CESARCOM study protocol : assessing the impact of therapeutic communication on patients' anxiety during elective cesarean sections,

Article Article scientifique Article CESARCOM study protocol : assessing the impact of therapeutic communication on patients' anxiety during elective cesarean sections, - a before-and-after interventional study eng 2025-10-14 2025-10-14 author Pecheux Océane Division of Obstetrics, Department of Woman, Child and Adolescent Medicine, University Hospitals of Geneva (HUG), Boulevard de la Cluse 30, Geneva, 1205, Switzerland.,Department of Pediatry, Gynecology and Obstetrics, Faculty of Medicine, University of Geneva, Geneva, Switzerland. 990496 author Vocat Mélissa Division of Obstetrics, Department of Woman, Child and Adolescent Medicine, University Hospitals of Geneva (HUG), Boulevard de la Cluse 30, Geneva, 1205, Switzerland. melissa.vocat@hug.ch.,Department of Pediatry, Gynecology and Obstetrics, Faculty of Medicine, University of Geneva, Geneva, Switzerland. melissa.vocat@hug.ch. 817994 author Coen Matteo 0000-0002-6156-1691 Division of General Internal Medicine, Department of Medicine, University Hospitals of Geneva, Geneva, Switzerland. 601519 Département de médecine (DEMED) author De Oliveira Sarah Division of Obstetrics, Department of Woman, Child and Adolescent Medicine, University Hospitals of Geneva (HUG), Boulevard de la Cluse 30, Geneva, 1205, Switzerland.,Department of Pediatry, Gynecology and Obstetrics, Faculty of Medicine, University of Geneva, Geneva, Switzerland. 596339 author Bouscail-Hardy Anne-Lise HUG Training center - Hôpital de Psychiatrie de Belle-Idée, Chemin du Petit-Bel-Air 2, Chêne-Bourg, 1225, Switzerland. 907228 author Jaksic Cyril Clinical Research Platform, Geneva University Hospitals, Geneva, Switzerland.,University of Geneva, Geneva, Switzerland. 697773 author Silvestrini Nicolas 0000-0002-5654-9428 University of Geneva, Geneva, Switzerland.,Clinical Research Platform - Paediatrics, Gynaecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland. 509500 Section de psychologie (PSICO) author Campelo Sonia Clinical Research Platform - Paediatrics, Gynaecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland. 507424 author Othenin-Girard Véronique Clinical Research Platform - Paediatrics, Gynaecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland. 135225 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) author Montandon-La-Longe Corine-Yara Division of Obstetrics, Department of Woman, Child and Adolescent Medicine, University Hospitals of Geneva (HUG), Boulevard de la Cluse 30, Geneva, 1205, Switzerland. author Chilin Antonina Division of Obstetrics, Department of Woman, Child and Adolescent Medicine, University Hospitals of Geneva (HUG), Boulevard de la Cluse 30, Geneva, 1205, Switzerland. author Suppan Mélanie Division of Anaesthesiology, Department of acute care medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.,Department of Anaesthesiology, pharmacology, intensive care and emergency medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland. 526789 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) author Al Khoury Al Kallab Rita Division of Anaesthesiology, Department of acute care medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland. author Daelemans Caroline Division of Obstetrics, Department of Woman, Child and Adolescent Medicine, University Hospitals of Geneva (HUG), Boulevard de la Cluse 30, Geneva, 1205, Switzerland.,Department of Pediatry, Gynecology and Obstetrics, Faculty of Medicine, University of Geneva, Geneva, Switzerland. 981672 1082 10.1186/s12884-025-08193-9 41088028 1471-2393 PMC12522713 Background: Anxiety is common prior to elective caesarean sections and may negatively affect anesthesia outcomes, postoperative pain management, and maternal mental health. Pharmacological premedication remains controversial, prompting growing interest in non-pharmacological alternatives. Hypnosis-based therapeutic communication, which is founded on empathy and the use of positive verbal and non-verbal language, as well as the conscious avoidance of negative or anxiety-inducing suggestions, has shown promise in other surgical settings. However, its effectiveness in obstetrics has yet to be explored. Methods: This is a single-centre, prospective, before-and-after study. The study aims to assess whether implementing an on-line (asynchronous) training program on hypnosis-based therapeutic communication for obstetric care teams can reduce maternal anxiety following elective caesarean sections. The study will include two cohorts of 130 patients each: one enrolled before the intervention and one after; both blinded of the intervention phase. Anxiety levels will be assessed using the French version of the State-Trait Anxiety Inventory score, and the primary outcome will be the difference in scores after caesarean section between the two groups. Secondary outcomes include the proportion of patients with high anxiety levels (State-Trait Anxiety Inventory score > 45), as well as staff satisfaction, and indicators of the feasibility of implementing the training. The intervention consists of a brief (<1 hour) training module using podcasts and flashcards, combined with distributing a wordbook that promotes HBTC. Staff participation and satisfaction will be assessed using structured questionnaires based on the Likert scale. Linear and logistic regression analyses will be used to adjust for confounding variables, including baseline anxiety, psychiatric history, and intraoperative complications. Discussion: This is the first study to evaluate the impact of a dedicated hypnosis-based therapeutic communication training program on patient anxiety and staff experience in an obstetric surgical setting. By integrating this approach into routine cesarean section care, our aim is to improve the patient experience and enhance communication practices within clinical teams. The results could inform clinical practices on non-pharmacological strategies in obstetric care. Trial registration: ClinicalTrials.gov, TRN: NCT07137377, Registration date: 22 August 2025. Cesarean section Hypnosis-based therapeutic communication Words Humans Female Cesarean Section / psychology Anxiety / therapy Anxiety / prevention & control Anxiety / psychology Pregnancy Prospective Studies Elective Surgical Procedures / psychology Hypnosis / methods Adult Communication Dewey 616 Dewey 617 Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 56 Département de médecine 221 217 Centre de recherche clinique 201 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false 213 Martinez De Tejada Begona 272 591 Geneva Motivation Lab BMC pregnancy and childbirth 25 1 5c12e948-41f9-4436-b791-46b52cd2a553 Article (Published version) Public Article_scientifique_from_unpaywall.pdf 1122061 application/pdf CC BY-NC-ND-4.0 ae7ef1d13c9107f4b51c447b415fa935cb8e854f5e5e7039ddcded79bbfa6f7f openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Centre de recherche clinique Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

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CESARCOM study protocol : assessing the impact of therapeutic communication on patients' anxiety during elective cesarean sections, - a before-and-after interventional study	BMC pregnancy and childbirth	2025	1	0
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