Psychoprophylaxis revisited in the 21st century: Effects on labor and postpartum period

Introduction: Psychoeducation for childbirth preparation has been associated with favorable labor outcomes. However, due to the scanty amount of research and the methodological deficits, the success of the method remains controversial.

Purpose: This mini narrative review refers to the effect of the psychoprophylaxis (Lamaze method) during pregnancy on the labor and the post- partum period (puerperium).

Methods: A descriptive review of the international literature on the subject was carried out. Only quantitative studies published in English language journals were included.

Results: Few studies have explored the effect of Lamaze method on labor/puerperium in the 21st century. Psychoprophylaxis was associated with lower cesarean section rate, lower rate of maternity blues and successful breastfeeding. Sampling and confounding factors were the main limitations in the studies included in this review.

Conclusions: Psychoprophylaxis may have beneficial effects on labor and postpartum outcomes. Multicenter randomized control trials with well-defined and comparable protocols, focusing especially on Lamaze method, are necessary.