Management of post traumatic stress disorder after childbirth: a review

Lapp, Leann K.; Agbokou, Catherine; Peretti, Charles-Siegfried; Ferreri, Florian

doi:10.3109/0167482x.2010.503330

Cited by 59 publications

(48 citation statements)

References 77 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lapp, Agbokou, Peretti, and Ferreri (2010) reviewed research on treatments of PTSD following traumatic childbirth and concluded that the effectiveness of debriefing was inconclusive but CBT and EMDR may decrease posttraumatic stress symptoms in mothers, although randomized control trials are needed.…”

Section: Discussionmentioning

confidence: 99%

Middle Range Theory of Traumatic Childbirth

Beck

2015

Global Qualitative Nursing Research

View full text Add to dashboard Cite

A middle range theory of traumatic childbirth was developed using Morse’s method of theoretical coalescence. The scope of this qualitative theory was increased by formalizing the connections between 14 individual studies all conducted by the same researcher on the same topic, with different groups, using different research designs and different types of analyses. Axioms were derived from this research program along with attributes of traumatic childbirth, posttraumatic stress, and secondary traumatic stress. This middle range theory addresses the long-term chronic consequences of a traumatic birth for mothers including its impact on breastfeeding, subsequent childbirth, and the anniversary of birth trauma. The impact on fathers and clinicians present at the traumatic birth is highlighted as secondary traumatic stress comes into play. Troubling glimpses of difficulties in mother–infant bonding are revealed.

show abstract

Section: Discussionmentioning

confidence: 99%

Middle Range Theory of Traumatic Childbirth

Beck

2015

Global Qualitative Nursing Research

View full text Add to dashboard Cite

show abstract

“…Another important task for future research arises from the fact that despite the impact of PTSD symptoms on a large group of mothers and their families [6-8], specific evidence-based prevention or intervention programs are still lacking. Although some studies provide evidence for positive effects of postnatal debriefing and counselling after traumatic childbirth [52,53], the effects are only modest. Focusing on established risk factors for PTSD following childbirth, including cognitive variables, may increase the efficacy of interventions in this area.…”

Section: Discussionmentioning

confidence: 99%

Predictors of posttraumatic stress symptoms following childbirth

2014

View full text Add to dashboard Cite

BackgroundPosttraumatic stress disorder (PTSD) following childbirth has gained growing attention in the recent years. Although a number of predictors for PTSD following childbirth have been identified (e.g., history of sexual trauma, emergency caesarean section, low social support), only very few studies have tested predictors derived from current theoretical models of the disorder. This study first aimed to replicate the association of PTSD symptoms after childbirth with predictors identified in earlier research. Second, cognitive predictors derived from Ehlers and Clark’s (2000) model of PTSD were examined.MethodsN = 224 women who had recently given birth completed an online survey. In addition to computing single correlations between PTSD symptom severities and variables of interest, in a hierarchical multiple regression analyses posttraumatic stress symptoms were predicted by (1) prenatal variables, (2) birth-related variables, (3) postnatal social support, and (4) cognitive variables.ResultsWellbeing during pregnancy and age were the only prenatal variables contributing significantly to the explanation of PTSD symptoms in the first step of the regression analysis. In the second step, the birth-related variables peritraumatic emotions and wellbeing during childbed significantly increased the explanation of variance. Despite showing significant bivariate correlations, social support entered in the third step did not predict PTSD symptom severities over and above the variables included in the first two steps. However, with the exception of peritraumatic dissociation all cognitive variables emerged as powerful predictors and increased the amount of variance explained from 43% to a total amount of 68%.ConclusionsThe findings suggest that the prediction of PTSD following childbirth can be improved by focusing on variables derived from a current theoretical model of the disorder.

show abstract

“…Review papers specifically considering evidence for postnatal debriefing indicate that interventions are ineffective at reducing posttraumatic stress (PTS) or depressive symptomatology (Gamble, Creedy, Webster, & Moyle, 2002;Lapp, Agbokou, Peretti, & Ferreri, 2010;Peeler, Chung, Stedmon, & Skirton, 2013). However, within the negative findings, certain elements of debriefing interventions were highlighted for their utility.…”

Section: Introductionmentioning

confidence: 96%

The efficacy of ‘debriefing’ after childbirth: Is there a case for targeted intervention?

Sheen

Slade

2015

Journal of Reproductive and Infant Psychology

View full text Add to dashboard Cite

Objective: To review the efficacy of debriefing interventions for reducing posttraumatic stress (PTS) and/ or depressive symptoms in postnatal women. Background: Techniques referred to as debriefing have been adapted for use within maternity care settings to prevent the development of PTS symptoms or depression. There is a requirement to disaggregate methods and approaches used by existing studies, rather than review the research as a whole, to identify elements that may contribute to an efficacious intervention and to clarify what is currently a confused position. Methods: Papers assessing the utility of providing a brief psychological intervention involving discussion of a birth with the mother and a professional, to reduce symptoms of PTS or depression, were reviewed. Discussions could be structured or unstructured, and involve any aspect of discussing the birth, responses and coping strategies. Results: Nine papers (eight studies) were reviewed. While the majority of studies reported findings indicating that debriefing was ineffective for reducing PTS or depressive symptoms, there was evidence indicating that targeted interventions (for women who experienced a traumatic birth) were efficacious. Conclusion: There may be potential utility in providing a debriefing intervention for women who perceive their childbirth experience to have been traumatic. A diversity of approaches termed 'debriefing' highlight a requirement to consider alternative terminology; the term 'childbirth review' is suggested as a useful alternative. Further research evaluating the efficacy of debriefing using a targeted approach for trauma perception is recommended.

show abstract

Management of post traumatic stress disorder after childbirth: a review

Cited by 59 publications

References 77 publications

Middle Range Theory of Traumatic Childbirth

Middle Range Theory of Traumatic Childbirth

Predictors of posttraumatic stress symptoms following childbirth

The efficacy of ‘debriefing’ after childbirth: Is there a case for targeted intervention?

Contact Info

Product

Resources

About