Paternal mental health following perceived traumatic childbirth

Inglis, Christian; Sharman, Rachael; Reed, Rachel

doi:10.1016/j.midw.2016.08.008

Cited by 35 publications

(36 citation statements)

References 22 publications

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“…The lack of difference across birth modes for fathers may also indicate that birth mode may not carry the same risk for ASD and PTSD diagnosis in fathers. Indeed, a previous study found that childbirth is a traumatic event for men, regardless of delivery mode (70). Therefore, future studies should further investigate risk factors for fathers, as mothers and fathers may not share the same.…”

Section: Discussionmentioning

confidence: 94%

Acute and Post-traumatic Stress Disorder Symptoms in Mothers and Fathers Following Childbirth: A Prospective Cohort Study

2020

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Introduction: Up to 30% of women view their childbirth as traumatic. This experience can lead to acute stress disorder or post-traumatic stress disorder. The negative impact of maternal post-traumatic stress disorder following childbirth reaches beyond the mother, potentially affecting her child's development and the couple's relationship. Research on paternal post-traumatic stress disorder following childbirth is scarce. Acute stress disorder is suggested to be an important predictor of post-traumatic stress disorder in mothers, but little is known about paternal acute stress disorder following childbirth. Furthermore, there is limited information about the comparison or relation of acute stress disorder and post-traumatic stress disorder following childbirth between parents.Aim: [1] To compare the prevalence rates and severity of acute stress disorder and post-traumatic stress disorder symptoms between parents following childbirth by taking anxiety and depression symptoms, as well as obstetric variables and previous traumatic events into account and [2] To determine if acute stress disorder is a predictor of post-traumatic stress disorder.Method: A prospective population-based design was used. N = 647 participants were recruited from future parents who attended appointments at the Obstetrics and Gynecology unit at a Swiss university hospital. Self-report questionnaires were used: Post-traumatic Diagnostic Scale in the third trimester of pregnancy (T1) and 1 month post-partum (T3), Acute Stress Disorder Scale at 1 week post-partum (T2), and Hospital Anxiety and Depression Scale at all time points. Obstetric and neonatal variables were retrieved from hospital records.Results: At T2, 63.9% of mothers and 51.7% of fathers presented symptoms of acute stress disorder. At T3, 20.7% of mothers and 7.2% of fathers had symptoms of post-traumatic stress disorder. Acute stress disorder was a predictor of post-partum post-traumatic stress disorder (Odds ratio: 8.6, IC 95% [1.85; 40.42]). Depression symptoms was a significant confounder in the prediction of post-traumatic stress disorder following childbirth, but not anxiety or previous perinatal loss.Conclusion: Little is known about parental differences in acute stress disorder and post-traumatic stress disorder symptoms following childbirth. Results indicate that both parents may suffer from acute stress disorder and post-traumatic stress disorder symptoms after childbirth and that acute stress disorder is a predictor of post-traumatic stress disorder after childbirth for both parents. Sensitization of maternity staff to these results may assist in earlier identification of and appropriate treatment for at-risk parents.

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Section: Discussionmentioning

confidence: 94%

Acute and Post-traumatic Stress Disorder Symptoms in Mothers and Fathers Following Childbirth: A Prospective Cohort Study

2020

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“…The mixed methods study involved parents completing an online survey, and additional face-to-face interviews with fathers [29]. The online survey included questions on demographics, descriptive birth assessments, parent-infant attachment, partner relationship quality, current mental health, and coping strategies used after the trauma.…”

Section: Methodsmentioning

confidence: 99%

“…The quantitative findings have not yet been published. The qualitative findings concerning paternal mental health are reported elsewhere [29]. This paper presents the qualitative findings relating to women’s descriptions of birth trauma involving care provider actions and interactions.…”

Section: Introductionmentioning

confidence: 99%

Women’s descriptions of childbirth trauma relating to care provider actions and interactions

Reed

Sharman

Inglis

2017

BMC Pregnancy Childbirth

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203

154

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BackgroundMany women experience psychological trauma during birth. A traumatic birth can impact on postnatal mental health and family relationships. It is important to understand how interpersonal factors influence women’s experience of trauma in order to inform the development of care that promotes optimal psychosocial outcomes.MethodsAs part of a large mixed methods study, 748 women completed an online survey and answered the question ‘describe the birth trauma experience, and what you found traumatising’. Data relating to care provider actions and interactions were analysed using a six-phase inductive thematic analysis process.ResultsFour themes were identified in the data: ‘prioritising the care provider’s agenda’; ‘disregarding embodied knowledge’; ‘lies and threats’; and ‘violation’. Women felt that care providers prioritised their own agendas over the needs of the woman. This could result in unnecessary intervention as care providers attempted to alter the birth process to meet their own preferences. In some cases, women became learning resources for hospital staff to observe or practice on. Women’s own embodied knowledge about labour progress and fetal wellbeing was disregarded in favour of care provider’s clinical assessments. Care providers used lies and threats to coerce women into complying with procedures. In particular, these lies and threats related to the wellbeing of the baby. Women also described actions that were abusive and violent. For some women these actions triggered memories of sexual assault.ConclusionCare provider actions and interactions can influence women’s experience of trauma during birth. It is necessary to address interpersonal birth trauma on both a macro and micro level. Maternity service development and provision needs to be underpinned by a paradigm and framework that prioritises both the physical and emotional needs of women. Care providers require training and support to minimise interpersonal birth trauma.

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“…Dabei zeigte sich sowohl die Präsenz der Hebamme als auch die Kommunikation mit und die Unterstützung durch die Hebamme für das väterliche Erleben der Geburt von Bedeutung [16,27]. Hinsichtlich der Bedürfnisse an das medizinische Fachpersonal sind neben der Kommunikation auch das Erhalten von Informationen, das Involvieren der werdenden Väter, das Einbinden in Entscheidungsprozesse, aber auch die Präsenz der Hebamme im Kreißsaal sowie die Möglichkeit der Nachbesprechung der Geburt bedeutend [7,13,17,23,26,[32][33][34].…”

Section: Kreißsaalbesichtigungunclassified

“…Ihr Geburtserleben war durch intensive positive und negative Gefühle geprägt [6]. International stammt der überwiegende Teil qualitativer Studien zum väterlichen Geburtserleben aus Skandinavien [7][8][9][10][11][12][13][14] und dem anglikanischen Raum [15][16][17][18].…”

Section: Introductionunclassified

Einflussfaktoren auf das väterliche Erleben der Geburt im Kreißsaal: Eine qualitative Studie

Krulis¹,

König-Bachmann²,

Zenzmaier³

2020

Z Geburtshilfe Neonatol

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Zusammenfassung Einleitung Der Großteil der werdenden Väter ist heute bei der Geburt seiner Kinder im Kreißsaal zugegen. Dabei stellt die Anwesenheit der werdenden Väter ein bedeutendes Ereignis in deren Leben dar. Ziel dieser Studie ist es, beeinflussende Faktoren auf das väterliche Geburtserleben im Kreißsaal zu identifizieren. Material und Methoden Die Erfahrungen von 12 erstmaligen Vätern während Schwangerschaft und Geburt und ihr Erleben der Geburt im Kreißsaal wurden mittels problemzentrierter Interviews erfasst. Die transkribierten und anonymisierten Interviews wurden mittels Inhaltsanalyse nach Mayring analysiert. Ergebnisse Alle Väter beurteilten das Erleben der Geburt ihres Kindes retrospektiv positiv. Eine Vielzahl an potentiellen Einflussfaktoren auf das väterliche Geburtserleben konnten eruiert werden, sowohl biografische Einflussfaktoren, als auch Einflussfaktoren während der Schwangerschaft und der Geburt. Insbesondere zeigte sich das medizinische Fachpersonal von Bedeutung, im Speziellen die Hebamme. Schlussfolgerung Das medizinische Fachpersonal sollte dem väterlichen Geburtserleben mehr Aufmerksamkeit schenken. Der Fokus für weitere Forschung könnte auf Konzepte zur Förderung eines positiven Geburtserlebens der Väter gelegt werden.

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Paternal mental health following perceived traumatic childbirth

Cited by 35 publications

References 22 publications

Acute and Post-traumatic Stress Disorder Symptoms in Mothers and Fathers Following Childbirth: A Prospective Cohort Study

Acute and Post-traumatic Stress Disorder Symptoms in Mothers and Fathers Following Childbirth: A Prospective Cohort Study

Women’s descriptions of childbirth trauma relating to care provider actions and interactions

Einflussfaktoren auf das väterliche Erleben der Geburt im Kreißsaal: Eine qualitative Studie

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