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

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 trea...

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Autores principales: Thomson, Gill, Diop, Magali Quillet, Stuijfzand, Suzannah, Horsch, Antje
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8571982/
https://www.ncbi.nlm.nih.gov/pubmed/34742293
http://dx.doi.org/10.1186/s12913-021-07238-x
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author Thomson, Gill
Diop, Magali Quillet
Stuijfzand, Suzannah
Horsch, Antje
author_facet Thomson, Gill
Diop, Magali Quillet
Stuijfzand, Suzannah
Horsch, Antje
author_sort Thomson, Gill
collection PubMed
description 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-07238-x.
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spelling pubmed-85719822021-11-08 Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise Thomson, Gill Diop, Magali Quillet Stuijfzand, Suzannah Horsch, Antje BMC Health Serv Res Research 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-07238-x. BioMed Central 2021-11-06 /pmc/articles/PMC8571982/ /pubmed/34742293 http://dx.doi.org/10.1186/s12913-021-07238-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Thomson, Gill
Diop, Magali Quillet
Stuijfzand, Suzannah
Horsch, Antje
Policy, service, and training provision for women following a traumatic birth: an international knowledge mapping exercise
title 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_short 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
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8571982/
https://www.ncbi.nlm.nih.gov/pubmed/34742293
http://dx.doi.org/10.1186/s12913-021-07238-x
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