Posttraumatic Stress Symptoms in Swedish Obstetricians and Midwives After Severe Obstetric Events: A Cross-sectional Retrospective Survey
| Autor: | A. Skoog Svanberg, Åsa Wahlberg, Ulf Högberg, Gunilla Hallberg, M. Andreen Sachs, Maria Jonsson, Kerstin Bergh Johannesson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Personnel Population Midwifery Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Ambulatory care Pregnancy Retrospective survey mental disorders medicine Humans 030212 general & internal medicine Psychiatry education Retrospective Studies Sweden Response rate (survey) education.field_of_study 030219 obstetrics & reproductive medicine Labour ward business.industry Traumatic stress Obstetrics and Gynecology Middle Aged Delivery Obstetric 030227 psychiatry Obstetrics Occupational Diseases Posttraumatic stress Cross-Sectional Studies Family medicine Female business |
| Zdroj: | Obstetric Anesthesia Digest. 38:80-81 |
| ISSN: | 0275-665X |
| Popis: | Objective To examine post-traumatic stress reactions among obstetricians and midwives, experiences of support and professional consequences after severe events in the labour ward. Design Cross-sectional online survey from January 7 to March 10, 2014. Population Members of the Swedish Society of Obstetrics and Gynaecology and the Swedish Association of Midwives. Methods Potentially traumatic events were defined as: the child died or was severely injured during delivery; maternal near-miss; maternal mortality; and other events such as violence or threat. The validated Screen Questionnaire Posttraumatic Stress Disorder (SQ-PTSD), based on DSM-IV (1994) 4th edition, was used to assess partial post-traumatic stress disorder (PTSD) and probable PTSD. Main outcome measures Partial or probable PTSD. Results The response rate was 47% for obstetricians (n = 706) and 40% (n = 1459) for midwives. Eighty-four percent of the obstetricians and 71% of the midwives reported experiencing at least one severe event on the delivery ward. Fifteen percent of both professions reported symptoms indicative of partial PTSD, whereas 7% of the obstetricians and 5% of the midwives indicated symptoms fulfilling PTSD criteria. Having experienced emotions of guilt or perceived insufficient support from friends predicted a higher risk of suffering from partial or probable PTSD. Obstetricians and midwives with partial PTSD symptoms chose to change their work to outpatient care significantly more often than colleagues without these symptoms. Conclusions A substantial proportion of obstetricians and midwives reported symptoms of partial or probable PTSD after severe traumatic events experienced on the labour ward. Support and resilience training could avoid suffering and consequences for professional carers. Tweetable abstract In a survey 15% of Swedish obstetricians and midwives reported PTSD symptoms after their worst obstetric event |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|