Show simple item record

dc.contributor.authorGamble, Jenniferen_US
dc.contributor.authorCreedy, Debraen_US
dc.contributor.authorMoyle, Wendyen_US
dc.contributor.authorWebster, Joanen_US
dc.contributor.authorMcAllister, Margareten_US
dc.contributor.authorDickson, Paulen_US
dc.date.accessioned2017-04-24T09:24:02Z
dc.date.available2017-04-24T09:24:02Z
dc.date.issued2005en_US
dc.date.modified2008-02-05T06:25:26Z
dc.identifier.issn07307659en_US
dc.identifier.doi10.1111/j.0730-7659.2005.00340.xen_AU
dc.identifier.urihttp://hdl.handle.net/10072/4866
dc.description.abstractAdverse 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.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.format.extent189822 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherBlackwell Publishing Incen_US
dc.publisher.placeMalden, MAen_US
dc.publisher.urihttp://www.blackwellpublishing.com/en_AU
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom11en_US
dc.relation.ispartofpageto19en_US
dc.relation.ispartofissue1en_US
dc.relation.ispartofjournalBirth: Issues in Perinatal Careen_US
dc.relation.ispartofvolume32en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchcode321101en_US
dc.subject.fieldofresearchcode321105en_US
dc.titleEffectiveness of a counseling Intervention after a traumatic childbirth: A Randomized Controlled Trialen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright 2005 Blackwell Publishing. This is the author-manuscript version of the paper. Reproduced in accordance with the copyright policy of the publisher.en_AU
gro.date.issued2005
gro.hasfulltextFull Text


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record