Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout

Background: Midwives provide care in a context where life threatening or stressful events can occur. Little is known about their experiences of traumatic events or the implications for psychological health of this workforce. Objectives: To investigate midwives’ experiences of traumatic perinatal ev...

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Main Authors: Sheen, Kayleigh, Spiby, Helen, Slade, Pauline
Format: Article
Published: Elsevier 2015
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Online Access:https://eprints.nottingham.ac.uk/35432/
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author Sheen, Kayleigh
Spiby, Helen
Slade, Pauline
author_facet Sheen, Kayleigh
Spiby, Helen
Slade, Pauline
author_sort Sheen, Kayleigh
building Nottingham Research Data Repository
collection Online Access
description Background: Midwives provide care in a context where life threatening or stressful events can occur. Little is known about their experiences of traumatic events or the implications for psychological health of this workforce. Objectives: To investigate midwives’ experiences of traumatic perinatal events encountered whilst providing care to women, and to consider potential implications. Design: A national postal survey of UK midwives was conducted. Participants: 421 midwives with experience of a perinatal event involving a perceived risk to the mother or baby which elicited feelings of fear, helplessness or horror (in the midwife) completed scales assessing posttraumatic stress symptoms, worldview beliefs and burnout. Results: 33% of midwives within this sample were experiencing symptoms commensurate with clinical posttraumatic stress disorder. Empathy and previous trauma exposure (personal and whilst providing care to women) were associated with more severe posttraumatic stress responses. However, predictive utility was limited, indicating a need to consider additional aspects increasing vulnerability. Symptoms of posttraumatic stress were associated with negative worldview beliefs and two domains of burnout. Conclusions: Midwives may experience aspects of their work as traumatic and, as a consequence, experience posttraumatic stress symptomatology at clinical levels. This holds important implications for both midwives’ personal and professional wellbeing and the wellbeing of the workforce, in addition to other maternity professionals with similar roles and responsibilities. Organisational strategies are required to prepare midwives for such exposure, support midwives following traumatic perinatal events and provide effective intervention for those with significant symptoms.
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spelling nottingham-354322020-05-04T17:03:08Z https://eprints.nottingham.ac.uk/35432/ Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout Sheen, Kayleigh Spiby, Helen Slade, Pauline Background: Midwives provide care in a context where life threatening or stressful events can occur. Little is known about their experiences of traumatic events or the implications for psychological health of this workforce. Objectives: To investigate midwives’ experiences of traumatic perinatal events encountered whilst providing care to women, and to consider potential implications. Design: A national postal survey of UK midwives was conducted. Participants: 421 midwives with experience of a perinatal event involving a perceived risk to the mother or baby which elicited feelings of fear, helplessness or horror (in the midwife) completed scales assessing posttraumatic stress symptoms, worldview beliefs and burnout. Results: 33% of midwives within this sample were experiencing symptoms commensurate with clinical posttraumatic stress disorder. Empathy and previous trauma exposure (personal and whilst providing care to women) were associated with more severe posttraumatic stress responses. However, predictive utility was limited, indicating a need to consider additional aspects increasing vulnerability. Symptoms of posttraumatic stress were associated with negative worldview beliefs and two domains of burnout. Conclusions: Midwives may experience aspects of their work as traumatic and, as a consequence, experience posttraumatic stress symptomatology at clinical levels. This holds important implications for both midwives’ personal and professional wellbeing and the wellbeing of the workforce, in addition to other maternity professionals with similar roles and responsibilities. Organisational strategies are required to prepare midwives for such exposure, support midwives following traumatic perinatal events and provide effective intervention for those with significant symptoms. Elsevier 2015-02-03 Article PeerReviewed Sheen, Kayleigh, Spiby, Helen and Slade, Pauline (2015) Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout. International Journal of Nursing Studies, 52 (2). pp. 578-587. ISSN 0020-7489 Burnout; Midwives; Trauma; Posttraumatic stress http://www.sciencedirect.com/science/article/pii/S0020748914003009 doi:10.1016/j.ijnurstu.2014.11.006 doi:10.1016/j.ijnurstu.2014.11.006
spellingShingle Burnout; Midwives; Trauma; Posttraumatic stress
Sheen, Kayleigh
Spiby, Helen
Slade, Pauline
Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout
title Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout
title_full Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout
title_fullStr Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout
title_full_unstemmed Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout
title_short Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout
title_sort exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout
topic Burnout; Midwives; Trauma; Posttraumatic stress
url https://eprints.nottingham.ac.uk/35432/
https://eprints.nottingham.ac.uk/35432/
https://eprints.nottingham.ac.uk/35432/