Integrating Trauma‐Informed Care Into Maternity Care Practice: Conceptual and Practical Issues

Sperlich, Mickey; Seng, Julia S.; Li, Yang; Taylor, Julie; Bradbury‐Jones, Caroline

doi:10.1111/jmwh.12674

Cited by 115 publications

(88 citation statements)

References 68 publications

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“…This current review also highlighted that many migrant women have experienced trauma prior to and during migration, which is widely recognised to impact on mental health and wellbeing in the destination country [114]. Maternity services should develop trauma-informed care [115] to promote a culture of safety and avoid re-traumatisation through staff training and reviewing policies and procedures through a trauma lens and developing pathways of support to meet the needs of these vulnerable women [115]. Some migrant women described exemplary care, receiving treatment that was empathetic, caring, culturally sensitive and compassionate.…”

Section: Highmentioning

confidence: 93%

Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

et al. 2020

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BackgroundAcross Europe there are increasing numbers of migrant women who are of childbearing age. Migrant women are at risk of poorer pregnancy outcomes. Models of maternity care need to be designed to meet the needs of all women in society to ensure equitable access to services and to address health inequalities. ObjectiveTo provide up-to-date systematic evidence on migrant women's experiences of pregnancy, childbirth and maternity care in their destination European country. Search strategyCINAHL, MEDLINE, PubMed, PsycINFO and Scopus were searched for peer-reviewed articles published between 2007 and 2017. Selection criteriaQualitative and mixed-methods studies with a relevant qualitative component were considered for inclusion if they explored any aspect of migrant women's experiences of maternity care in Europe. Data collection and analysisQualitative data were extracted and analysed using thematic synthesis. ResultsThe search identified 7472 articles, of which 51 were eligible and included. Studies were conducted in 14 European countries and focused on women described as migrants, PLOS ONE | https://doi.refugees or asylum seekers. Four overarching themes emerged: 'Finding the way-the experience of navigating the system in a new place', 'We don't understand each other', 'The way you treat me matters', and 'My needs go beyond being pregnant'. ConclusionsMigrant women need culturally-competent healthcare providers who provide equitable, high quality and trauma-informed maternity care, undergirded by interdisciplinary and crossagency team-working and continuity of care. New models of maternity care are needed which go beyond clinical care and address migrant women's unique socioeconomic and psychosocial needs.Migrant women's experiences of maternity care PLOS ONE | https://doi.

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Section: Highmentioning

confidence: 93%

Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

et al. 2020

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“…At the delivery level, TIC is universal; recognizing the widespread prevalence of trauma exposure. All staff are prepared to respond to patient and family behaviors, interactions, and needs using a trauma-informed approach (Sperlich et al, 2017). Targeted interventions are implemented based on a known history of trauma exposure.…”

Section: Trauma and Trauma-informed Carementioning

confidence: 99%

Trauma-Informed Care: Essential Elements for Pediatric Health Care

Hornor¹,

Davis²,

Sherfield³

et al. 2019

Journal of Pediatric Health Care

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Childhood psychosocial trauma exposure is highly prevalent and associated with risk for poor physical and mental health outcomes extending throughout life. In a study of nearly 54,000 adult Americans (Gilbert et al., 2015), 60% reported experiencing at least one adverse childhood experience (ACE). According to the National Survey of Child Health, 48% of American children have suffered at least one ACE (Bethell, Newacheck, Hawkes, & Halfon, 2014). The U.S. Department of Health and Human Services (2017) states that more than 650,000 American children experienced child maltreatment in 2016 and up to 10 million children in the United States witness domestic violence each year (National Coalition Against Domestic Violence, 2015).

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“…3,15 The most robust analysis of trauma-informed perinatal practices is an article by Sperlich et al that describes the relationship between trauma-related stress and pregnancy outcomes and reviews potential traumainformed care practices. 16 The publications reviewed in this article focused primarily on patients who are survivors of sexual trauma and childhood maltreatment.…”

Section: Introductionmentioning

confidence: 99%

Refining Trauma‐Informed Perinatal Care for Urban Prenatal Care Patients with Multiple Lifetime Traumatic Exposures: A Qualitative Study

Gokhale

Young

Williams

et al. 2020

J Midwife Womens Health

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Introduction Because lifetime trauma exposure has been linked to multiple adverse pregnancy outcomes, there is a need for all perinatal care providers to be versed in trauma‐informed care practices. However, there are few data to guide trauma‐informed practice during the perinatal period. The objective of this study was to refine ongoing development of a trauma‐informed care framework for perinatal care by conducting a qualitative study of all trauma experiences and preferred screening practices of pregnant patients at an urban prenatal clinic. Methods In this qualitative study, we conducted semistructured interviews with 30 women receiving prenatal care at an urban clinic. Participants also completed a trauma history questionnaire. Inductive coding was used to generate themes and subthemes. Results Participants described multiple lifetime traumatic exposures as well as background exposure to community violence. Not all participants desired routine trauma screening; factors limiting disclosure included fear of retraumatization and belief that prior trauma is unrelated to the current pregnancy. Strong therapeutic relationships were identified as critical to any trauma history discussion. Discussion This study supports a trauma‐informed care approach to caring for pregnant women with prior traumatic exposures, including trauma screening without retraumatization and trusting patient‐provider relationships.

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Integrating Trauma‐Informed Care Into Maternity Care Practice: Conceptual and Practical Issues

Cited by 115 publications

References 68 publications

Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

Migrant women’s experiences of pregnancy, childbirth and maternity care in European countries: A systematic review

Trauma-Informed Care: Essential Elements for Pediatric Health Care

Refining Trauma‐Informed Perinatal Care for Urban Prenatal Care Patients with Multiple Lifetime Traumatic Exposures: A Qualitative Study

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