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. 2006 Oct 18;2006(4):CD003521. doi: 10.1002/14651858.CD003521.pub2

Mehl‐Madrona 2004.

Methods Randomised controlled trial of hypnosis compared to supportive psychotherapy. The allocation sequence was not stated and random numbers were generated by a random‐number generator. Participants were not blind but the outcome assessors were blind. Loss to follow up was not stated.
Participants 520 women in the first or second trimester of pregnancy were recruited to the study in the USA. Women were excluded if they were in the third trimester of pregnancy, had an anxiety disorder, major depressive disorder and other specified psychiatric disorders.
Interventions Hypnosis (Cheek method) involving problem solving, brief psychoanalytical‐based psychotherapy. Participants attended five sessions. The control group received supportive psychotherapy.
Outcomes Need for augmentation, caesarean section, newborn resuscitation, epidural anaesthesia, use of analgesia and maternal emotional experience during birthing.
Notes An intention‐to‐treat analysis was performed.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? High risk C ‐ Inadequate