A counselling model for postpartum women after distressing birth experiences

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Title A counselling model for postpartum women after distressing birth experiences
Author Gamble, Jennifer Ann; Creedy, Debra
Journal Name Midwifery
Editor Debra Bick
Year Published 2009
Place of publication United Kingdom
Publisher Churchill Livingstone
Abstract Objective to describe the development and application of a brief counselling intervention for women who have experienced a traumatic birth. Intervention the birthing trauma counselling model reflecting women's need to establish a therapeutic connection with a midwife, talk about their birth experience and have their feelings validated. Gaps in understanding of events need explanation and explicit connections made between the event and subsequent emotions and behaviours. Developing a rational understanding of birthing events and how labour may have been managed differently assists women to revise their assumptions about maternity care and gain a sense of control. Fostering social support, reinforcing positive approaches to coping and exploring solutions to restoring self-confidence and reducing anxiety may help re-establish psychological equilibrium. Discussion and conclusion the counselling intervention is consistent with trauma theory and draws on cognitive behavioural therapy principles. Midwives are well placed to provide counselling support to women experiencing birth-related distress. Further testing of the intervention in the clinical setting with a large sample is required.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.midw.2007.04.004
Volume 25
Issue Number 2
Edition April
Page from e21
Page to e30
ISSN 0266-6138
Date Accessioned 2009-08-17
Language en_AU
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject Midwifery
URI http://hdl.handle.net/10072/30518
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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