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Birth Trauma in Postnatal Period - Coggle Diagram
Birth Trauma in Postnatal Period
Assessment of birth trauma / PTSD
Exposure to actual or threatened death, serious injury, or
sexual violence in one (or more) of the following ways
Directly experiencing the traumatic event(s
This can occur even if there is not an actual life-threatening event.
If women believe that they are in peril, regardless if it is medically “true,” they may experience posttraumatic symptoms or meet the criteria for PTSD
Duration of the disturbance is more than 1 month
The definition relates more to the appraisal of the event, and the individual's reactions to the event, rather than the event itself
Not just about what happened but how it
happened
Not all traumatic births will result in PTSD
obsetric trauma
physical injury to the infant
physical injury to the mother
fear of physical injury to mother or infant
psychological response to the experience of birth including care received which cause psychological distress of an enduring nature
What do we consider a traumatic birth
Physical injury to the baby and resulting psychological
distress
Physical injury to the mother which results in
psychological distress
Fear of physical injury to mother or baby and
associated psychological distress
Psychological response to the experience of birth, including care received, which causes psychological distress of an enduring nature
some overlap between PTSD and anxiety / depression
drugs don't help PTSD
anxiety doesn't have to be related to event
Implications for practice
Advice, options and referral
behaviour may indicate the potential for
Postnatal Psychosis
signs and symptoms
unable to sleep
irritability
getting lots done / easily distracted
disorganised speech
hallucinations
grossly disorganised behaviours
psychiatic emergency
Midwifery Based bio-psycho-social assessment
psychosocial assessment
medical assessment
validated mental health screening instruments
Clinical interview
physical assessment
theoretical and social concepts of mental illness
identify those women at risk of perinatal mental health disorders
Mother infant relationship
questions/cues from family history
observation of relationship with other children( pre) and with baby (post)
Social support
Acute Stress disorder
Exposure to actual or threatened death, serious injury, or
sexual violence in one (or more) of the following ways
directly experiencing the traumatic event
The essential feature of acute stress disorder is the development of characteristic symptoms lasting from 3 days to 1mth following exposure to one of more traumatic events
response to stress
hypervigilance
sweating
hyperventilation
nausea / vomiting
pacing
repeating a series of behaviours