A socioecological model of posttraumatic stress among Australian midwives

Leinweber, Julia; Creedy, Debra; Rowe, Heather; Gamble, Jenny

doi:10.1016/j.midw.2016.12.001

Cited by 29 publications

(25 citation statements)

References 48 publications

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“…Instead, they reported lack and/or loss of control and shortcomings in the interaction with caregivers (communication, respect, and support). This is in line with a recent study among Australian midwives, which found that they too showed stronger reactions to the trauma of disrespectful interpersonal interactions between women and caregivers than to physical trauma or even death (Leinweber et al 2017). …”

Section: Discussionsupporting

confidence: 91%

Preventing traumatic childbirth experiences: 2192 women’s perceptions and views

Hollander

Hastenberg

Dillen

et al. 2017

Arch Womens Ment Health

171

132

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The purpose of this study is to explore and quantify perceptions and experiences of women with a traumatic childbirth experience in order to identify areas for prevention and to help midwives and obstetricians improve woman-centered care. A retrospective survey was conducted online among 2192 women with a self-reported traumatic childbirth experience. Women were recruited in March 2016 through social media, including specific parent support groups. They filled out a 35-item questionnaire of which the most important items were (1) self-reported attributions of the trauma and how they believe the traumatic experience could have been prevented (2) by the caregivers or (3) by themselves. The responses most frequently given were (1) Lack and/or loss of control (54.6%), Fear for baby’s health/life (49.9%), and High intensity of pain/physical discomfort (47.4%); (2) Communicate/explain (39.1%), Listen to me (more) (36.9%), and Support me (more/better) emotionally/practically (29.8%); and (3) Nothing (37.0%), Ask for (26.9%), or Refuse (16.5%) certain interventions. Primiparous participants chose High intensity of pain/physical discomfort, Long duration of delivery, and Discrepancy between expectations and reality more often and Fear for own health/life, A bad outcome, and Delivery went too fast less often than multiparous participants. Women attribute their traumatic childbirth experience primarily to lack and/or loss of control, issues of communication, and practical/emotional support. They believe that in many cases, their trauma could have been reduced or prevented by better communication and support by their caregiver or if they themselves had asked for or refused interventions.

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Section: Discussionsupporting

confidence: 91%

Preventing traumatic childbirth experiences: 2192 women’s perceptions and views

Hollander

Hastenberg

Dillen

et al. 2017

Arch Womens Ment Health

171

132

View full text Add to dashboard Cite

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“…Similarly to the results found in this review, many authors associate these factors to leave the profession up to 50% [8,42]. Although deep dissatisfaction with their role in the organisation is also related to the exposure to chronic stress and anxiety situations [51]. Even the fast and inadequate care information after discharge, putting in risk the mother and the newborn's health, could be related to higher levels of burnout in the postnatal area [52].…”

Section: Discussionsupporting

confidence: 74%

Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis

Suleiman‐Martos

Albendín‐García

Gómez‐Urquiza

et al. 2020

IJERPH

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The prevalence of burnout in midwives has been briefly studied. Given the negative effects of burnout syndrome in the physical and mental health, and also related to the quality of care provided, rates of absenteeism and sick leave; identifying related factors for the syndrome are needed. The aim was to determine the prevalence, levels, and factors related to the burnout syndrome, measured with the Copenhagen Burnout Inventory in midwives. A systematic review and meta-analysis were selected from CINAHL, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus databases, with the search equation “burnout AND (midwife OR midwives OR nurses midwives)”. Fourteen articles were found with a total of 8959 midwives. Most of the studies showed moderate levels of personal burnout. The prevalence obtained was 50% (95% CI = 38–63) for personal burnout; 40% (95% CI = 32–49) for work-related burnout; and 10% (95% CI = 7–13) for client-related burnout. Midwives’ age, less experience, and living alone constitute the main related factors, as well as, the scarcity of resources, work environment, and the care model used. Most midwives present personal and work-related burnout, which indicates a high risk of developing burnout. Personal factors and working conditions should be taken into account when assessing burnout risk profiles of midwives.

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“…After a traumatic experience, midwives may take time off sick, change their clinical allocation or consider leaving midwifery altogether (Leinweber, Creedy, Rowe, & Gamble, 2017a; Sheen et al, 2015; Wahlberg et al, 2016). In an Australian survey, midwives with probable PTSD were four times more likely than those without to report an intention to leave their profession (Leinweber, Creedy, Rowe, & Gamble, 2017b). Swedish midwives with partial or probable PTSD symptoms were significantly more likely to report that they had amended their clinical allocation to outpatient care, and to have taken sick leave following a trauma experience when compared to midwives without partial or probable PTSD (Wahlberg et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

A programme for the prevention of post-traumatic stress disorder in midwifery (POPPY): indications of effectiveness from a feasibility study

Slade

Sheen

Collinge

et al. 2018

European Journal of Psychotraumatology

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Background: Midwives can experience events they perceive as traumatic when providingcare. As a result, some will develop post-traumatic stress disorder (PTSD), with adverse implications for their mental health, the quality of care provided for women and the employing organizations. POPPY (Programme for the prevention of PTSD in midwifery) is a package of educational and supportive resources comprising an educational workshop, information leaflet, peer support and access to trauma-focused clinical psychology intervention. A feasibility study of POPPY implementation was completed. Objective: This study aimed to identify potential impacts of POPPY on midwives’ understandingof trauma, their psychological well-being and job satisfaction. Method: POPPY was implemented in one hospital site. Before taking part in the POPPY workshop (T1) midwives (N = 153) completed self-report questionnaires, which measured exposure to work-related trauma, knowledge and confidence of managing trauma responses, professional impacts, symptoms of PTSD, burnout and job satisfaction. Measures were repeated (T2) approximately 6 months after training (n = 91, 62%). Results: Midwives’ confidence in recognizing (p = .001) and managing early traumaresponses in themselves and their colleagues significantly improved (both p < .001). There was a trend towards reduced levels of PTSD symptomatology, and fewer midwives reported sub clinical levels of PTSD (from 10% at T1 to 7% at T2). The proportion of midwives reporting high and moderate levels of depersonalization towards care was reduced (33% to 20%) and midwives reported significantly higher levels of job satisfaction at T2 (p < .001). Reductions in self-reported stress-related absenteeism (12% to 5%), long-term changes to clinical allocation (10% to 5%) and considerations about leaving midwifery (34% to 27%) were identified. Conclusions: In conclusion, POPPY shows very positive potential to improve midwives’ mental health and the sensitivity of care they provide, and reduce service disruption and costs for trusts. Large-scale longitudinal evaluation is required.

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A socioecological model of posttraumatic stress among Australian midwives

Cited by 29 publications

References 48 publications

Preventing traumatic childbirth experiences: 2192 women’s perceptions and views

Preventing traumatic childbirth experiences: 2192 women’s perceptions and views

Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis

A programme for the prevention of post-traumatic stress disorder in midwifery (POPPY): indications of effectiveness from a feasibility study

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