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• W290602082 abstract "Abstract: A physician with a history of four previous spontaneous abortions stopped the progression of preterm labor and gave birth to a healthy baby at term. Repeated troubled dreams are the cause of painful Braxton Hicks contractions. These are innocuous until an alarmed mother breaks off telepathic communications to her fetus. This starts a sequence of events beginning with expulsive labor, rupture of membranes and birth of a compromised baby. Preterm birth is preventable. The process can be reversed. The telephone is a valuable means of capitalizing on spontaneous hypnotic behavior in a crisis and for continued vigilance until the patient has full confidence in her ability to continue the pregnancy. There is a general tendency for obstetricians to avoid the valuable therapeutic use of a telephone when they are first called by a frantic patient who believes she has started labor prematurely and may lose her baby. They miss a prime time. Hypnotic-like, literal thinking occurs spontaneously just prior to the moment a frightened person picks up a telephone to call for help. Advantage can be taken of the high level of suggestibility and uncritical acceptance of ideas that are the characteristics of hypnotic behavior at that moment but are quickly lost. Authoritative directions and positively slanted questions have great power for accessing and removing the influence of past traumatic events during a time of physical or emotional crisis (Cheek 1969 a,b). Too often these are interpreted as indicative of preterm labor. Delayed treatment and growing alarm of the pregnant woman can lead to expulsive uterine contractions, cervical dilatation, ruptured membranes and eventual birth of an immature infant. Ordering the woman to relax and report back in a couple of hours will only intensify her fears. They may become overwhelming if she is immediately ordered into a hospital. THE DEFINITION OF PRETERM LABOR For continuing painful uterine contractions to qualify for the diagnosis of preterm labor, the woman must have reached 20 but less than 37 weeks of gestation, her cervix must be effaced and starting to dilate. The woman presented in this paper was definitely in preterm labor. JOHN BRAXTON HICKS (1825-1897) This classic description of normal uterine contractions could be given to pregnant women at their first consultation. It might decrease their alarm if they awaken some morning in the third trimester with abdominal pains. Hicks (1871) was a gifted English Obstetrician. After many years' constant observation, I have ascertained it to be a fact that the uterus possesses the power and habit of spontaneously contracting and relaxing from a very early period of pregnancy... . If the uterus be examined without friction or any pressure beyond that necessary for full contact of the hand continuously over a period of from five to 20 minutes, it will be noticed to become firm if relaxed at first, and more or less flaccid if it be firm at first. It is seldom that so long an interval occurs as that of twenty minutes: most frequently it occurs every five or ten minutes, sometimes even twice in five minutes. However, in some cases I have found only one contraction in thirty minutes. The duration of each contraction is generally not long, ordinarily it lasts from two to five minutes. When the uterus is irritable or has been irritated it lasts longer than this. Under particular circumstances it may assume an almost continuous action analogous to that which is noticed after long obstructed labor. In a general way the pregnant woman is not conscious of these contractions. ... But occasionally it happens that the uterus is more than usually sensitive and that the contractions are accompanied by pain, and then on examination it is found that each pain she complains of is coincident with a contraction. TREATMENT OF PAINFUL BRAXTON HICKS CONTRACTIONS The treatment of painful Braxton Hicks contractions can be completed with one conversation aimed at discovering what dream or daytime alarm made normal contractions feel uncomfortable. …" @default.
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• W290602082 date "1996-07-01" @default.
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• W290602082 title "Use of the Telephone and Hypnosis in Reversing True Preterm Labor at 26 Weeks: The Value of Ideomotor Questioning in a Crisis" @default.
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