Sunday, 28 August 2016

Perinatal Psychiatry, Birth Trauma and Perinatal PTSD: PLOS blog 24Aug16




PLOS Blog post 24 August 2016: Perinatal Psychiatry, Birth Trauma and Perinatal PTSD: An Interview with Dr. Rebecca Moore

Intro
"It is now blatantly clear that a woman’s increased vulnerability to developing PTSD is closely linked to that fact that, when compared to a man, she is much more likely to be the victim of the toxic traumas of childhood sexual abuse, rape, and intimate partner violence. More recently another type of trauma that women are uniquely vulnerable to enduring is garnering increasing attention—the psychological trauma associated with giving birth.

Dr. Rebecca Moore is the lead psychiatrist for the Tower Hamlets Perinatal Mental Health service based in London, U.K. Her clinical interests include PTSD and birth trauma, premenstrual dysphoric disorder (PMDD), the treatment of anxiety and depression in the perinatal period, and supporting the parent infant bond. Dr. Moore is passionate about improving services for women traumatized by birth and hosts an annual forum on Birth Trauma in London in December each year. Her goal is to form networks with those working with families with Birth Trauma around the world to share knowledge and innovative practices.

I recently spoke with her to understand more about Birth Trauma and PTSD.  ..."

Excerpts
"... During birth, certain complications or events may be more stressful to women than others. Broadly speaking, women are more likely to get PTSD if they have an emergency cesarean or assisted birth (forceps or ventouse), although PTSD can develop after a vaginal delivery.

Other stressful aspects of birth, such as blood loss, a long labor, a high level of pain, or a large number of interventions, are not conclusively related to getting PTSD.

Women who feel out of control, helpless, or overwhelmed by events during birth, or who have poor care and support from midwives and doctors, are significantly more likely to get PTSD. ..."

" ... For many women I meet there is a real lack of honest conversations about the process of birth, and my sense is many women enter their labor emotionally unprepared for what might happen and have high expectations of what they want to happen, which may or may not be realistic.

I think there is a much greater need for midwives and obstetricians to have repeated conversations with women about birth and listen to women’s fears, hopes, and preferred choices. ..."


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