Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614

BMC Medicine
R SmallLiesje Toomey

Abstract

There is little evidence that single-session debriefing is effective in reducing adverse mental health outcomes after trauma. Few trials have included long-term follow-up, but two also suggest possible negative effects of debriefing. We aimed to assess longer-term maternal health outcomes in a trial of midwife-led debriefing following an operative birth, given that findings at six months could not rule out a possible adverse effect of debriefing. Four to six years after participating in a midwife-led trial of debriefing following an operative birth, 1039/1041 women were mailed a questionnaire containing the Edinburgh Postnatal Depression Scale (EPDS) and the SF-36 health status measure. Responses were obtained from 534 women (51.4%). Responders from the two trial groups remained comparable 4-6 years postpartum. No significant differences on maternal health outcomes were found between the trial groups. In the longer term, maternal health status was neither positively nor adversely affected by the experience of debriefing, despite a hint of adverse effects at six months postpartum. Short debriefing interventions have not proven effective in improving mental health outcomes for women following childbirth.

References

Jul 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·J I BissonC Bannister
Jun 22, 2002·The Cochrane Database of Systematic Reviews·S RoseS Wessely
May 27, 2003·The Medical Journal of Australia·Susan R PriestRonald Hagan
Sep 27, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Wing Hung TamTony Kwok Hung Chung

❮ Previous
Next ❯

Citations

Feb 7, 2007·Current Opinion in Psychiatry·Prabha S Chandra, Sanjeev Ranjan
Aug 20, 2010·BMC Pregnancy and Childbirth·Michelle A KealyPranee Liamputtong
May 18, 2013·Clinical Medicine : Journal of the Royal College of Physicians of London·C Pinheiro-TorresJ Dacre
Jun 20, 2008·Midwifery·Julia Leinweber, Heather J Rowe
Mar 26, 2019·Developmental Psychobiology·Jianzhong HuYoko Nomura
Nov 26, 2014·Archives of Women's Mental Health·Elizabeth WernerCatherine Monk
Nov 7, 2015·The Cochrane Database of Systematic Reviews·Jodie M DoddCaroline A Crowther
Mar 2, 2013·The Cochrane Database of Systematic Reviews·Cindy-Lee Dennis, Therese Dowswell
Apr 11, 2015·The Cochrane Database of Systematic Reviews·Maria Helena BastosDebra Bick

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology
Kerry S CourneyaDonald C McKenzie
© 2021 Meta ULC. All rights reserved