Women’s perceptions and experiences of a traumatic birth: a meta‐ethnography

Elmir, Rakime; Schmied, Virginia; Wilkes, Lesley M; Jackson, Debra

doi:10.1111/j.1365-2648.2010.05391.x

Cited by 312 publications

(303 citation statements)

References 41 publications

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“…According to the status of pregnancy planning in the study, there was not a statistically significant difference between the PTC average scores (p> 0.05) but there was a lower PTC score in unplanned pregnancies (Table 3). Contrary to this work, there are studies showing that nonplanned pregnancies perceived the birth as more traumatic [20,24] .…”

Section: Discussionmentioning

confidence: 45%

“…In the postpartum period, the posttraumatic stress disorder (PSD) of a woman and her family [6] causes depression [19] and adversely affects maternal bonding [20] breastfeeding [2,7], and partner relationship. In addition, it may lead to the next pregnancy not to be planned for a long time [21] a negative perception regarding the midwifery and obstetric professions that contribute to birth and dissatisfaction with the unit of birth in the society [22].…”

Section: Introductionmentioning

confidence: 99%

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Multigravidas' perceptions of traumatic childbirth: Its relation to some factors, the effect of previous type of birth and experience

Aktaş¹

2018

Med-Science

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To investigate the relationship between multigravidas' perceptions of traumatic childbirth (PTC) and their socio-demographic characteristics and the effect of their previous types of birth and experiences on PTC. This descriptive study was conducted in a state hospital in Northern Turkey. The universe of the study consisted of multigravidas. The sample of the study comprised 161 pregnant women determined with G power analysis. The data were collected using the "Pregnant Introductory Information Form" and "Perception of Traumatic Childbirth Scale". The age, gestational week and the number of pregnancy of the participants were 28.27 ± 5.13, 30.45 ± 7.71 and 1.94 ± 1.07 respectively. The average PTC score was 70.57 ± 21.89. 1.9%, 28.6%i 39.1% and 23.6% of the pregnant women perceived their birth as "very low", "low", "moderate" and as "high" traumatic respectively. There was a negative correlation between the average PTC score and the gestational age, the number of pregnancies and the duration of the adverse events and positive correlation between the average PTC score and the number of hospital visits during pregnancy (p <0.05). Compared with those who had cesarean section and no intervention, PTC score was higher in those who had a previous vaginal delivery and interventions. The average PTC score of those planning to give vaginal delivery was higher than those planning cesarean birth (p <0.05). The women who had a chronic disease before pregnancy (p<0.05) and those who had a vaginal birth with only a midwife and were satisfied with her communication had lower PTC scores (p> 0.05). Six out of every 10 pregnant women perceived their delivery traumatic at a moderate / high level. PTC was higher in those having vaginal birth and an intervention previously and planning a vaginal birth again. The early identification of the risk of PTC before pregnancy or early pregnancy and taking precautions are recommended.

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Section: Discussionmentioning

confidence: 45%

Section: Introductionmentioning

confidence: 99%

Multigravidas' perceptions of traumatic childbirth: Its relation to some factors, the effect of previous type of birth and experience

Aktaş¹

2018

Med-Science

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“…A difficult birth can increase risk of postnatal depression (Elmir et al . 2010, Fenwick et al . 2013) and is also associated with shorter breastfeeding duration (Willis & Livingstone 1995, Smith 2007) and physical difficulties breastfeeding (Brown & Jordan 2013).…”

Section: Discussionmentioning

confidence: 99%

Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties

Brown

Rance

Bennett

2015

Journal of Advanced Nursing

138

120

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AimsTo examine the relationship between specific reasons for stopping breastfeeding and depressive symptoms in the postnatal period.BackgroundDifficulty breastfeeding has been connected to postnatal depression although it is unclear whether difficulty breastfeeding precedes or succeeds a diagnosis. However, the concept of ‘breastfeeding difficulty’ is wide and includes biological, psychological and social factors.DesignA cross‐sectional self‐report survey.MethodsData were collected between December 2012 and February 2013. 217 women with an infant aged 0‐6 months who had started breastfeeding at birth but had stopped before 6 months old completed a questionnaire examining breastfeeding duration and reasons for stopping breastfeeding. They further completed a copy of the Edinburgh Postnatal Depression Scale.ResultsA short breastfeeding duration and multiple reasons for stopping breastfeeding were associated with higher depression score. However, in a regression analysis only the specific reasons of stopping breastfeeding for physical difficulty and pain remained predictive of depression score.ConclusionsUnderstanding women's specific reasons for stopping breastfeeding rather than breastfeeding duration is critical in understanding women's breastfeeding experience and providing women with emotional support. Issues with pain and physical breastfeeding were most indicative of postnatal depression in comparison to psychosocial reasons highlighting the importance of spending time with new mothers to help them with issues such as latch.

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“…A meta-ethnography undertaken by Elmir et al (2010) into women's experiences and perceptions 4 of a traumatic birth highlighted that poor quality care from health professionals was a key contributory factor, especially when it was experienced as degrading. The psychosocial difficulties and consequences of a traumatic/distressing birth include difficulties in motherinfant attachment relationships; a negative impact on social, marital, familial and sexual relationships; lowered emotional wellbeing and self-esteem, as well as classic PTSD responses (Fenech and Thomson, 2014).…”

Section: Introductionmentioning

confidence: 99%

Emotions and support needs following a distressing birth: Scoping study with pregnant multigravida women in North-West England

Thomson

Downe

2016

Midwifery

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Emotions and support needs following a distressing birth: Scoping study with pregnant multigravida women in North-West England AbstractObjective: To identify the emotional and support needs of pregnant multigravida women who have experienced adverse responses associated with a previous childbirth experience.Setting: Four maternity hospitals in North-West England.Design: 100 surveys were distributed at an anomaly scan clinic in each of four maternity hospitals (total n=400). The survey included an adapted version of a Post-Traumatic Stress Disorder Symptom Scale to explore trauma responses at two broad time points: a) following a previous birth and b) during the current pregnancy. Participants were also asked about the optimal time to receive support post-birth, and the type and provider of support they had accessed/would have liked to access. Descriptive and inferential statistics were undertaken on the quantitative data. The qualitative data was analysed using a basic thematic approach.Participants: Multigravida pregnant women aged 18+ years. Findings:The overall response rate was 28% (n=112); 43% (n=46) of these had experienced negative/trauma responses associated with a previous birth, 74% of whom (n=34) continued/reexperienced adverse responses in their current pregnancy. Most commonly reported trauma responses were difficulties in recalling the previous birth(s), avoiding memories associated with it, and the distress associated with these memories when they were recalled.Approximately 54% (n=25) had received some form of support post-birth, and variations in preferred timing of postnatal support provision were reported. Information on available support and opportunities to discuss the birth with a maternity professional were identified most frequently as preferred support options. Conclusion & Implications for Practice:Women's views about what might work should form the basis for effectiveness studies in this area. Among the participants in this study there was evidence of unmet support needs relating to negative or traumatic responses to a previous birth.The range of preferred timing and types of support indicate that flexible needs-based support options should be provided. Further research should assess if these findings are reinforced in a more diverse sample with a higher response rate.

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Women’s perceptions and experiences of a traumatic birth: a meta‐ethnography

Cited by 312 publications

References 41 publications

Multigravidas' perceptions of traumatic childbirth: Its relation to some factors, the effect of previous type of birth and experience

Multigravidas' perceptions of traumatic childbirth: Its relation to some factors, the effect of previous type of birth and experience

Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties

Emotions and support needs following a distressing birth: Scoping study with pregnant multigravida women in North-West England

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