Evidence map›Paper›PMID 37540081›Full record

Trial reportActa obstetricia et gynecologica Scandinavica2023

How safe is the treatment of pregnant women with fear of childbirth using eye movement desensitization and reprocessing therapy? Obstetric outcomes of a multi-center randomized controlled trial.

Melanie A M Baas, Claire A I Stramrood, Lea M Dijksman, Joost W Vanhommerig, Ad de Jongh, Mariëlle G van Pampus

Open access · diamondAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Managing anxiety-related disorders from pregnancy to parenthood.Archives of gynecology and obstetrics · 2026
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Melanie A M BaasDepartment of Obstetrics and Gynecology, OLVG, Amsterdam, the Netherlands.ORCID 0000-0002-7602-1276
Claire A I StramroodBeval Beter, Amsterdam, the Netherlands.ORCID 0000-0001-6409-1018
Lea M DijksmanDepartment of Quality and Safety, St. Antoniusziekenhuis, Nieuwegein, the Netherlands.ORCID 0000-0001-9227-1390
Joost W VanhommerigDepartment of Research and Epidemiology, OLVG, Amsterdam, the Netherlands.ORCID 0000-0002-3776-662X
Ad de JonghAcademic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-6031-9708
Mariëlle G van PampusDepartment of Obstetrics and Gynecology, OLVG, Amsterdam, the Netherlands.ORCID 0000-0002-3020-8908
OLVG · NLAcademic Center for Dentistry Amsterdam · NLMentaal Beter · NLSt. Antonius Ziekenhuis · NL

Funding

Fonds Gezond GeborenStichting EMDR Nederland (Dutch EMDR Association)Stichting Teaching Hospital OLVGStichting Wetenschap OLVG
6 · The paper itself

Abstract

introductionPregnant women with fear of childbirth display an elevated risk of a negative delivery experience, birth-related post-traumatic stress disorder, and adverse perinatal outcomes such as preterm birth, low birthweight, and postpartum depression. One of the therapies used to treat fear of childbirth is eye movement desensitization and reprocessing (EMDR) therapy. The purpose of the present study was to determine the obstetric safety and effectiveness of EMDR therapy applied to pregnant women with fear of childbirth. MATERIAL AND

methodsA randomized controlled trial (the OptiMUM-study) was conducted in two teaching hospitals and five community midwifery practices in the Netherlands (www.trialregister.nl, NTR5122). Pregnant women (n = 141) with a gestational age between 8 and 20 weeks and suffering from fear of childbirth (i.e. sum score on the Wijma Delivery Expectations Questionnaire ≥85) were randomly allocated to either EMDR therapy (n = 70) or care-as-usual (CAU) (n = 71). Outcomes were maternal and neonatal outcomes and patient satisfaction with pregnancy and childbirth.

resultsA high percentage of cesarean sections (37.2%) were performed, which did not differ between groups. However, women in the EMDR therapy group proved seven times less likely to request an induction of labor without medical indication than women in the CAU group. There were no other significant differences between the groups in maternal or neonatal outcomes, satisfaction, or childbirth experience.

conclusionsEMDR therapy during pregnancy does not adversely affect pregnancy or the fetus. Therefore, therapists should not be reluctant to treat pregnant women with fear of childbirth using EMDR therapy.

Indexed as

Eye Movement Desensitization ReprocessingPremature BirthEye MovementsFearFemaleHumansInfantInfant, NewbornParturitionPregnancyPregnant Peoplechildbirthchildbirth experienceEMDReye movement desensitization and reprocessing therapyfear of childbirthpregnancytocophobia

Identifiers

PMID37540081
PMCPMC10577619
OpenAlexW4385563656

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.