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Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614]

BACKGROUND: There is little evidence that single-session debriefing is effective in reducing adverse mental health outcomes after trauma. Few trials have included long-term follow-up, but two also suggest possible negative effects of debriefing. We aimed to assess longer-term maternal health outcome...

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Autores principales: Small, Rhonda, Lumley, Judith, Toomey, Liesje
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1434762/
https://www.ncbi.nlm.nih.gov/pubmed/16509986
http://dx.doi.org/10.1186/1741-7015-4-3
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author Small, Rhonda
Lumley, Judith
Toomey, Liesje
author_facet Small, Rhonda
Lumley, Judith
Toomey, Liesje
author_sort Small, Rhonda
collection PubMed
description BACKGROUND: There is little evidence that single-session debriefing is effective in reducing adverse mental health outcomes after trauma. Few trials have included long-term follow-up, but two also suggest possible negative effects of debriefing. We aimed to assess longer-term maternal health outcomes in a trial of midwife-led debriefing following an operative birth, given that findings at six months could not rule out a possible adverse effect of debriefing. METHODS: Four to six years after participating in a midwife-led trial of debriefing following an operative birth, 1039/1041 women were mailed a questionnaire containing the Edinburgh Postnatal Depression Scale (EPDS) and the SF-36 health status measure. RESULTS: Responses were obtained from 534 women (51.4%). Responders from the two trial groups remained comparable 4–6 years postpartum. No significant differences on maternal health outcomes were found between the trial groups. CONCLUSION: In the longer term, maternal health status was neither positively nor adversely affected by the experience of debriefing, despite a hint of adverse effects at six months postpartum. Short debriefing interventions have not proven effective in improving mental health outcomes for women following childbirth.
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spelling pubmed-14347622006-04-08 Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614] Small, Rhonda Lumley, Judith Toomey, Liesje BMC Med Research Article BACKGROUND: There is little evidence that single-session debriefing is effective in reducing adverse mental health outcomes after trauma. Few trials have included long-term follow-up, but two also suggest possible negative effects of debriefing. We aimed to assess longer-term maternal health outcomes in a trial of midwife-led debriefing following an operative birth, given that findings at six months could not rule out a possible adverse effect of debriefing. METHODS: Four to six years after participating in a midwife-led trial of debriefing following an operative birth, 1039/1041 women were mailed a questionnaire containing the Edinburgh Postnatal Depression Scale (EPDS) and the SF-36 health status measure. RESULTS: Responses were obtained from 534 women (51.4%). Responders from the two trial groups remained comparable 4–6 years postpartum. No significant differences on maternal health outcomes were found between the trial groups. CONCLUSION: In the longer term, maternal health status was neither positively nor adversely affected by the experience of debriefing, despite a hint of adverse effects at six months postpartum. Short debriefing interventions have not proven effective in improving mental health outcomes for women following childbirth. BioMed Central 2006-03-01 /pmc/articles/PMC1434762/ /pubmed/16509986 http://dx.doi.org/10.1186/1741-7015-4-3 Text en Copyright © 2006 Small et al; licensee BioMed Central Ltd.
spellingShingle Research Article
Small, Rhonda
Lumley, Judith
Toomey, Liesje
Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614]
title Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614]
title_full Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614]
title_fullStr Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614]
title_full_unstemmed Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614]
title_short Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614]
title_sort midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [isrctn24648614]
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1434762/
https://www.ncbi.nlm.nih.gov/pubmed/16509986
http://dx.doi.org/10.1186/1741-7015-4-3
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