A systematic review of midwife-led interventions to address post partum post-traumatic stress

Cunen, Nicole Borg; McNeill, Jenny; Murray, Karen

doi:10.1016/j.midw.2013.09.003

Cited by 37 publications

(19 citation statements)

References 55 publications

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“…Our findings are in line with previous researches [6,9,23]. Still, there are studies that report that brief counseling is not significantly effective in reducing PTSD symptoms in women who suffer from traumatic childbirth [24]. Therefore, further research is needed to investigate the effectiveness of brief counseling intervention on postnatal PTSD symptoms.…”

Section: Discussionsupporting

confidence: 91%

Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder, depression, and anxiety symptoms of women experiencing a traumatic childbirth: a randomized controlled trial

Asadzadeh

Jafari

Kharaghani

et al. 2020

BMC Pregnancy Childbirth

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Background: This study investigated the effectiveness of brief midwife-led counseling based on Gamble and colleagues' approach in decreasing post-traumatic stress disorder, depression, and anxiety symptoms among a group of women who had experienced a traumatic childbirth.Methods: From among 270 pregnant women screened to participate in the study, 90 women experienced a traumatic childbirth. They were randomly assigned into two groups: intervention (n = 45) and control group (n = 45). We did a face-to-face counseling session within 72 h after giving birth and a telephone counseling session four to 6 weeks after giving birth for the intervention group. The control group only received the postnatal routine care. The outcome measures were post-traumatic stress disorder, depression, and anxiety symptoms. Results: At the three-month follow-up, the intervention group showed significantly higher improvement on posttraumatic stress disorder, depression, and anxiety symptoms compared to the control group. Conclusions: Gamble and colleagues' midwife-led brief counseling could be an effective approach to reduce psychological distress of women who have experienced a traumatic childbirth.Trial registration number: IRCT201608285417N2, Date of Registration: 2/21/2017.

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Section: Discussionsupporting

confidence: 91%

Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder, depression, and anxiety symptoms of women experiencing a traumatic childbirth: a randomized controlled trial

Asadzadeh

Jafari

Kharaghani

et al. 2020

BMC Pregnancy Childbirth

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“…In addition, systematic reviews have shown that evidence for midwifery-based counselling or formal postnatal debriefing interventions to effectively address mental health problems (including PTSD) is inconclusive. 18 – 20 However, Rowan et al 19 suggested offering women the opportunity to talk and the importance of health professionals being alert to the signs and symptoms of mental health problems after childbirth.…”

Section: Discussionmentioning

confidence: 99%

Support for mothers and their families after life-threatening illness in pregnancy and childbirth: a qualitative study in primary care

2015

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BackgroundOne in 100 women who give birth in the UK develop life-threatening illnesses during childbirth. Without urgent medical attention these illnesses could lead to the mother’s death. Little is known about how the experience of severe illness in childbirth affects the mother, baby, and family.AimAs part of the UK National Maternal Near-miss Surveillance Programme, this study explored the experiences of women and their partners of life-threatening illnesses in childbirth, to identify the long-term impact on women and their families.Design and settingQualitative study based on semi-structured narrative interviews. Interviews were conducted in patients’ homes in England and Scotland from 2010 to 2014.MethodAn in-depth interview study was conducted with 36 women and 11 partners. A maximum variation sample was sought and interviews transcribed for thematic analysis with constant comparison.ResultsWomen’s birth-related illnesses often had long-lasting effects on their mental as well as physical health, including anxiety, panic attacks, and post-traumatic stress disorder. In some cases the partner’s mental health was also affected. Women often described feeling isolated. Their experiences can have a profound impact on their relationships, family life, career, and future fertility. While some women described receiving good support from their GP, others felt there was little support available for them or their families after discharge from hospital.ConclusionA near-miss event can have long-lasting and major effects on women and their families. Support in primary care, including watchful waiting for mental health impacts, can play a valuable role in helping these families come to terms with their emergency experience. The findings highlight the importance of communication between primary and secondary care.

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“…Psychologically screening in or out women who may be prone to developing post-natal PTSD risks Type 1 (false positive) and Type 2 (false negative) errors. Moreover, to date, there is little to no evidence that midwife-led interventions are either effective or useful (Borg-Cunen et al, 2014). Postnatal debriefing too has its limitations.…”

Section: Making Things Better: Do We Pathologise or Normalise The Expmentioning

confidence: 99%

“…Kendall-Tackett (2013) note that this PTSD incidence in birth mothers was higher compared to individuals exposed to a terrorist attack (see Galea et al, 2003). PTSD inevitably impacts on the mother's ability to cope and successfully care for her child in the postnatal period (Borg-Cunen, McNeill & Murray, 2014). A traumatic birth experience can also affect the mother-baby bond, the parent-baby bond and the (sexual) relationship with her partner (Iles, Slade & Spilby, 2011;Nicholls and Ayers, 2007;.…”

Section: Introductionmentioning

confidence: 99%

Just another ordinary bad birth? A narrative analysis of first time mothers' traumatic birth experiences

Murphy

Strong

2018

Health Care for Women International

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A difficult birth experience can have long lasting psychological effects on both mother and baby and this study details four in-depth accounts of first time mothers who described their birth experience as traumatizing. Narrative analysis was used to record discrepancies between the ideal and the real and produced narrative accounts that highlighted how these mothers felt invisible and dismissed in a medical culture of engineering obstetrics. Participants also detailed how their birth experience could be improved and this is set in context alongside current recommendations in maternal health care and the complexities of delivering such care in UK health settings.

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A systematic review of midwife-led interventions to address post partum post-traumatic stress

Cited by 37 publications

References 55 publications

Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder, depression, and anxiety symptoms of women experiencing a traumatic childbirth: a randomized controlled trial

Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder, depression, and anxiety symptoms of women experiencing a traumatic childbirth: a randomized controlled trial

Support for mothers and their families after life-threatening illness in pregnancy and childbirth: a qualitative study in primary care

Just another ordinary bad birth? A narrative analysis of first time mothers' traumatic birth experiences

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