Health services utilization of women following a traumatic birth

Turkstra, Erika; Creedy, Debra; Fenwick, Jennifer; Buist, Anne; Scuffham, Paul Anthony; Gamble, Jenny

doi:10.1007/s00737-014-0495-7

Cited by 25 publications

(20 citation statements)

References 12 publications

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“…, Dennis ) and following traumatic birth (Turkstra et al . ). HVs described that anxious women worried more about their baby's development and care taking which might suggest an increased need for reassurance in these women.…”

Section: Discussionmentioning

confidence: 97%

“…In the general population, anxiety has been associated with increased healthcare service usage (Shapiro 1984, de Beurs et al 1999, Fleury et al 2014. So far, healthcare utilisation of women with postpartum anxiety has not been investigated, but previous studies have demonstrated an increased level of healthcare service utilisation among women with postpartum depression (Webster et al 2001, Dennis 2004) and following traumatic birth (Turkstra et al 2015). HVs described that anxious women worried more about their baby's development and care taking which might suggest an increased need for reassurance in these women.…”

Section: Service Usagementioning

confidence: 99%

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Supporting women with postpartum anxiety: exploring views and experiences of specialist community public health nurses in the UK

Ashford

Ayers

Olander

2017

Health Soc Care Community

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This is the accepted version of the paper.This version of the publication may differ from the final published version. identification and screening issues; importance of training; service usage; and status of current service provision. Women with postpartum anxiety were commonly encountered by HVs in their clinical practice and described as often heavily using their or other related healthcare services, which puts additional strain on HVs' already heavy workload. Issues with identifying and screening for postpartum anxiety were raised and the current lack of perinatal mental health training for HVs was highlighted. In addition, HVs described a current lack of good perinatal mental health services in general and specifically for anxiety. Permanent repository linkThe study highlights the need for HV perinatal mental health training in general and 2 postpartum anxiety specifically, as well as better coverage of specialist mental health services and the need for development of interventions targeted at postpartum anxiety.

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Section: Discussionmentioning

confidence: 97%

Section: Service Usagementioning

confidence: 99%

Supporting women with postpartum anxiety: exploring views and experiences of specialist community public health nurses in the UK

Ashford

Ayers

Olander

2017

Health Soc Care Community

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“…Health-related quality of life is measured with the EQ-5D-5L, a generic instrument that was developed by the EuroQol Group [ 49 – 51 ]. The internal consistency is good (Cronbach’s alpha of 0.83).…”

Section: Interventionmentioning

confidence: 99%

Effectiveness and cost-effectiveness of an electronic mindfulness-based intervention (eMBI) on maternal mental health during pregnancy: the mindmom study protocol for a randomized controlled clinical trial

Müller

Matthies

Goetz

et al. 2020

Trials

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Background Mental disorders are common during the peripartum period and may have far-reaching consequences for both mother and child. Unfortunately, most antenatal care systems do not provide any structured screening for maternal mental health. As a consequence, mental illnesses are often overlooked and not treated adequately. If correctly diagnosed, cognitive behavioral therapy is currently the treatment of choice for mental illnesses. In addition, mindfulness-based interventions (MBIs) seem to represent a promising treatment option for anxiety and depression during the peripartum period. Considering the internet’s increasing omnipresence, MBIs can also be offered electronically via a (tablet) computer or smartphone (electronically based MBI = eMBI). Objective The current study aims to examine the clinical effectiveness and cost-effectiveness of an eMBI (the mindmom application) developed by an interdisciplinary team of gynecologists, psychologists, and midwives, teaching pregnant women how to deal with stress, pregnancy-related anxiety, and depressive symptoms. The study sample consists of pregnant women in their third trimester who screened positive for emotional distress. The mindmom study is a bicentric prospective randomized controlled trial (RCT), which is currently conducted at the University women’s hospitals of Heidelberg and Tübingen, Germany. Methods Within the scope of the routine prenatal care, pregnant women attending routine pregnancy care in Baden-Wuerttemberg, Germany, are invited to participate in a screening for mental distress based on the Edinburgh Postnatal Depression Scale (EPDS). Women with an EPDS screening result > 9 will be referred to one of the mindmom coordinating study centers and are offered counseling either face-to-face or via videotelephony. After an initial psychological counseling, women are invited to participate in an eMBI in their last pregnancy trimester. The study will enroll N = 280 study participants (N = 140 per group), who are randomized 1:1 into the intervention (IG) or control group (treatment as usual = TAU). All participants are requested to complete a total of 7 digital assessments (5 visits pre- and 2 follow-up visits postpartum), involving self-report questionnaires, sociodemographic and medical data, physiological measures, and morning cortisol profiles. The primary outcome will be depressive and anxiety symptoms, measured by the Edinburgh Postnatal Depression Scale, the State Trait Anxiety Questionnaire, and the Pregnancy-Related Anxiety Questionnaire. Secondary outcomes include mindfulness, satisfaction with birth, quality of life, fetal attachment, bonding, mode of delivery, and cost-effectiveness. Discussion This is the first German RCT to examine the (cost-)effectiveness of an eMBI on maternal mental health during pregnancy. If successful, the mindmom app represents a low-threshold and cost-effective help for psychologically distressed women during pregnancy, thereby reducing the negative impact on perinatal health outcome. Trial registration Deutsches Register Klinischer Studien, German Clinical Trials Register DRKS00017210. Registered on 13 January 2020. Retrospectively registered.

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“…Childbirth is one of the most challenging psychological events in a mother’s life, as 10–34% of all childbearing women are faced with traumatic birth experiences [ 1 , 2 ]. A negative experience in childbirth is associated with post-traumatic stress disorder (PTSD), disruption to interpersonal relationships, dysfunctional maternal-infancy bonding [ 3 – 5 ], reduction in rates of exclusive breastfeeding [ 6 ], inappropriate utilization of maternal and newborn care services [ 7 ], fear of childbirth and increased desire for an elective caesarean section in future pregnancies [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Creating a positive perception of childbirth experience: systematic review and meta-analysis of prenatal and intrapartum interventions

et al. 2018

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BackgroundA negative experience in childbirth is associated with chronic maternal morbidities. The aim of this systematic review and meta-analysis was to identify currently available successful interventions to create a positive perception of childbirth experience which can prevent psychological birth trauma.MethodsRandomized controlled trials of interventions in pregnancy or labour which aimed to improve childbirth experience versus usual care were identified from 1994 to September 2016. Low risk pregnant or childbearing women were chosen as the study population. PEDRO scale and Cochrane risk of bias tool were used for quality assessment. Pooled effect estimates were calculated when more than two studies had similar intervention. If it was not possible to include a study in the meta-analysis, its data were summarized narratively.ResultsAfter screening of 7832 titles/abstracts, 20 trials including 22,800 participants from 12 countries were included. Successful strategies to create a positive perception of childbirth experience were supporting women during birth (Risk Ratio = 1.35, 95% Confidence Interval: 1.07 to 1.71), intrapartum care with minimal intervention (Risk Ratio = 1.29, 95% Confidence Interval:1.15 to 1.45) and birth preparedness and readiness for complications (Mean Difference = 3.27, 95% Confidence Interval: 0.66 to 5.88). Most of the relaxation and pain relief strategies were not successful to create a positive birth experience (Mean Difference = − 2.64, 95% Confidence Intervention: − 6.80 to 1.52).ConclusionThe most effective strategies to create a positive birth experience are supporting women during birth, intrapartum care with minimal intervention and birth preparedness. This study might be helpful in clinical approaches and designing future studies about prevention of the negative and traumatic birth experiences.Electronic supplementary materialThe online version of this article (10.1186/s12978-018-0511-x) contains supplementary material, which is available to authorized users.

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Health services utilization of women following a traumatic birth

Cited by 25 publications

References 12 publications

Supporting women with postpartum anxiety: exploring views and experiences of specialist community public health nurses in the UK

Supporting women with postpartum anxiety: exploring views and experiences of specialist community public health nurses in the UK

Effectiveness and cost-effectiveness of an electronic mindfulness-based intervention (eMBI) on maternal mental health during pregnancy: the mindmom study protocol for a randomized controlled clinical trial

Creating a positive perception of childbirth experience: systematic review and meta-analysis of prenatal and intrapartum interventions

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