyah K, et al. (2018). The Effectiveness of Hypnotherapy in Reducing Stress Levels. Addictive Disorders Their Treatment, 17(4), 191–195. http://doi.org/10.1097/AD.0000000000000140.


Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, Torloni MR (2016). The increasing trend in caesarean section rates: Global, regional and national estimates: 1990-2014. PLoS ONE 11(2): e0148343. https://doi.org/10.1371/journal.pone.0148343.


Budiman Putra, Mochamad EP, Jatnika G (2018). The impact of hypnotherapy against the anxiety scale on patients presurgery of section caesarean at public hospital in Soreang Bandung Regency, Conference Book International Conference on Health Care and Management: National Cheng Kung University Hospital-TAIWAN.


Hannibal KE, BishopMD (2014). Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Physical therapy, 94(12): 1816–1825. https://doi.org/10.2522/ptj.20130597.


Hepp P, Hagenbeck C, BurghardtB, Jaeger B, Wolf O, Fehm T, Schaal N (2016). Measuring the course of anxiety in women giving birth by caesarean section: A prospective study. BMC Pregnancy and Childbirth. 16: 113. http://doi.org/10.1186/s12884-016-0906-z.


Hepp P, Hagenbeck C, Gilles J, Wolf OT, Goertz W, Janni W, Balan P, et al. (2018). Effects of music intervention during caesarean delivery on anxiety and stress of the mother a controlled, randomised study. BMC pregnancy and childbirth, 18(1), 435. https://doi.org/10.1186/s12884-018-2069-6.


Jung C, Ho JT, Torpy DJ, Rogers A, Doogue M, Lewis JG, Czajko RJ, Inder WJ (2011). A longitudinal study of plasma and urinary cortisol in pregnancy and postpartum. J Clin Endocrinol Metab, 96(5): 1533–1540. https://doi.org/10.1210/jc.2010-2395


Saint Lewis, H. et al. (2018). Cesarean Delivery: Overview, Preparation, Technique, Medscape.


Mubarokah RI, Prasetya H, Respati SH (2019). Penggunaan hipnoterapi untuk menurunkan kecemasan pada pasien pra seksiosesarea (The use of hypnotherapy to reduce anxiety in pre-cesarean patients). Tesis Pascasarjana Ilmu Kesehatan Masyarakat, Universitas Sebelas Maret, Surakarta. 2019.


Nicholas O, Gary RE, Elizabeth S, Julia H, Joshua RR (2020) Mindful hypnotherapy to reduce stress and increase mindfulness: A randomized control-led pilot study. Int J Clin Exp Hypn, 68(2): 151-166, http://doi.org/10.10-80/00207144.2020.1722028.


Sarkhel S (2009). Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, tenth edition. Indian JPsychiatry.


Scardino A (2014). Hypnosis and Cortisol: The Odd Couple. MOJ Immunology, http://doi.org/10.15406/moji.2014.-01.00012.


Schantz C, Sim KL, Petit V, Rany H, Goyet S (2016). Factors associated with caesarean sections in Phnom Penh, Cambodia. Reprod Health Matters, 24 (48): 111–121. https://doi.org/10.10-16/j.rhm.2016.11.009.


Xu H, Ding Y, Ma Y, Xin X, Zhang D(2017). Cesarean section and risk of postpartum depression: A meta-analysis. J Psychosom Res, 97: 118–126. https://doi.org/10.1016/j.jpsychores.2017.04.016.

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