Start by Piloting: Planning a Survey of How Obstetricians are Affected by Traumatic Births

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Walker, AL
Gamble, J
Creedy, DK
Ellwood, DA
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2019
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Melbourne, Australia

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Abstract

ntroduction: Obstetricians, GP obstetricians, and trainees are among those exposed to traumatic births, such as unexpected intrapartum stillbirth. There is little information about the effect of trauma on the Australian and New Zealand obstetric workforce. Given the sensitive nature of this topic, it was important to pilot a proposed national survey.

Methods: This mixed methods pilot study used an online survey and telephone interviews. The survey measured exposure to trauma (birth, professional, personal), traumatic stress symptoms, work‐related burnout, and traumatic growth. Both survey and interviews assessed need for support.

Results: Only 12 of 55 (21.8%) responded at the pilot site. The study was broadened to include a purposive mix of consultant obstetricians and trainees, totalling 32 of 106 (30.2%). All but one had attended a traumatic birth. The majority (n = 24; 75%) had traumatic stress symptoms, though only one had probable Post‐Traumatic Stress Disorder. One‐quarter had at least moderate burnout. Significant growth was shown by over 40%. Eight completed interviews.

Many participants reported ‘blame’ occurring after traumatic births. Peer support was important. A few found it emotionally challenging to complete the survey. Some reported fear of RANZCOG identifying their responses. Several discussed how support could be improved after traumatic births. Improvements for the survey were suggested.

Discussion: In this small sample, perinatal trauma exposure was very high. The pilot study allowed feasibility testing of the format and the survey questions. Some questions needed alteration and others were added. A larger binational survey is currently being planned.

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AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY

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59

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S1

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Reproductive medicine

Midwifery

Science & Technology

Life Sciences & Biomedicine

Obstetrics & Gynecology

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Walker, AL; Gamble, J; Creedy, DK; Ellwood, DA, Start by Piloting: Planning a Survey of How Obstetricians are Affected by Traumatic Births, Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG), 2019, 59, pp. 30-30