References

Ayers S. Thoughts and emotions during traumatic birth: a qualitative study. Birth. 2007; 34:(3)253-63 https://doi.org/10.1111/j.1523-536X.2007.00178.x

Ayers S, Joseph S, McKenzie-McHarg K, Slade P, Wijma K. Post-traumatic stress disorder following childbirth: current issues and recommendations for future research. J Psychosom Obstet Gynaecol.. 2008; 29:(4)240-50 https://doi.org/10.1080/01674820802034631

Bailey M, Price S. Exploring women's experiences of a Birth Afterthoughts Service. Evidence Based Midwifery. 2008; 6:(2)52-58

Bastos MH, Furuta M, Small R, McKenzie-McHarg K, Bick D. Debriefing interventions for the prevention of psychological trauma in women following childbirth. Cochrane Database of Systematic Reviews. 2015; 4 https://doi.org/10.1002/14651858.CD007194.pub2

Baxter JD, McCourt C, Jarrett PM. What is current practice in offering debriefing services to post partum women and what are the perceptions of women in accessing these services: a critical review of the literature. Midwifery. 2014; 30:(2)194-219 https://doi.org/10.1016/j.midw.2013.12.013

Beake S, McCourt C, Page L. Evaluation of one-to-one midwifery second cohort study report.London: Thames Valley University and Hammersmith Hospitals NHS Trust; 2001

National findings from the 2013 survey of women's experiences of maternity care.London2018

Dennett S. Talking about the birth with a midwife. Br J Midwifery. 2003; 11:(1)24-27 https://doi.org/10.12968/bjom.2003.11.1.11008

Fitzgerald L, Sandall J, Harvey J, Kelly B. Delivering maternity care: the impact of changing roles on women and health professionals.London: NHS Executive; 2002

Gamble J, Creedy D, Moyle W. Counselling processes to address psychological distress following childbirth: perceptions of women. Aust Mid J.. 2004; 17:(3)12-15

Harris R, Ayers S. What makes labour and birth traumatic? A survey of intrapartum ‘hotspots’. Psychol Health. 2012; 27:(10)1166-77 https://doi.org/10.1080/08870446.2011.649755

NHS Maternity Statistics - England, 2013-14. 2015. http://www.hscic.gov.uk/catalogue/PUB16725 (accessed 12 August 2019)

Horowitz M. Stress response syndromes and their treatment. In: Goldberger L, Breznitz S. New York: The Free Press; 1982

Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: a measure of subjective stress. Psychosom Med.. 1979; 41:(3)209-18

Inglis S. Accessing a debriefing service following birth. Br J Midwifery. 2002; 10:(6)368-371 https://doi.org/10.12968/bjom.2002.10.6.10487

McCourt C, Page L. Report on the evaluation of One-to-One midwifery.London: Centre for Midwifery Practice, Thames Valley University and Hammersmith Hospitals NHS Trust; 1996

Antenatal and Postnatal Mental Health: clinical management and service guidance. [CG45].London: NICE; 2007

Antenatal and postnatal mental health: clinical management and service guidance [CG192].London: NICE; 2014

Niven C. Psychological Care for Families: Before, During and After Birth.Oxford: Butterworth-Heinemann; 1992

Better Births: Improving Outcomes of Maternity Services in England.London: NHS England; 2016

Redshaw M, Henderson J. Safely delivered: A national survey of women's experience of maternity care.Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2014

Ryding E, Wijma K, Wijma B. Postpartum counselling after an emergency cesarean. Clinical Psychology and Psychotherapy. 1998; 5:231-237 https://doi.org/10.1002/(SICI)1099-0879(199812)5:4%3C231::AID-CPP172%3E3.0.CO;2-9

Selkirk R, McLaren S, Ollerenshaw A, McLachlan A. The longitudinal effects of midwife-led postnatal debriefing on the psychological health of mothers. Journal of Reproductive and Infant Psychology. 2006; 24:(2)133-147 https://doi.org/10.1080/02646830600643916

Postnatal debriefing: women's need to talk after birth

02 September 2019
16 min read
Volume 27 · Issue 9

Abstract

Background

There is a lack of evidence of the clinical benefit of postnatal debriefing, but qualitative studies show that women value talking to a midwife after birth. However, a very small proportion of women accepted a postnatal discussion meeting at the district general hospital where the author worked.

Aim

To determine why some women need to talk to a professional after giving birth.

Method

A postal survey was sent to a sample of 447 women who gave birth during one calendar month at an NHS Trust in England. This instrument also included the impact of events scale (IES), which assessed women's feelings in relation to their recent experience of giving birth. A total of 170 women (38%) returned the completed form.

Findings

Some women need to talk about their birth experience after they have left the hospital. Women with symptoms of post-traumatic stress (PTS), measured by a high IES, were more likely to want to talk after giving birth and more likely to rate their experience of birth negatively, compared with those with a low IES. Approximately one-third of women who responded experienced high PTS symptoms.

Conclusions

Maternity providers should consider offering a postnatal listening service to meet women's needs in relation to understanding their experience of giving birth. This will also serve to identify women with PTS symptoms and offer further support.

A Cochrane review of debr iefing interventions for the prevention of psychological trauma in women following childbirth was published in 2015 (Bastos et al, 2015). Seven trials were included in the review, which took place in three countries. Debriefing was not narrowly defined, or dependent on being labelled ‘debriefing’, which allowed the inclusion of the maximum number of studies.

Bastos et al (2015) identified two main types of debriefing: postnatal debriefing and psychological debriefing. Postnatal debriefing was commonly a meeting with a midwife, at which women discuss their birth events with reference to the medical notes. Psychological debriefing was found to be more structured and usually involved a set of procedures aimed at preventing psychological morbidity. This Cochrane review, set in the maternity context, did not find clear evidence that debriefing either reduced or increased the risk of developing psychological trauma during the postpartum period, a finding that was due to the poor quality of the evidence and heterogeneity between the studies.

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