The OptiMUM-study: EMDR therapy in pregnant women with posttraumatic stress disorder after previous childbirth and pregnant women with fear of childbirth: design of a multicentre randomized controlled trial

Baas, Melanie A. M.; Stramrood, Claire A. I.; Dijksman, Lea M.; Jongh, Ad de; Pampus, Maria G. van

doi:10.1080/20008198.2017.1293315

Cited by 25 publications

(21 citation statements)

References 54 publications

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“…The result that fear of childbirth antepartum is cogent related to fear of childbirth reported postpartum is consistent with previous studies [ 7 , 17 , 20 , 24 ]. The childbirth experience is more affected by already existing antepartum fear of childbirth than by interventions or complications during labour [ 20 , 30 ]. It is shown before that fear of childbirth is associated with obstetric intervention/complications as well as with caesarean section as preferred mode of delivery [ 5 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study

Logtenberg

Verhoeven

Rengerink

et al. 2018

BMC Pregnancy Childbirth

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BackgroundFear of childbirth may reduce the womens’ pain tolerance during labour and may have impact on the mother-infant interaction. We aimed to assess (1) the association between fear of childbirth antepartum and subsequent request for pharmacological pain relief, and (2) the association between the used method of pain relief and experienced fear of childbirth as reported postpartum in low risk labouring women.MethodsSecondary analysis of the RAVEL study, a randomised controlled trial comparing remifentanil patient controlled analgesia (PCA) and epidural analgesia to relieve labour pain. The RAVEL study included 409 pregnant women at low risk for obstetric complications at 18 midwifery practices and six hospitals in The Netherlands (NTR 3687). We measured fear of childbirth antepartum and experienced fear of childbirth reported postpartum, using the Wijma Delivery Expectancy/Experience Questionnaire.ResultsWomen with fear of childbirth antepartum more frequently requested pain relief compared to women without fear of childbirth antepartum, but this association did not reach statistical significance (adjusted odds ratio (aOR2.0; 95% confidence interval (CI) 0.8–4.6). Women who received epidural analgesia more frequently reported fear of childbirth postpartum compared to women who did not receive epidural analgesia (aOR3.5; CI 1.5–8.2), while the association between remifentanil-PCA and fear of childbirth postpartum was not statistically significant (aOR1.7; CI 0.7–4.3).ConclusionsWomen with fear of childbirth antepartum more frequently requested pain relief compared to women without fear of childbirth antepartum, but this association was not statistically significant. Women who received pharmacological pain relief more frequently reported that they had experienced fear of childbirth during labour compared to women who did not receive pain relief. Based on our data epidural analgesia with continuous infusion does not seem to be preferable over remifentanil-PCA as method of pain relief when considering fear of childbirth postpartum.Trial registrationNetherlands Trial Register 3687; Register date: 5 Nov 2012.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-1986-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…This knowledge makes it important to distinguish fear of childbirth antepartum. Once recognized, women can make an informed choice for treatment of their fear of childbirth in order to prevent both obstetric intervention/complications and fear of childbirth reported postpartum as well as perinatal costs [ 30 – 32 ].…”

Section: Discussionmentioning

confidence: 99%

Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study

Logtenberg

Verhoeven

Rengerink

et al. 2018

BMC Pregnancy Childbirth

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“…A pregnant woman was randomized for EMDR therapy within the OptiMUM-study, a multicentre Randomized Controlled Trial that evaluates the safety and efficacy of EMDR therapy for pregnant women with PTSD or Fear of Childbirth after previous childbirth (Baas, Stramrood, Dijksman, de Jongh, & van Pampus, 2017 ).…”

Section: Methods Of Case Studymentioning

confidence: 99%

The effects of PTSD treatment during pregnancy: systematic review and case study

Baas

Pampus

Braam

et al. 2020

European Journal of Psychotraumatology

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Background: PTSD in pregnant women is associated with adverse outcomes for mothers and their children. It is unknown whether pregnant women with PTSD, or symptoms of PTSD, can receive targeted treatment that is safe and effective. Objective: The purpose of the present paper was to assess the effectiveness and safety of treatment for (symptoms of) PTSD in pregnant women. Method: A systematic review was conducted in accordance with the PRISMA guidelines in Pubmed, Embase, PsychINFO, and Cochrane. In addition, a case is presented of a pregnant woman with PTSD who received eye-movement desensitization and reprocessing (EMDR) therapy aimed at processing the memories of a previous distressing childbirth. Results: In total, 13 studies were included, involving eight types of interventions (i.e. trauma-focused cognitive behavioural therapy, exposure therapy, EMDR therapy, interpersonal psychotherapy, explorative therapy, self-hypnosis and relaxation, Survivor Moms Companion, and Seeking Safety Intervention). In three studies, the traumatic event pertained to a previous childbirth. Five studies reported obstetrical outcomes. After requesting additional information, authors of five studies indicated an absence of serious adverse events. PTSD symptoms improved in 10 studies. However, most studies carried a high risk of bias. In our case study, a pregnant woman with a PTSD diagnosis based on DSM-5 no longer fulfilled the criteria of PTSD after three sessions of EMDR therapy. She had an uncomplicated pregnancy and delivery. Conclusion: Despite the fact that case studies as the one presented here report no adverse events, and treatment is likely safe, due to the poor methodological quality of most studies it is impossible to allow inferences on the effects of any particular treatment of PTSD (symptoms) during pregnancy. Yet, given the elevated maternal stress and cortisol levels in pregnant women with PTSD, and the fact that so far no adverse effects on the unborn child have been reported associated with the application of trauma-focused therapy, treatment of PTSD during pregnancy is most likely safe. Los efectos del tratamiento del TEPT durante el embarazo: revisión sistemática y estudio de caso Antecedentes: El TEPT en mujeres embarazadas se asocia con consecuencias adversas para las madres y sus hijos. Se desconoce si las mujeres que están embarazadas y sufren de TEPT, o síntomas de TEPT, pueden recibir un tratamiento dirigido que sea seguro y efectivo. Objetivo: El objetivo del presente trabajo fue evaluar la efectividad y la seguridad del tratamiento para (síntomas de) TEPT en mujeres embarazadas. Método: Se realizó una revisión sistemática de acuerdo con las directrices PRISMA en Pubmed, Embase, PsychINFO y Cochrane. Además, se presenta un caso de una mujer embarazada con TEPT que recibió terapia de desensibilización y reprocesamiento por movimientos oculares (EMDR) destinada a procesar los recuerdos de un parto traumático anterior. Resultados: En total, se incluyeron 13 estudios, que incluyeron ocho tipos de intervencion...

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“…As of this writing, trauma‐informed universal perinatal programs (eg, Minding the Baby, Compassionate Minds) and trauma‐specific interventions that articulate with routine prenatal care and home visiting programs and address pregnancy and parenting issues (eg, the Survivor Moms’ Companion, Seeking Safety) are being developed and tested. Some treatments that are trauma informed are also being applied with childbearing women (eg, Eye Movement Desensitization Reprocessing, Infant Psychotherapy, Parents under Pressure). See Table for more information about these interprofessional approaches.…”

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

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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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The OptiMUM-study: EMDR therapy in pregnant women with posttraumatic stress disorder after previous childbirth and pregnant women with fear of childbirth: design of a multicentre randomized controlled trial

Cited by 25 publications

References 54 publications

Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study

Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study

The effects of PTSD treatment during pregnancy: systematic review and case study

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

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