Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise

Abstract Background High numbers of women experience a traumatic birth, which can lead to childbirth-related post-traumatic stress disorder (CB-PTSD) onset, and negative and pervasive impacts for women, infants, and families. Policies, suitable service provision, and training are needed to identify...

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Autores principales: Gill Thomson, Magali Quillet Diop, Suzannah Stuijfzand, Antje Horsch, COST After birth Consortium
Formato: article
Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/0fe15ee1e2004886bc530b4a9d295bfc
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spelling oai:doaj.org-article:0fe15ee1e2004886bc530b4a9d295bfc2021-11-07T12:10:47ZPolicy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise10.1186/s12913-021-07238-x1472-6963https://doaj.org/article/0fe15ee1e2004886bc530b4a9d295bfc2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07238-xhttps://doaj.org/toc/1472-6963Abstract Background High numbers of women experience a traumatic birth, which can lead to childbirth-related post-traumatic stress disorder (CB-PTSD) onset, and negative and pervasive impacts for women, infants, and families. Policies, suitable service provision, and training are needed to identify and treat psychological morbidity following a traumatic birth experience, but currently there is little insight into whether and what is provided in different contexts. The aim of this knowledge mapping exercise was to map policy, service and training provision for women following a traumatic birth experience in different European countries. Methods A survey was distributed as part of the COST Action “Perinatal mental health and birth-related trauma: Maximizing best practice and optimal outcomes”. Questions were designed to capture country level data; care provision (i.e., national policies or guidelines for the screening, treatment and/or prevention of a traumatic birth, service provision), and nationally mandated pre-registration and post-registration training for maternity professionals. Results Eighteen countries participated. Only one country (the Netherlands) had national policies regarding the screening, treatment, and prevention of a traumatic birth experience/CB-PTSD. Service provision was provided formally in six countries (33%), and informally in the majority (78%). In almost all countries (89%), women could be referred to specialist perinatal or mental health services. Services tended to be provided by midwives, although some multidisciplinary practice was apparent. Seven (39%) of the countries offered ‘a few hours’ professional/pre-registration training, but none offered nationally mandated post-registration training. Conclusions A traumatic birth experience is a key public health concern. Evidence highlights important gaps regarding formalized care provision and training for care providers.Gill ThomsonMagali Quillet DiopSuzannah StuijfzandAntje HorschCOST After birth ConsortiumBMCarticleTraumatic birthServicesPolicyTrainingEducationSurveyPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Traumatic birth
Services
Policy
Training
Education
Survey
Public aspects of medicine
RA1-1270
spellingShingle Traumatic birth
Services
Policy
Training
Education
Survey
Public aspects of medicine
RA1-1270
Gill Thomson
Magali Quillet Diop
Suzannah Stuijfzand
Antje Horsch
COST After birth Consortium
Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise
description Abstract Background High numbers of women experience a traumatic birth, which can lead to childbirth-related post-traumatic stress disorder (CB-PTSD) onset, and negative and pervasive impacts for women, infants, and families. Policies, suitable service provision, and training are needed to identify and treat psychological morbidity following a traumatic birth experience, but currently there is little insight into whether and what is provided in different contexts. The aim of this knowledge mapping exercise was to map policy, service and training provision for women following a traumatic birth experience in different European countries. Methods A survey was distributed as part of the COST Action “Perinatal mental health and birth-related trauma: Maximizing best practice and optimal outcomes”. Questions were designed to capture country level data; care provision (i.e., national policies or guidelines for the screening, treatment and/or prevention of a traumatic birth, service provision), and nationally mandated pre-registration and post-registration training for maternity professionals. Results Eighteen countries participated. Only one country (the Netherlands) had national policies regarding the screening, treatment, and prevention of a traumatic birth experience/CB-PTSD. Service provision was provided formally in six countries (33%), and informally in the majority (78%). In almost all countries (89%), women could be referred to specialist perinatal or mental health services. Services tended to be provided by midwives, although some multidisciplinary practice was apparent. Seven (39%) of the countries offered ‘a few hours’ professional/pre-registration training, but none offered nationally mandated post-registration training. Conclusions A traumatic birth experience is a key public health concern. Evidence highlights important gaps regarding formalized care provision and training for care providers.
format article
author Gill Thomson
Magali Quillet Diop
Suzannah Stuijfzand
Antje Horsch
COST After birth Consortium
author_facet Gill Thomson
Magali Quillet Diop
Suzannah Stuijfzand
Antje Horsch
COST After birth Consortium
author_sort Gill Thomson
title Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise
title_short Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise
title_full Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise
title_fullStr Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise
title_full_unstemmed Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise
title_sort policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise
publisher BMC
publishDate 2021
url https://doaj.org/article/0fe15ee1e2004886bc530b4a9d295bfc
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