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Preparation courses for childbirth in primipara. A comparison
Zimmermann-Tansella C, Dolcetta G, Azzini V, Zacche G, Bertagni P, Siani R, Tansella M
Journal of Psychosomatic Research 1979;23(4):227-233
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

The effects of the Respiratory Autogenic Training (RAT) for childbirth preparation on relaxation and anxiety during the course and on pain and behaviour during delivery were compared with those of the traditional psychoprophylactic course (TPP) in primipara. Women were assigned randomly to one of the two courses and double blind conditions were maintained where possible. Of the 53 selected primipara only 34 completed the study (14 of the RAT and 20 of the TPP courses). Both courses had similar outcomes but, having eliminated by means of covariance analyses the effects of the initial anxiety level, the RAT participants reported less anxiety before entering the labour ward and less pain during labour. The expulsion time, corrected for 'anxiety before labour' (covariate) was shorter in the RAT group. In none of the RAT participants but in 4 women of the TPP group the vacuum extractor had to be used.
With permission from Excerpta Medica Inc.

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