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Full Description
The focus of this book involves a new and emerging area, the field of perinatal or birth-related trauma which is relatively unrecognised. It is quite recent that acknowledgement has been given to the possibility that Birth can be a traumatic experience even when the life/health of the mother and infant are not significantly threatened. The editors and an interdisciplinary group of researchers from maternity care and from the field of child psychology explore connections between birth experiences and family relationships and infant and early childhood development and the emerging field of Intergenerational transmission of trauma. This work will help undergraduates as well as experienced clinicians and allied health care professionals in contact with childbearing and perinatal women and their families to provide them the best care.
Birth trauma affects mothers, fathers and children. The impact of a negative or traumatic birth experience can last for years and even a lifetime. Evidence suggests up to 20% of women describe some aspect of their birth as negative or even traumatic. However, others will go on to experience symptoms of intrusion, avoidance or hyper-arousal. Meta-analyses show post-traumatic stress disorder (PTSD) affects 4% of women after birth and up to 18% of women in high risk groups. Rectification of this situation is essential. In 2016, 5.11 million babies were born in Europe, indicating that up to 1.5 million women may have had sub-optimal birth experiences and over 200,000 may have developed PTSD as a result. Developmental research has firmly established that the quality of infant-parent relationships is a critical factor in early and later childhood development, consequently, a family-centred approach to any investigation of birth-related trauma is critical, as trauma can be transmitted within the family system. Given the enormous economic burden it places on women, health systems, and particularly children, relatively small improvements in services to prevent, detect and treat this problem can benefit society significantly.
By presenting new and unique insights healthcare professionals will be exposed to emerging research focussed on impacting clinical practice and social policy responses. Contributors to the book utilise case studies / service user perspectives where possible in order to highlight recent developments which in the past has seen women pathologized or symptoms of distress medicalised eg., women's experiences of concealed pregnancy or domestic violence in the perinatal period.
This book will be of interest to any maternity care novice (undergraduates) or experienced professionals - midwives, psychologists, obstetricians, neonatologists, those in support roles such as bereavement care, social work and counselling but also those working in the field of parenting and attachment to further explore the issue of transmission of stress and trauma in-utero and during the first year oflife.
Contents
Chapter 1: Introduction: Defining trauma and psychological wellbeing.- Part 1 Maximising best practice and optimal outcomes -unexpected events.- Chapter 2 Fetal anomaly diagnosis.- Chapter 3 Interactions with caregivers: midwives and obstetricians.- Chapter 4 Concealed pregnancy and missed opportunities.- Part 2 Maximising best practice and optimal outcomes -complex family relationships and the interplay with birth related trauma.- Chapter 5 Associated impact of stress and trauma on women's birthing partners /father.- Chapter 6 Intimate partner violence- coercive relationships and its impact on women during and after pregnancy.- Chapter 7 Intergenerational trauma- Maternal stress during pregnancy and infant/child outcomes.- Part 3 Maximising best practice and optimal outcomes - optimising the birth environment and culture.- Chapter 8 The impact of care on maternal psychological wellbeing.- Chapter 9 Challenges in measuring anddeveloping effective interventions for birth related trauma.- Chapter 10 Respect and Choice in Birth: Are they a human right or a legal right?.- Chapter 11 Conclusion - Woman's voices/case studies/through my lens.
