Group Counseling for Mothers After Emergency Cesarean Section: A Randomized Controlled Trial of Intervention

Ryding, Elsa Lena; Wirén, Ewa; Johansson, Gunilla; Ceder, Barbro; Dahlström, Anne-Marie

doi:10.1111/j.0730-7659.2004.00316.x

Cited by 49 publications

(64 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Two studies conducted universal interventions (Priest, Henderson, Evans, & Hagan, 2003;Selkirk et al, 2006), and six reported findings from studies (including one longitudinal follow-up), which targeted interventions either according to a perception of trauma (Gamble et al, 2005;Meades, Pond, Ayers, & Warren, 2011) or mode of birth (Kershaw, Jolly, Bhabra, & Ford, 2005;Ryding, Wirén, Johansson, Ceder, & Dahlström, 2004;Small, Lumley, Donohue, Potter, & Waldenström, 2000;Small, Lumley, & Toomey, 2006). One study (Lavender & Walkinshaw, 1998) did not provide a universal intervention, but did not target interventions for individuals potentially at higher risk for PTS or depression after childbirth (e.g., due to perception of trauma or instrumental delivery).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies (and one follow-up) reported findings from targeted interventions for women based on mode of birth; emergency caesarean section (EmCS) (Ryding et al, 2004) and instrumental delivery (Kershaw et al, 2005;Small et al, 2000Small et al, , 2006. Small et al (2000) reported findings indicating that the provision of an unstructured debriefing session with women shortly after an operative birth was not effective in reducing symptoms of depression at 6 months postpartum in comparison to usual care alone.…”

Section: Targeted: Mode Of Birthmentioning

confidence: 99%

“…Selection for operative delivery also included elective caesarean sections, unlike other studies that selected only EmCS (e.g., Ryding et al, 2004) or operative vaginal delivery (e.g., Kershaw et al, 2005), which may include women with different experiences. Ryding et al (2004) investigated the utility of unstructured group (4-5) counselling for mothers (n = 157), one to two months following EmCS. There was no significant difference in PTS severity between intervention and control groups at six months postpartum.…”

Section: Targeted: Mode Of Birthmentioning

confidence: 99%

See 2 more Smart Citations

The efficacy of ‘debriefing’ after childbirth: Is there a case for targeted intervention?

Sheen

Slade

2015

Journal of Reproductive and Infant Psychology

View full text Add to dashboard Cite

Objective: To review the efficacy of debriefing interventions for reducing posttraumatic stress (PTS) and/ or depressive symptoms in postnatal women. Background: Techniques referred to as debriefing have been adapted for use within maternity care settings to prevent the development of PTS symptoms or depression. There is a requirement to disaggregate methods and approaches used by existing studies, rather than review the research as a whole, to identify elements that may contribute to an efficacious intervention and to clarify what is currently a confused position. Methods: Papers assessing the utility of providing a brief psychological intervention involving discussion of a birth with the mother and a professional, to reduce symptoms of PTS or depression, were reviewed. Discussions could be structured or unstructured, and involve any aspect of discussing the birth, responses and coping strategies. Results: Nine papers (eight studies) were reviewed. While the majority of studies reported findings indicating that debriefing was ineffective for reducing PTS or depressive symptoms, there was evidence indicating that targeted interventions (for women who experienced a traumatic birth) were efficacious. Conclusion: There may be potential utility in providing a debriefing intervention for women who perceive their childbirth experience to have been traumatic. A diversity of approaches termed 'debriefing' highlight a requirement to consider alternative terminology; the term 'childbirth review' is suggested as a useful alternative. Further research evaluating the efficacy of debriefing using a targeted approach for trauma perception is recommended.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Targeted: Mode Of Birthmentioning

confidence: 99%

Section: Targeted: Mode Of Birthmentioning

confidence: 99%

See 1 more Smart Citation

The efficacy of ‘debriefing’ after childbirth: Is there a case for targeted intervention?

Sheen

Slade

2015

Journal of Reproductive and Infant Psychology

View full text Add to dashboard Cite

show abstract

“…Both studies included a higher number of men in the groups of patients undergoing the intervention compared to the other groups. It should also be noted that, in some studies, samples were formed exclusively by women 13,16,17,23,25,32 or men 11 . Although the authors make no mention to the discrepancies in the numbers of male and female participants, evidence points to a higher vulnerability to PTSD in females 33 .…”

Section: Other Relevant Aspectsmentioning

confidence: 99%

Early interventions for the prevention of PTSD in adults: a systematic literature review

Linares¹,

Corchs²,

Chagas³

et al. 2017

Arch. Clin. Psychiatry (São Paulo)

View full text Add to dashboard Cite

Background: Secondary interventions are implemented within a short interval following the occurrence of traumatic events with the purpose of preventing the onset of PTSD. Objective: Analyze the results of studies that assessed post-trauma interventions in adults aimed at preventing the onset of PTSD or symptoms related to PTSD. Methods: We performed literature searches using the search expression [(Early intervention OR secondary prevention) AND (Post traumatic stress disorder OR PTSD)] for articles published until October 2016. Among the references found, 29 fulfilled the selection criteria established for the review. Data were divided and analyzed according to the type of intervention: pharmacological or psychological. Results: Psychological measures used in the studies lack homogeneity regarding the type of intervention and the assessment of intervention outcomes. Pharmacological interventions were less frequent and findings require replication, together with an expansion in the types of substances investigated. In general, many of the studies reviewed suggest that both pharmacological and psychological interventions are effective in the prevention of PTSD. Discussion: Future trials should be focused on determining the best interventions for the secondary prevention of PTSD. The combination of psychological and pharmacological interventions for post-trauma patients poses opportunities and challenges that remain unexplored.

show abstract

“…66 The counseling intervention group (n = 64) consisted of two group sessions, 2-3 weeks apart, commencing at about 2 months postpartum. Sessions began with women sharing their pregnancy, deliver y, and hospital care stories and then proceeded according to the needs of the group.…”

Section: Group Therapiesmentioning

confidence: 99%

Trauma & the reproductive lifecycle in women

Born

Phillips

Steiner

et al. 2005

Rev. Bras. Psiquiatr.

View full text Add to dashboard Cite

Trauma & the reproductive lifecycle in women Trauma e o ciclo reprodutivo femininoA b s t r a c t Women are at significantly higher risk for developing post-traumatic stress disorder (PTSD) than men, resulting in increased psychosocial burden and healthcare related costs. Recent research has shown complex interactions between the impact of traumatic experiences, and the reproductive lifecycle in women. For example, women suffering from premenstrual dysphoric disorder (PMDD) who also report a history of sexual or physical abuse are more likely to present with different neuroendocrine reactivity to stressors, when compared to premenstrual dysphoric disorder subjects without prior history of trauma or abuse or non-premenstrual dysphoric disorder subjects. In addition, women with a history of abuse or trauma may experience re-emergence of symptoms during pregnancy. Lastly, females who experience miscarriage may present with even higher prevalence rates of posttraumatic stress disorder symptoms.In this manuscript we examine the existing data on gender differences in post-traumatic stress disorder, with particular focus on psychological and physiological factors that might be relevant to the development of symptoms after exposure to traumatic events associated with the reproductive life cycle. Current options available for the treatment of such symptoms, including group and counselling therapies and debriefing are critically reviewed.Keywords: Stress disorders, post-traumatic/psychology; Premenstrual syndrome; Pregnancy; Life change events; Women/psychology; Gender identity; Abortion, spontaneous ResumoMulheres estão sujeitas a um maior risco para o desenvolvimento de transtorno de estresse pós-traumático (TEPT) do que os homens, o que acarreta prejuízos e custos significativos do ponto de vista psicossocial e de saúde pública. Estudos recentes mostram interações complexas entre o impacto de experiências traumáticas e o ciclo reprodutivo feminino. Por exemplo, mulheres com transtorno disfórico pré-menstrual (TDPM), que também relatam histórico de trauma ou abuso físico, estão mais sujeitas a apresentar uma resposta neuroendócrina diferenciada após exposição a um fator ou evento estressante, quando comparadas a mulheres com TDPM e sem história de abuso ou mulheres sem TDPM. Além disso, mulheres com histórico de trauma ou abuso podem apresentar recidiva de sintomas durante a gravidez. Por fim, aquelas que sofrem abortamento estão mais sujeitas ao desenvolvimento de sintomas do transtorno de estresse pós-traumático. Neste artigo, examinamos os dados existentes sobre diferenças de gênero e transtorno de estresse pós-traumático, com enfoque especial nos fatores psicológicos e fisiológicos mais relevantes para o surgimento de sintomas após exposição a eventos traumáticos relacionados ao ciclo reprodutivo feminino. Opções terapêuticas existentes são criticamente revistas, incluído terapias de aconselhamento e a técnica de debriefing psicológico. 15-16A recent US study has underscored the enormous costs associated with PTSD ...

show abstract

Group Counseling for Mothers After Emergency Cesarean Section: A Randomized Controlled Trial of Intervention

Abstract: Group counseling for mothers after emergency cesarean section did not influence their views on the recent delivery or prevent symptoms of posttraumatic stress or postnatal depression. It was, however, appreciated and did no harm. In future studies, other outcomes should be measured.

Cited by 49 publications

References 39 publications

The efficacy of ‘debriefing’ after childbirth: Is there a case for targeted intervention?

The efficacy of ‘debriefing’ after childbirth: Is there a case for targeted intervention?

Early interventions for the prevention of PTSD in adults: a systematic literature review

Trauma & the reproductive lifecycle in women

Contact Info

Product

Resources

About