Typically, training programs for birthing hypnosis begin in the late second trimester with several hetero-hypnosis sessions, and include concurrent in-home auto-hypnosis practice session. Thereafter, the auto-hypnosis session are continued daily through birth using an audiotaped script to condition the patent to entering and deepening the hypnotic state. This mixed method approach of hetero-and auto-hypnosis sessions is likely the most practice and cost-effective for pregnancy and birthing applications.