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  • Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth

    Author(s)
    Reed, Maree
    Fenwick, Jennifer
    Hauck, Yvonne
    Gamble, Jenny
    Creedy, Debra K
    Griffith University Author(s)
    Gamble, Jenny A.
    Creedy, Debra K.
    Year published
    2014
    Metadata
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    Abstract
    OBJECTIVE: this paper describes midwives' experiences of learning new counselling skills and delivering a counselling intervention entitled 'Promoting Resilience on Mothers Emotions' (PRIME). DESIGN: a descriptive exploratory approach was used. Data collected included semi-structured interviews (n=42), midwife diary entries (18 pages) and web based postings (169 pages). Data were analysed using manual thematic method. SETTING: the intervention study was conducted in two tertiary maternity hospitals in the Australian states of Queensland (QLD) and Western Australia (WA) during a 17 month period, from August 2008 to December ...
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    OBJECTIVE: this paper describes midwives' experiences of learning new counselling skills and delivering a counselling intervention entitled 'Promoting Resilience on Mothers Emotions' (PRIME). DESIGN: a descriptive exploratory approach was used. Data collected included semi-structured interviews (n=42), midwife diary entries (18 pages) and web based postings (169 pages). Data were analysed using manual thematic method. SETTING: the intervention study was conducted in two tertiary maternity hospitals in the Australian states of Queensland (QLD) and Western Australia (WA) during a 17 month period, from August 2008 to December 2009. PARTICIPANTS: midwives were employed as research assistants and trained to deliver a counselling intervention to women reporting a traumatic birth experience. Eighteen of a possible 20 Australian midwives participated in this study. INTERVENTION: PRIME is a midwife-led counselling intervention based on cognitive-behavioural principles and designed to ameliorate trauma symptoms. It is offered face-to-face within 72 hours of childbirth and by phone around six weeks post partum. FINDINGS: participating midwives felt confronted by the level of emotional distress some women suffered as a consequence of their birth experience. Four major themes were extracted: The challenges of learning to change; Working with women in a different way; Making a difference to women and me; and A challenge not about to be overcome. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the advanced counselling skills the midwives acquired improved their confidence to care for women distressed by their birthing experience and to personally manage stressful situations they encountered in practice.
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    Journal Title
    Midwifery
    Volume
    30
    Issue
    2
    DOI
    https://doi.org/10.1016/j.midw.2013.07.009
    Subject
    Nursing
    Publication URI
    http://hdl.handle.net/10072/56074
    Collection
    • Journal articles

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