{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T13:47:13Z","timestamp":1787060833691,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T00:00:00Z","timestamp":1691107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pregnant women with fear of childbirth display an elevated risk of a negative delivery experience, birth\u2010related post\u2010traumatic 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>\n                      A randomized controlled trial (the OptiMUM\u2010study) was conducted in two teaching hospitals and five community midwifery practices in the Netherlands (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.trialregister.nl\">www.trialregister.nl<\/jats:ext-link>\n                      , NTR5122). Pregnant women (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009141) with a gestational age between 8 and 20\u2009weeks and suffering from fear of childbirth (i.e. sum score on the Wijma Delivery Expectations Questionnaire \u226585) were randomly allocated to either EMDR therapy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200970) or care\u2010as\u2010usual (CAU) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200971). Outcomes were maternal and neonatal outcomes and patient satisfaction with pregnancy and childbirth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EMDR 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.14628","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T09:33:54Z","timestamp":1691141634000},"page":"1575-1585","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["How safe is the treatment of pregnant women with fear of childbirth using eye movement desensitization and reprocessing therapy? Obstetric outcomes of a multi\u2010center randomized controlled trial"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7602-1276","authenticated-orcid":false,"given":"Melanie A. M.","family":"Baas","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology OLVG  Amsterdam the Netherlands"},{"name":"Department of Obstetrics and Gynecology Martini Hospital  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6409-1018","authenticated-orcid":false,"given":"Claire A. I.","family":"Stramrood","sequence":"additional","affiliation":[{"name":"Beval Beter  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9227-1390","authenticated-orcid":false,"given":"Lea M.","family":"Dijksman","sequence":"additional","affiliation":[{"name":"Department of Quality and Safety St. Antoniusziekenhuis  Nieuwegein the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3776-662X","authenticated-orcid":false,"given":"Joost W.","family":"Vanhommerig","sequence":"additional","affiliation":[{"name":"Department of Research and Epidemiology OLVG  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6031-9708","authenticated-orcid":false,"given":"Ad","family":"de Jongh","sequence":"additional","affiliation":[{"name":"Academic Center for Dentistry Amsterdam (ACTA) University of Amsterdam and VU University Amsterdam  Amsterdam the Netherlands"},{"name":"Institute of Health and Society University of Worcester  Worcester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3020-8908","authenticated-orcid":false,"given":"Mari\u00eblle G.","family":"van Pampus","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology OLVG  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,4]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"1","article-title":"Psychosocial predictors of postpartum posttraumatic stress disorder in women with a traumatic childbirth experience","volume":"9","author":"Heumen MA","year":"2018","journal-title":"Front Psychiatry"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02083.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12599"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0655-4"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-022-01212-0"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0200594"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.17r12011"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61277-0"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050701209560"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2015.02.003"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/0167482X.2014.980722"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12011"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12571"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12136"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.260"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.798249"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2017.1293315"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1762310"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.3109\/0167482X.2011.573110"},{"key":"e_1_2_12_21_1","first-page":"34","article-title":"The Mini\u2010International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM\u2010IV and ICD\u201010","volume":"59","author":"Sheehan DV","year":"1998","journal-title":"J Clin Psychiatry"},{"key":"e_1_2_12_22_1","volume-title":"Handboek EMDR: Een geprotocolleerde behandelmethode voor de gevolgen van psychotrauma","author":"Jongh A","year":"2019"},{"key":"e_1_2_12_23_1","volume-title":"Eye Movement Desensitization and Reprocessing (EMDR) Therapy: Basic Principles, Protocols, and Procedures","author":"Shapiro F","year":"2018"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2021.1956793"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/01674829809048501"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2018.11.012"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-014-0420-0"},{"key":"e_1_2_12_28_1","unstructured":"Nederlandse Vereniging voor Obstetrie en Gynaecologie.NVOG\u2010richtlijn Hemorrhagia postpartum [NVOG guideline Hemorrhagia postpartum]. 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