Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth

Objective: this paper describes midwives' experiences of learning new counselling skills and delivering a counselling intervention entitled ‘Promoting Resilience on Mothers Emotions’ (PRIME). Design: a descriptive exploratory approach was used. Data collected included semi-structured interviews...

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Main Authors: Reed, Maree, Fenwick, Jen, Hauck, Yvonne, Gamble, Jenny, Creedy, Debra
Format: Journal Article
Published: Churchill Livingstone 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/17290
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author Reed, Maree
Fenwick, Jen
Hauck, Yvonne
Gamble, Jenny
Creedy, Debra
author_facet Reed, Maree
Fenwick, Jen
Hauck, Yvonne
Gamble, Jenny
Creedy, Debra
author_sort Reed, Maree
building Curtin Institutional Repository
collection Online Access
description Objective: this paper describes midwives' experiences of learning new counselling skills and delivering a counselling intervention entitled ‘Promoting Resilience on Mothers Emotions’ (PRIME). Design: a descriptive exploratory approach was used. Data collected included semi-structured interviews (n=42), midwife diary entries (18 pages) and web based postings (169 pages). Data were analysed using manual thematic method. Setting: the intervention study was conducted in two tertiary maternity hospitals in the Australian states of Queensland (QLD) and Western Australia (WA) during a 17 month period, from August 2008 to December 2009. Participants: midwives were employed as research assistants and trained to deliver a counselling intervention to women reporting a traumatic birth experience. Eighteen of a possible 20 Australian midwives participated in this study. Intervention: PRIME is a midwife-led counselling intervention based on cognitive–behavioural principles and designed to ameliorate trauma symptoms. It is offered face-to-face within 72 hours of childbirth and by phone around six weeks post partum. Findings: participating midwives felt confronted by the level of emotional distress some women suffered as a consequence of their birth experience. Four major themes were extracted: The challenges of learning to change; Working with women in a different way; Making a difference to women and me; and A challenge not about to be overcome. Key conclusions and implications for practice: the advanced counselling skills the midwives acquired improved their confidence to care for women distressed by their birthing experience and to personally manage stressful situations they encountered in practice.
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spelling curtin-20.500.11937-172902017-09-13T15:43:06Z Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth Reed, Maree Fenwick, Jen Hauck, Yvonne Gamble, Jenny Creedy, Debra Midwives Birth trauma Post partum distress Counselling Objective: this paper describes midwives' experiences of learning new counselling skills and delivering a counselling intervention entitled ‘Promoting Resilience on Mothers Emotions’ (PRIME). Design: a descriptive exploratory approach was used. Data collected included semi-structured interviews (n=42), midwife diary entries (18 pages) and web based postings (169 pages). Data were analysed using manual thematic method. Setting: the intervention study was conducted in two tertiary maternity hospitals in the Australian states of Queensland (QLD) and Western Australia (WA) during a 17 month period, from August 2008 to December 2009. Participants: midwives were employed as research assistants and trained to deliver a counselling intervention to women reporting a traumatic birth experience. Eighteen of a possible 20 Australian midwives participated in this study. Intervention: PRIME is a midwife-led counselling intervention based on cognitive–behavioural principles and designed to ameliorate trauma symptoms. It is offered face-to-face within 72 hours of childbirth and by phone around six weeks post partum. Findings: participating midwives felt confronted by the level of emotional distress some women suffered as a consequence of their birth experience. Four major themes were extracted: The challenges of learning to change; Working with women in a different way; Making a difference to women and me; and A challenge not about to be overcome. Key conclusions and implications for practice: the advanced counselling skills the midwives acquired improved their confidence to care for women distressed by their birthing experience and to personally manage stressful situations they encountered in practice. 2014 Journal Article http://hdl.handle.net/20.500.11937/17290 10.1016/j.midw.2013.07.009 Churchill Livingstone restricted
spellingShingle Midwives
Birth trauma
Post partum distress
Counselling
Reed, Maree
Fenwick, Jen
Hauck, Yvonne
Gamble, Jenny
Creedy, Debra
Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth
title Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth
title_full Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth
title_fullStr Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth
title_full_unstemmed Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth
title_short Australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth
title_sort australian midwives' experience of delivering a counselling intervention for women reporting a traumatic birth
topic Midwives
Birth trauma
Post partum distress
Counselling
url http://hdl.handle.net/20.500.11937/17290