Developing an evidence-based midwifery model of postpartum debriefing

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Title Developing an evidence-based midwifery model of postpartum debriefing
Author Creedy, Debra; Gamble, Jennifer Ann
Publication Title Journal of Reproductive and Infant Psychology
Editor O.B.A. van den Akker
Year Published 2002
Place of publication London
Publisher Brunner Routledge
Abstract Objective: Experiences associated with labour and delivery may be overwhelming and result in debilitating trauma responses. Very little attention has been given to preventing or reducing this distress in childbearing women. Method: Focus groups were conducted with postpartum women (n = 10) and midwives (n = 7) to inform the development of a midwifery model of debriefing which was then piloted with women who were recruited during the antenatal period as part of a larger, ongoing study. After birth participants completed the Edinburgh Postnatal Depression Scale (EPDS), the Depression, Anxiety and Stress Scale-21 item scale (DASS-21) and the Maternal Social Support Scale (MSSS) and the Mini-International Neuropsychiatric Interview (M.I.N.I.). Thirty-six women reported acute trauma symptoms in the postpartum period and accepted counselling within 72 hrs of birth up to 4 weeks postpartum. Findings: The pilot study found a reduction in measures of depression, anxiety and trauma symptoms at 4 and 12 weeks postpartum. The women reported a need to: talk about their birth sometimes repetitively; have events explained; explore alternative courses of action and receive emotional support. Midwives endorsed these needs, and also placed specific emphasis on addressing feelings of guilt or a sense of failure. Implications: Debriefing in the early postpartum period aims to assist the woman to gain a meaningful understanding of events, regain a sense of control and achieve completion of the birthing processes. The development of a well researched intervention will enhance practice and client outcomes.
Peer Reviewed No
Published Yes
Alternative URI http://dx.doi.org/10.1080/026468302760270827
ISBN 0264-6838
Conference name 2002 Annual Conference of the Society for Reproductive and Infant Psychology
Location Sheffield UK
Date From 2002-09-11
Date To 2002-09-13
URI http://hdl.handle.net/10072/25747
Date Accessioned 2003-03-31
Language en_AU
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Faculty of Nursing & Health
Subject PRE2009-Midwifery
Publication Type Conference Publications (Full Written Paper - Non-Refereed)
Publication Type Code e2

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