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Created on : 17 Feb 2016
Modified on : 16 Jan 2018

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Bibliographical entry (without author) :

Post-traumatic stress disorder following childbirth: an update of current issues and recommendations for future research - Journal of Reproductive and Infant Psychology - Vol. 33, 3 - ISBN: 0264-6838 - p.219-237

Author(s) :

McKenzie-McHarg, Kirstie; Ayers, Susan; Ford, Elizabeth; Horsch, Antje; Jomeen, Julie; Sawyer, Alexandra; Stramrood, Claire; Thomson, Gill; Slade, Pauline

Year of publication :

2015

URL(s) :

http://dx.doi.org/10.1080/02646838.2015.1031646
https://doi.org/10.1080/02646838.2015.1031646

Résumé (français)  :

Abstract (English)  :

Objective: This paper aimed to report the current status of research in the field of post-traumatic stress disorder following childbirth (PTSD FC), and to update the findings of an earlier 2008 paper. Background: A group of international researchers, clinicians and service users met in 2006 to establish the state of clinical and academic knowledge relating to PTSD FC. A paper identified four key areas of research knowledge at that time. Methods: Fourteen clinicians and researchers met in Oxford, UK to update the previously published paper relating to PTSD FC. The first part of the meeting focused on updating the four key areas identified previously, and the second part on discussing new and emerging areas of research within the field. Results: A number of advances have been made in research within the area of PTSD FC. Prevalence is well established within mothers, several intervention studies have been published, and there is growing interest in new areas: staff and pathways; prevention and early intervention; impact on families and children; special populations; and post-traumatic growth. Conclusion: Despite progress, significant gaps remain within the PTSD FC knowledge base. Further research continues to be needed across all areas identified in 2006, and five areas were identified which can be seen as ‘new and emerging’. All of these new areas require further extensive research. Relatively little is still known about PTSD FC.

Sumário (português)  :

Resumen (español)  :

Comments :

Il s’agit d’une mise à jour de 2015 sur état des connaissances sur le stress post-traumatique après l’accouchement. Sur l’idée que le comportement des soignants pendant l’accouchement puisse avoir une influence, voir pistes de recherches émergentes section 2.

Les recherches dans ce domaine ne parlent pas de violence obstétricale en tant que telle.

**
Section 2: Important or emerging areas of research

Evidence indicates that one significant cause of a woman’s perception of birth as traumatic is the actions or inactions of maternity staff, which can result in care being experienced as dehumanising, disrespectful or uncaring (Elmir, Schmied,
Wilkes, & Jackson, 2010; Goldbort, 2009).

Professionals’manner and communication can significantly affect women’s feelings of control during their delivery (Salter,2009) and their ability to make informed decisions (Eliasson, Kainz, & Von Post,2008). Yet choice, information and involvement in decisions are potentially protective against a traumatic birth experience (Goodall, McVittie, & Magill, 2009).

Therefore, professionals need to understand that childbirth can be traumatic for
women (Elmir et al.,2010); acknowledge the role they may play and recognise the
signs of psychological trauma (Beck,2004). There is also evidence that increased
empathy in staff can increase their own risk of developing PTSD symptoms after witnessing traumatic childbirth events (Sheen, Spiby, & Slade,2014). This means
that clinicians need to manage the difficult boundary between recognising and sup-
porting postnatal women with symptoms of trauma, while simultaneously maintaining their own professional boundaries in order to protect themselves**

Argument (français) :

Mise à jour de 2015 sur état des connaissances sur le stress post-traumatique après l’accouchement.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ traumatism ; post-traumatic stress ; obstetric and gynecologic violence obstetric violence, obstetrical violence ; iatrogeny ; guidelines ; public health ; prevention ; deontology ; informed consent

Author of this record :

Import 17/02/2016 — 17 Feb 2016
➡ latest update : Marion Corbe — 16 Jan 2018