Traumatic birth and childbirth-related post-traumatic stress disorder: International expert consensus recommendations for practice, policy, and research

被引：29

作者：

Ayers, Susan ^{[1
]}

Horsch, Antje ^{[2
,3
]}

Garthus-Niegel, Susan ^{[4
,5
,6
]}

Nieuwenhuijze, Marianne ^{[7
,8
]}

Bogaerts, Annick ^{[9
]}

Hartmann, Katharina ^{[10
]}

Karlsdottir, Sigfridur Inga ^{[11
]}

Oosterman, Mirjam ^{[12
,13
]}

Tecirli, Gulcan ^{[14
]}

Turner, Jonathan D. ^{[15
]}

Lalor, Joan ^{[16
]}

机构：

[1] City Univ London, Ctr Maternal & Child Hlth Res, Sch Hlth & Psychol Sci, Northampton Sq, London EC1V 0HB, England

[2] Univ Lausanne, Inst Higher Educ & Res Hlthcare, Lausanne, Switzerland

[3] Lausanne Univ Hosp, Dept Woman Mother Child, Lausanne, Switzerland

[4] Med Sch Hamburg, Inst Syst Med ISM, Fac Med, Hamburg, Germany

[5] Tech Univ Dresden, Inst & Policlin Occupat & Social Med, Fac Med, Dresden, Germany

[6] Norwegian Inst Publ Hlth, Dept Childhood & Families, Oslo, Norway

[7] Zuyd Univ, Res Ctr Midwifery Sci, Maastricht, Netherlands

[8] Maastricht Univ, CAPHRI, NL-6229 ER Maastricht, Netherlands

[9] Katholieke Univ Leuven, Dept Dev & Regenerat, Res Unit Woman & Child, REALIFE Res Grp, B-3000 Leuven, Belgium

[10] Mother Hood eV, Bonn, Germany

[11] Univ Akureyri, Sch Hlth Business & Nat Sci, Akureyri, Iceland

[12] Vrije Univ Amsterdam, Dept Clin Child & Family Studies, Fac Behav & Movement Sci, Amsterdam, Netherlands

[13] Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands

[14] Republ Turkiye Minist Hlth, Hlth Technol Assessment Dept, Ankara, Turkiye

[15] Luxembourg Inst Hlth, Dept Infect & Immun, Esch Sur Alzette, Luxembourg

[16] Trinity Coll Dublin, Sch Nursing & Midwifery, Dublin, Ireland

来源：

WOMEN AND BIRTH | 2024年 / 37卷 / 02期

关键词：

Birth; Post-traumatic stress disorder; Recommendations; Policy; Maternity; Obstetric; MATERNITY CARE; PREVALENCE; MISS;

D O I：

10.1016/j.wombi.2023.11.006

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: Research suggests 1 in 3 births are experienced as psychologically traumatic and about 4% of women and 1% of their partners develop post-traumatic stress disorder (PTSD) as a result. Aim: To provide expert consensus recommendations for practice, policy, and research and theory. Method: Two consultations (n = 65 and n = 43) with an international group of expert researchers and clinicians from 33 countries involved in COST Action CA18211; three meetings with CA18211 group leaders and stakeholders; followed by review and feedback from people with lived experience and CA18211 members (n = 238). Findings: Recommendations for practice include that care for women and birth partners must be given in ways that minimise negative birth experiences. This includes respecting women's rights before, during, and after childbirth; and preventing maltreatment and obstetric violence. Principles of trauma-informed care need to be integrated across maternity settings. Recommendations for policy include that national and international guidelines are needed to increase awareness of perinatal mental health problems, including traumatic birth and childbirth-related PTSD, and outline evidence-based, practical strategies for detection, prevention, and treatment. Recommendations for research and theory include that birth needs to be understood through a neurobiopsychosocial framework. Longitudinal studies with representative and global samples are warranted; and research on prevention, intervention and cost to society is essential. Conclusion: Implementation of these recommendations could potentially reduce traumatic births and childbirthrelated PTSD worldwide and improve outcomes for women and families. Recommendations should ideally be incorporated into a comprehensive, holistic approach to mental health support for all involved in the childbirth process.

引用

页码：362 / 367

页数：6

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