Posttraumatic growth in women after a childbirth experience: The influence of individual characteristics and intrusive and deliberate rumination.

Objective: This study targets women who had a self-defined traumatic childbirth experience to (a) explore the differences between sociodemographic-, obstetric-, and trauma-related variables in relation to the rumination style; (b) determine differences between intrusive and deliberate rumination in relation to posttraumatic growth (PTG) dimensions, and (c) test whether intrusive rumination is associated with deliberate rumination, which in turn is associated with PTG dimensions. Method: A cross-sectional study design was employed using a web-based survey method for data collection. In total, 202 women who identified their childbirth experience as traumatic participated in this study. Results: Intrusive rumination and deliberate rumination were positively associated with all dimensions of PTG in women following the traumatic childbirth event. Deliberate rumination fully explained the relationship between intrusive rumination and PTG aspects of relating to others, new opportunities, and personal strength, and partially explained the relationship between intrusive rumination and PTG aspects of spiritual changes and appreciation of life. Conclusions: The results suggest that deliberate rumination can contribute to explain the occurrence of PTG. These findings could help develop psychosocial interventions to maximize opportunities for deliberate rumination for women with traumatic childbirth experiences

Aktif doǧum yaklaşi{dotless}mi{dotless}ni{dotless}n kani{dotless}ta dayali{dotless} uygulamalar i̇le i̇ncelenmesi

Active birth was one of the prenatal education methods which hasn't been common in our country, yet. The aim of this article was to clarify the approach to the active birth method and to investigation this method with evidence based practice. Active birth was important method, because of focusing on the normal birth, encouraging women to activity during labor and emphasizing the importance of pregnancy exercises and birth ward. It was seen that practices recommended in this method effect labor positively, by the investigation of evidence based studies and evidence based guidelines. For this reason, to widespread this method in our

Using An Emotion-Focused Approach In Preventing Psychological Birth Trauma

Purpose This discussion article considers how an emotion-focused approach can be adopted to prevent psychological birth trauma and to optimize perinatal wellbeing for women and their families. Conclusions Emotion-focused approaches have a different perspective when compared to other classic psychotherapy methods. This approach may help women to resolve the negative impacts of psychological birth trauma; to prevent post-traumatic stress disorder onset; to lead to better results for mother and baby well-being; and may be cost effective. Practice Implications Mental health nurses/midwives should receive education about emotion-focused approaches in addition to gaining competence in basic counseling skills so that they can utilize these approaches with women

Evaluation of labor and birth education by midwifery educators: A qualitative study from Turkey

Background: Midwifery students’ education regarding labor and birth is crucial because it directly affects the quality of care provided to women in labor. Aims: Exploring educators’ experiences of delivering labor and birth education to midwifery students and evaluating the circumstances that affect the quality of labor and birth education Methods: This was a qualitative study. Semi-structured interviews were conducted with 16 educators teaching midwifery in 16 midwifery departments at universities in Turkey. Inductive thematic analysis was conducted. All transcripts were evaluated by two researchers, and codes were created. The codes formed the subthemes in terms of similarities and differences; themes were created based on combining subthemes. Findings: Three themes were identified. The first— “impacts of global changes on labor and birth education”—shows how labor and birth is affected by changing policies, philosophies, individuals, and cultures. The second theme— “opportunities/obstacles in labor and birth education”—shows how sources of information, as well as individual and systemic factors, create opportunities or obstacles for the quality of labor and birth education. The final theme - “recommendations for quality labor and birth education”—presents participants’ suggestions for the effective integration of courses, use of sources of information, and updating of curriculum. Discussion: Changing policies, philosophies, individuals, and cultures affect labor and birth education. Individual and systemic factors and information sources create opportunities or barriers for the quality of labor and birth education. Conclusion: A positive childbirth experience is a basic human right for both women and newborns. This can be made possible by professionals who have received quality labor and birth education. Thus, investment in midwifery education is an important cost-effective approach to improving health outcomes

Birth-Related PTSD Symptoms and Related Factors Following Preterm Childbirth in Turkey

Objective: To examine factors associated with birth-related post-traumatic stress disorder (PTSD) among women who had preterm birth in their last pregnancy in Turkey. Methods: 304 women were asked to report sociodemographic factors, perinatal factors, birth-related factors, preterm birth/premature infant characteristics, and social support factors and PTSD symptoms. Data were collected using online surveys between November 2020 and February 2021. Hierarchical multiple linear regression was used. Results: The prevalence of birth-related PTSD symptoms following preterm birth was 71.1%. Older age, the woman being positively affected by her own mother's birth experience, not having traumatic experience in pregnancy and in the postnatal period, lower stress level after traumatic events experienced during birth, not feeling that their life/physical integrity was at risk during birth, having amniotomy, feeling psychologically well after childbirth, not being negatively affected by witnessing other parents’ happy moments with their babies in friend/family groups, the absence of infant illness and mother’s reporting higher positive interactions with healthcare team were associated with decreased likelihood of birth-related PTSD. Except for age and traumatic event in the postnatal period, all the variables explained 43% of the variance with a small effect size (f2 = 0.04). Stress level after the traumatic events experienced during labor was the strongest predictor of birth-related PTSD symptoms (β = .33). Conclusion: Wellbeing of mother and baby, facilitating interventions at labor, and positive communication with the healthcare team was associated with lower birth-related PTSD. The study findings lighted addressing birth-related PTSD symptoms in mothers of preterm infants in Turkey