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

Sheen, Kayleigh; Spiby, Helen; Slade, Pauline

Authors

Kayleigh Sheen

Pauline Slade



Abstract

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.

Citation

Sheen, K., Spiby, H., & Slade, P. (2015). Exposure to traumatic perinatal experiences and posttraumatic stress symptoms in midwives: prevalence and association with burnout. International Journal of Nursing Studies, 52(2), https://doi.org/10.1016/j.ijnurstu.2014.11.006

Journal Article Type Article
Acceptance Date Nov 4, 2014
Online Publication Date Nov 12, 2014
Publication Date Feb 3, 2015
Deposit Date Jul 26, 2016
Publicly Available Date Jul 26, 2016
Journal International Journal of Nursing Studies
Print ISSN 0020-7489
Electronic ISSN 0020-7489
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 52
Issue 2
DOI https://doi.org/10.1016/j.ijnurstu.2014.11.006
Keywords Burnout; Midwives; Trauma; Posttraumatic stress
Public URL http://eprints.nottingham.ac.uk/id/eprint/35432
Publisher URL http://www.sciencedirect.com/science/article/pii/S0020748914003009
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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