Feeling Safe: A Metasynthesis of the Maternity Care Needs of Women Who Were Sexually Abused in Childhood

Montgomery, Elsa

doi:10.1111/birt.12043

Cited by 60 publications

(64 citation statements)

References 27 publications

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“…Finally, findings from the current study echo recommendations in previous publications for: asking for patients' consent before and during examinations or procedures, giving patients anticipatory guidance on what to sensations to expect (Greenbaum, ; Raja, Hoersch, Rajagopalan, & Chang, ), helping patients manage dissociation (Gesink & Nattel, ; Montgomery, ) and giving patients as much control and choice as possible in health care (Gesink & Nattel, ; Greenbaum, ; Montgomery, ; Walker & Allan, ). This study is limited by sample homogeneity with regard to geographic location, race and ethnicity, but strengthened by sample diversity with regard to socioeconomic status and trauma exposure.…”

Section: Discussionsupporting

confidence: 82%

Describing the healthcare experiences and strategies of women survivors of violence

Reeves

Humphreys

2018

Journal of Clinical Nursing

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Section: Discussionsupporting

confidence: 82%

Describing the healthcare experiences and strategies of women survivors of violence

Reeves

Humphreys

2018

Journal of Clinical Nursing

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“…Finally, it also makes sense that differential recall would be more likely among women in their first pregnancy: the initial transition to motherhood may make a woman reflect relatively more about her childhood experiences. Further, women in their first pregnancies would be experiencing, for the first time, more invasive gynecologic exams or procedures associated with childbirth that could trigger memories of past abuse (Montgomery, 2013); this may explain the tendency for stronger associations between childhood sexual abuse at the post-delivery CTQ assessment in nulligravid women.…”

Section: Discussionmentioning

confidence: 99%

An exploratory study of whether pregnancy outcomes influence maternal self-reported history of child maltreatment

Cammack

Hogue

Drews‐Botsch

et al. 2018

Child Abuse & Neglect

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Childhood maltreatment is common and has been increasingly studied in relation to perinatal outcomes. While retrospective self-report is convenient to use in studies assessing the impact of maltreatment on perinatal outcomes, it may be vulnerable to bias. We assessed bias in reporting of maltreatment with respect to women's experiences of adverse perinatal outcomes in a cohort of 230 women enrolled in studies of maternal mental illness. Each woman provided a self-reported history of childhood maltreatment via the Childhood Trauma Questionnaire at two time points: 1) the preconception or prenatal period and 2) the postpartum period. While most women's reports of maltreatment agreed, there was less agreement for physical neglect among women experiencing adverse perinatal outcomes. Further, among women who discrepantly reported maltreatment, those experiencing adverse pregnancy outcomes tended to report physical neglect after delivery but not before, and associations between physical neglect measured after delivery and adverse pregnancy outcomes were larger than associations that assessed physical neglect before delivery. There were larger associations between post-delivery measured maltreatment and perinatal outcomes among women who had not previously been pregnant and in those with higher postpartum depressive symptoms. Although additional larger studies in the general population are necessary to replicate these findings, they suggest retrospective reporting of childhood maltreatment, namely physical neglect, may be prone to systematic differential recall bias with respect to perinatal outcomes. Measures of childhood maltreatment reported before delivery may be needed to validly estimate associations between maternal exposure to childhood physical neglect and perinatal outcomes.

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“…Case reports and qualitative literature have laid the groundwork for providing trauma‐informed care in midwifery . Information is also available on good practices for avoiding triggering survivors in predictable situations such as during vaginal examinations .…”

Section: A Framework For Trauma‐informed Carementioning

confidence: 99%

“…Montgomery conducted a meta‐synthesis of qualitative studies of the labor experiences of childhood maltreatment trauma (sexual abuse) survivors and distilled themes that point to areas of special concern for these clients. The 6 common concerns found in this study are: need for control, difficulties with disclosure, struggling with dissociation, hoping for healing, coping if remembering [about abuse] happens during pregnancy, and the extreme discomfort that comes with vulnerability.…”

Section: Conceptualizing Trauma‐informed Care For Midwifery Practicementioning

confidence: 99%

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

Sperlich¹,

Seng²,

Li³

et al. 2017

J Midwife Womens Health

105

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Adverse childhood experiences have a strong negative impact on health and are a significant public health concern. Adverse childhood experiences, including various forms of child maltreatment, together with their mental health sequelae (eg, posttraumatic stress disorder, depression, dissociation) also contribute to adverse pregnancy outcomes (eg, preterm birth, low birth weight), poor postpartum mental health, and impaired or delayed bonding. Intergenerational patterns of maltreatment and mental health disorders have been reported that could be addressed in the childbearing year. Trauma-informed care is increasingly used in health care organizations and has the potential to assist in improving maternal and infant health. This article presents an overview of traumatic stress sequelae of childhood maltreatment and adversity, the impact of traumatic stress on childbearing, and technical assistance that is available from the National Center for Trauma-Informed Care (NCTIC) before articulating some steps to conceptualizing and implementing trauma-informed care into midwifery and other maternity care practices.

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Feeling Safe: A Metasynthesis of the Maternity Care Needs of Women Who Were Sexually Abused in Childhood

Abstract: During their maternity care experience women who were sexually abused in childhood need to "feel safe." Health care professionals can help them achieve this feeling by seeking to ensure that those experiences do not re-enact abuse.

Cited by 60 publications

References 27 publications

Describing the healthcare experiences and strategies of women survivors of violence

Describing the healthcare experiences and strategies of women survivors of violence

An exploratory study of whether pregnancy outcomes influence maternal self-reported history of child maltreatment

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

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