Effectiveness of a counseling Intervention after a traumatic childbirth: A Randomized Controlled Trial

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Title Effectiveness of a counseling Intervention after a traumatic childbirth: A Randomized Controlled Trial
Author Gamble, Jennifer Ann; Creedy, Debra; Moyle, Wendy; Webster, Joan; McAllister, Margaret Maura; Dickson, Paul Andrew
Journal Name Birth: Issues in Perinatal Care
Year Published 2005
Place of publication Malden, MA
Publisher Blackwell Publishing Inc
Abstract Adverse childbirth experiences can evoke fear and overwhelming anxiety for some women and precipitate posttraumatic stress disorder. The objective of this study was to assess a midwifeled brief counseling intervention for postpartum women at risk of developing psychological trauma symptoms. Method: Of 348 women screened for trauma symptoms, 103 met inclusion criteria and were randomized into an intervention (n = 50) or a control (n = 53) group. The intervention group received facetoface counseling within 72 hours of birth and again via telephone at 4 to 6 weeks postpartum. Main outcome measures were posttraumatic stress symptoms, depression, selfblame, and confidence about a future pregnancy. Results: At 3month followup, intervention group women reported decreased trauma symptoms, low relative risk of depression, low relative risk of stress, and low feelings of selfblame. Confidence about a future pregnancy was higher for these women than for control group women. Three intervention group women compared with 9 control group women met the diagnostic criteria for posttraumatic stress disorder at 3 months postpartum, but this result was not statistically significant. Discussion: A high prevalence of postpartum depression and trauma symptoms occurred after childbirth. Although most women improved over time, the intervention markedly affected participants' trajectory toward recovery compared with women who did not receive counseling. Conclusions: A brief, midwifeled counseling intervention for women who report a distressing birth experience was effective in reducing symptoms of trauma, depression, stress, and feelings of selfblame. The intervention is within the scope of midwifery practice, caused no harm to participants, was perceived as helpful, and enhanced women's confidence about a future pregnancy.
Peer Reviewed Yes
Published Yes
Publisher URI http://www.blackwellpublishing.com/
Alternative URI http://www.blackwell-synergy.com/links/doi/10.1111%2Fj.0730-7659.2005.00340.x
Copyright Statement Copyright 2005 Blackwell Publishing. This is the author-manuscript version of the paper. Reproduced in accordance with the copyright policy of the publisher.
Volume 32
Issue Number 1
Page from 11
Page to 19
ISSN 0730-7659
Date Accessioned 2005-12-19
Date Available 2008-02-05T06:25:26Z
Language en_AU
Research Centre Centre for Health Practice Innovation; Griffith Health Institute
Faculty Griffith Health Faculty
Subject Mental Health Nursing; Midwifery
URI http://hdl.handle.net/10072/4866
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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