Policy, Service, and Training Provision for Women Following a Traumatic Birth: An International Mapping Study

2021 ◽  
Author(s):  
Gill Thomson ◽  
Magali Quillet Diop ◽  
Suzannah Stuijfzand ◽  
Antje Horsch
Keyword(s):  
Mental Health ◽  
Service Provision ◽  
Health Concern ◽  
Care Provision ◽  
Care Providers ◽  
Birth Experience ◽  
National Policies ◽  
Traumatic Birth ◽  
And Training ◽  
Traumatic Birth Experience

Abstract Background: High numbers of women experience a traumatic birth, which can lead to Post Traumatic Stress Disorder (PTSD) onset, and negative and pervasive impacts for women, infants and families. Policies, suitable service provision, and training are needed to identify and treat psychological morbidity following a traumatic birth experience, but currently there is little insight into whether and what is provided in different contexts. The aim of this study was to map policy, service and training provision for women following a traumatic birth experience in different European countries. Methods: A survey was distributed as part of the COST Action “Perinatal mental health and birth-related trauma: Maximizing best practice and optimal outcomes”. Questions were designed to capture ‘country level data’; ‘care provision’ (i.e., national policies or guidelines for the screening, treatment and/or prevention of a traumatic birth, service provision), and nationally mandated pre-registration and post-registration ‘training’ for maternity professionals. Results: Eighteen countries participated. Only one country had national policies regarding the screening, treatment and prevention of a traumatic birth experience/PTSD. Service provision was provided formally in six countries (33%), or informally in the majority (78%). In almost all countries (89%), women could be referred to specialist perinatal or mental health services. Services tended to be provided by midwives, although some multidisciplinary practice was apparent. Thirty-nine percent of the countries offered ‘a few hours’ professional/pre-registration training but none offered nationally mandated post-registration training. Conclusions: A traumatic birth experience is a key public health concern. Evidence highlights important gaps regarding formalized care provision and training for care providers.

scholarly journals Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gill Thomson ◽  
Magali Quillet Diop ◽  
Suzannah Stuijfzand ◽  
Antje Horsch ◽  
Joan G. Lalor ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Provision ◽  
Knowledge Mapping ◽  
Care Provision ◽  
Birth Experience ◽  
National Policies ◽  
Traumatic Birth ◽  
And Training ◽  
Mapping Exercise ◽  
Traumatic Birth Experience

Abstract Background High numbers of women experience a traumatic birth, which can lead to childbirth-related post-traumatic stress disorder (CB-PTSD) onset, and negative and pervasive impacts for women, infants, and families. Policies, suitable service provision, and training are needed to identify and treat psychological morbidity following a traumatic birth experience, but currently there is little insight into whether and what is provided in different contexts. The aim of this knowledge mapping exercise was to map policy, service and training provision for women following a traumatic birth experience in different European countries. Methods A survey was distributed as part of the COST Action “Perinatal mental health and birth-related trauma: Maximizing best practice and optimal outcomes”. Questions were designed to capture country level data; care provision (i.e., national policies or guidelines for the screening, treatment and/or prevention of a traumatic birth, service provision), and nationally mandated pre-registration and post-registration training for maternity professionals. Results Eighteen countries participated. Only one country (the Netherlands) had national policies regarding the screening, treatment, and prevention of a traumatic birth experience/CB-PTSD. Service provision was provided formally in six countries (33%), and informally in the majority (78%). In almost all countries (89%), women could be referred to specialist perinatal or mental health services. Services tended to be provided by midwives, although some multidisciplinary practice was apparent. Seven (39%) of the countries offered ‘a few hours’ professional/pre-registration training, but none offered nationally mandated post-registration training. Conclusions A traumatic birth experience is a key public health concern. Evidence highlights important gaps regarding formalized care provision and training for care providers.

Organisational impact of the National Disability Insurance Scheme transition on mental health care providers: the experience in the Australian Capital Territory

2018 ◽  
Vol 26 (6) ◽  
pp. 590-594 ◽  
Author(s):  
Mary Anne Furst ◽  
Jose A Salinas-Perez ◽  
Luis Salvador-Carulla
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Service Provision ◽  
Care Providers ◽  
Australian Capital Territory ◽  
Insurance Scheme ◽  
Mental Health Care Providers ◽  
The Impact

Objectives: Concerns raised about the appropriateness of the National Disability Insurance Scheme (NDIS) in Australia for people with mental illness have not been given full weight due to a perceived lack of available evidence. In the Australian Capital Territory (ACT), one of the pilot sites of the Scheme, mental health care providers across all relevant sectors who were interviewed for a local Atlas of Mental Health Care described the impact of the scheme on their service provision. Methods: All mental health care providers from every sector in the ACT were contacted. The participation rate was 92%. We used the Description and Evaluation of Services and Directories for Long Term Care to assess all service provision at the local level. Results: Around one-third of services interviewed lacked funding stability for longer than 12 months. Nine of the 12 services who commented on the impact of the NDIS expressed deep concern over problems in planning and other issues. Conclusions: The transition to NDIS has had a major impact on ACT service providers. The ACT was a best-case scenario as it was one of the NDIS pilot sites.

Physical and Emotional Intimate Partner Violence and Women’s Health in the First Year After Childbirth: An Australian Pregnancy Cohort Study

2020 ◽  
pp. 088626052093442
Author(s):  
Kelly M. FitzPatrick ◽  
Stephanie Brown ◽  
Kelsey Hegarty ◽  
Fiona Mensah ◽  
Deirdre Gartland
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Short Form ◽  
Intimate Partner ◽  
Health Concern ◽  
Physical Factors ◽  
Care Providers ◽  
Pregnancy Cohort ◽  
Different Types

Intimate partner violence (IPV) can comprise physical, sexual, and emotional abuse, and is a widespread public health concern. Despite increasing recognition that women experience different types of IPV, the majority of research has focused on physical IPV. The present study aims to examine associations between different types of IPV (physical, emotional, physical, and emotional) and women’s mental, physical, and sexual health by analyzing longitudinal data from a prospective pregnancy cohort of 1,507 first-time mothers in Melbourne, Australia. Questionnaires included validated measures of physical and mental health (Short Form Health Survey, Edinburgh Postnatal Depression Scale) and IPV (Composite Abuse Scale). Emotional IPV alone was the most commonly reported type of IPV ( n = 128, 9.5%), followed by both physical and emotional IPV ( n = 76, 5.7%), and then physical IPV alone ( n = 30, 2.2%). Women reporting emotional IPV or physical and emotional IPV had increased odds of poor health compared with women reporting no IPV. Experience of physical and emotional IPV was most strongly associated with mental health issues, including depressive symptoms (adjusted odds ratio [OR] 4.6, 95% confidence interval [CI] = [2.9, 7.1]) and self-reported anxiety (adjusted OR 2.9, 95% CI = [1.9, 4.4]). Experience of emotional IPV alone was associated with poor mental health as well as physical factors, including poor general physical health (adjusted OR 1.9, 95% CI = [1.2, 3.1]), and pain during sex (adjusted OR 1.8, 95% CI = [1.2, 2.7]). Increased odds of poor body image were also observed for women reporting emotional IPV alone and physical and emotional IPV. These findings highlight the need for greater awareness of the diversity in women’s experiences of IPV among health care providers. This includes understanding the prevalence of emotional IPV among new mothers, and the range of health problems that are more common for women experiencing IPV.

Hispanics, Mental Health, and Suicide: Brief Report

2019 ◽  
Vol 17 (3) ◽  
pp. 133-136 ◽  
Author(s):  
Francisco Brenes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Hispanic Americans ◽  
Social Issues ◽  
The United States ◽  
Health Concern ◽  
Care Providers ◽  
Provider Attitudes ◽  
Health Crisis

A global health crisis exists surrounding suicide. In the United States, suicide rates have increased by nearly 30% in most states since 1999. Although the suicide rate among Hispanic Americans is significantly lower than non-Hispanic Whites, reasons for the lower rate are unclear. Current literature suggests that the lower rate may be due to underreporting, a lack of suicide screening and a number of complex social issues, including the stigma surrounding suicide in Hispanic culture. Health care provider attitudes toward suicidal individuals may also negatively affect mental health outcomes. This brief report focuses on suicide as a public health concern, addresses key issues arising from the phenomenon, and provides a perspective on health care providers’ attitudes toward suicide. Recommendations for future research, as well as implications for clinical practice and policy, are suggested.

scholarly journals Postpartum Early EMDR Therapy Intervention (PERCEIVE) Study for Women After a Traumatic Birth Experience: Study Protocol for a Randomized Controlled Trial

2021 ◽  
Author(s):  
Yvette M.G.A. Hendrix ◽  
Karlijn S.M. van Dongen ◽  
Ad de Jongh ◽  
Mariëlle G. van Pampus
Keyword(s):  
Early Intervention ◽  
Controlled Trial ◽  
Ptsd Symptoms ◽  
Birth Experience ◽  
Fear Of Childbirth ◽  
Randomized Controlled ◽  
Traumatic Birth ◽  
Emdr Therapy ◽  
Traumatic Birth Experience

Abstract Background. Up to 43% of women perceive giving birth as traumatic which may result in the development of posttraumatic stress disorder (PTSD) or related symptoms. Negative and traumatic childbirth experiences can also lead to fear of childbirth, avoiding or negatively influencing a subsequent pregnancy, mother-infant bonding problems, problems with breastfeeding, depression and reduced quality of life. For PTSD in general, eye movement desensitization and reprocessing (EMDR) therapy has proven to be effective. However, little is known about the preventive effects of early intervention EMDR therapy in women after a traumatic birth experience. The purpose of this study is to determine the effectiveness of early intervention EMDR therapy in preventing PTSD and reducing PTSD symptoms in women with a traumatic birth experience. Methods. The PERCEIVE-study is a randomized controlled trial. Women suffering from the consequences of a traumatic birth experience will be randomly allocated at maximum 14 days postpartum to either EMDR therapy or “care-as-usual”. Patients in the EMDR condition receive two sessions of therapy between fourteen (T0) and thirty-five days postpartum. All participants will be assessed at T0, and at nine weeks postpartum (T1). At T1 all participants will undergo a CAPS-interview about the presence and severity of PTSD symptoms. The primary outcome measure is severity of PTSD symptoms, whereas the secondary outcomes pertain to fear of childbirth, mother-infant bonding, breastfeeding, depression and quality of life. The study will be conducted at a large city hospital and at several midwifery practices in Amsterdam, the Netherlands. Discussion. It is to be expected that the results of this study will provide more insight about the safety and effectiveness of early intervention EMDR therapy in the prevention and reduction of PTSD (symptoms) in women with a traumatic birth experience. Trial registration. Trial register. NL73231.000.20. Registered on August 21, 2020. https://www.trialregister.nl/trial/8843

scholarly journals Effects of traumatic birth experience and transmission intergenerationalTravmatik doğum deneyiminin etkileri ve nesiller arası aktarımı

2018 ◽  
Vol 15 (1) ◽  
pp. 604 ◽  
Author(s):  
Nihal Aydın ◽  
Hatice Yıldız
Keyword(s):  
Traumatic Event ◽  
Future Generations ◽  
Traumatic Experience ◽  
Obstetrics And Gynecology ◽  
Negative Consequences ◽  
Birth Experience ◽  
Future Health ◽  
Traumatic Birth ◽  
Traumatic Birth Experience

The birth is an individual and also important expression for women life. This experience can be perceived in a different way by each woman that can be defined by different feelings such as positive, negative or mixed. Some women perceive birth experience as a traumatic event. Traumatically perceived birth is considered an event that may trigger Posttraumatic Stress Disorder (PTSD) reaction. It is stated that traumatic birth experience may cause permanent or long-term negative consequences in women's life, may negatively affect future health, subsequent birth experiences and family relations. It is reported that birth is part of the continuity from past to future and the effects are not limited to the woman giving birth, but also that the subsequent generations, and even the other women around it, can influence the birth perceptions and experiences. There are many studies shows that the effects of traumatic events are transmitted to the next generation. This genetic transmission suggests that traumatic birth is a serious problem not only affecting the women who will give birth to nowadays but also having long-term consequences. From today's women to future generations, obstetrics and gynecology nurses have important responsibilities to prevent of reaching traumatic experience of birth, is a natural part of women's life. In this article, it was aimed to investigate the importance of traumatic birth concept, risk factors, existing effects and future generations in the context of literature and to draw attention to the responsibilities of the obstetrics and gynecology nurses.Extended English summary is in the end of Full Text PDF (TURKISH) file. ÖzetDoğum bireyseldir ve kadın için çok yönlü önemli bir yaşam deyimidir. Bu deneyim her bir kadın tarafından farklı algılanabilmekte, olumlu, olumsuz ya da karışık farklı duygularla tanımlanabilmektedir. Bazı kadınlar ise doğum deneyimini travmatik bir olay olarak algılayabilmektedir. Travmatik olarak algılanan doğum, Posttravmatik Stres Bozukluğu (PTSB) reaksiyonunu tetikleyebilecek bir olay olarak kabul edilmektedir. Travmatik doğum deneyiminin kadının hayatında kalıcı veya uzun vadeli olumsuz sonuçlar doğurabileceği, gelecekteki sağlığını, sonraki doğum deneyimlerini ve aile içi ilişkilerini olumsuz etkileyebileceği belirtilmektedir. Doğumun geçmişten geleceğe giden devamlılığın bir parçası olduğu belirtilmekte ve etkilerinin doğum yapan kadınla sınırlı kalmayıp, onunla birlikte çevresindeki diğer kadınların ve hatta sonraki nesillerin doğum algılarını ve deneyimlerini de etkileyebildiği bildirilmektedir. Travmatik olayların etkilerinin sonraki nesillere aktarıldığını gösteren pek çok çalışma bulunmaktadır. Bu genetik aktarım travmatik doğumun da sadece günümüzde doğum yapacak kadınları etkilemeyip daha uzun vadeli sonuçları olabilecek ciddi bir sorun olduğunu göstermektedir. Kadın hayatının doğal bir parçası olan doğum eylemini günümüz kadınlarının ve gelecek nesillerin travmatik bir deneyim olarak hatırlamalarının önlenmesinde kadın doğum hemşirelerine önemli sorumluluklar düşmektedir. Bu makalede travmatik doğum kavramı, risk faktörleri, ortaya çıkan mevcut etkileri ve gelecek nesiller açısından önemini literatür bağlamında irdelemek, konuya ve kadın doğum hemşiresinin sorumluluklarına dikkat çekmek amaçlanmıştır.

scholarly journals Predictors of traumatic birth experience among a group of Iranian primipara women: a cross sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Solmaz Ghanbari-Homayi ◽  
Zahra Fardiazar ◽  
Shahla Meedya ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Mohammad Asghari-Jafarabadi ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Birth Experience ◽  
Sectional Study ◽  
Cross Sectional ◽  
Traumatic Birth ◽  
Traumatic Birth Experience
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