Postnatal debriefing is offered by 78% of maternity services in the uk despite little evidence from randomized controlled trials (rcts) that it is effective. The longitudinal effects of midwife-led debriefing on the psychological health of mothers supporting the benefits of postnatal postnatal debriefing whilst in some studies the. The researchers concluded that the support, counselling, understanding and explanation given to the debriefing intervention participants by midwives in the postnatal period provided benefits to psychological well-being, not just necessarily the process of debriefing. Recent guidelines for postnatal mental health (national institute for health and clinical excellence, 2007) emphasise the need for midwives to support women who wish to talk about their experience of childbirth, but do not advocate routine, formal debriefing sessions.
Principles of care 111 each postnatal contact should be provided in accordance with the principles of individualised care in order to deliver the core care recommended in this guideline, postnatal services should be planned locally to achieve the most efficient and effective service for women and their babies. 5 rowan c, bick d, bastos mh postnatal debriefing interventions to prevent maternal mental health problems after birth: exploring the gap between the evidence and uk policy and practice. Psychological debriefing is a systematic process that explores in-depth a person's experience, cognition, attributions of an event, and the emotional reactions that arise from it as well as providing information about common reactions and coping strategies 1-3,1-4 talking about an experience, listening with empathy, and facilitating.
Postnatal care appears to focus on the physical aspects often neglecting the psychological aspects some women are unable to finish their journey and make sense of events in childbirth, so debriefing has been introduced as a technique to address this issue. Postnatal follow-up should include debriefing with an explanation of what happened, why it happened and any implications for future pregnancy or fertility prevention and management of postpartum haemorrhage . This review assessed the effectiveness of postnatal debriefing, and evaluation and service provision in the uk the authors concluded that a formal debriefing is unsupported by the evidence and it might be appropriate to offer an opportunity to discuss childbirth experience. Appropriate postnatal care of the mother and newborn will help to reduce maternal and neonatal mortality and morbidity the balance of benefits and harms of implementing each recommendation is considered in the original guideline document. To assess the effects of debriefing interventions compared with standard postnatal care for the prevention of psychological trauma in women following childbirth search strategy: the trials registers of the cochrane depression, anxiety and neurosis group (ccdanctr-references and ccdanctr-studies) and the cochrane pregnancy and childbirth group.
Published: mon, 22 jan 2018 215133 postnatal debriefing still valued by women introduction providing debriefing for women in the postnatal period is believed by many midwives to help women to adjust to their childbirth experiences, and to help reduce postnatal psychological morbidity. While some positive outcomes of postnatal debriefing have been identified, the benefits have often been unclear or inconclusive 26 through a meta-ethnographic literature review, baxter et al 26 found that there is generally a positive response from women in regard to debriefing, as women value the opportunity to discuss their birth experience. Postnatal debriefing is offered by 78% of maternity services in the uk despite little evidence from randomised controlled trials (rcts) that it is effective rcts in this area have applied debriefing as a prophylactic to all or high risk women, rather. The studies were described in a narrative, with separate discussions of the effectiveness of postnatal debriefing and the provision and evaluation of debriefing in the uk.
The issues around postnatal debriefing have been debated during the last two decades it was initially recommended as an intervention by research papers and government articles (alexander, 1998 department of health, 1999), but has since been deemed inappropriate for routine midwifery care (dennett, 2003. Crd summary this review assessed the effectiveness of postnatal debriefing, and evaluation and service provision in the uk the authors concluded that a formal debriefing is unsupported by the evidence and it might be appropriate to offer an opportunity to discuss childbirth experience. Benefits of postnatal debriefing this essay will review several pieces of research relating to postnatal debriefing associated with the psychological distress and potential. Author information 1 midwifery lecturer, school of nursing, social work and applied health studies, university of hull, hull, uk 2 midwifery lecturer, university of hull, school of nursing, social work and applied health studies, uk.
Discuss the risks of infections during pregnancy and the risks and benefits of vaccine use during pregnancy explore the process of postnatal debriefing and the. Postnatal debriefing interventions to prevent maternal mental health problems after birth: exploring the gap between the evidence and uk policy and practice worldviews evid based nurs 20074(2):97-105.
Which women should avoid postnatal debriefing and what alternative methods of support might be more appropriate) could better be addressed by in-depth qualitative research, which is better able to tease out the contextual factors that have an impact on this type of intervention. Postnatal depression is the most frequent psychiatric disorder seen after childbirth, with a prevalence rate of 10% to 15% the women at risk need to be identified by a valid and reliable method, either using a screening instrument or an interview schedule the preventive strategies need to have. Postnatal debriefing is offered by 78% of maternity services in the uk despite little evidence from randomised controlled trials (rcts) that it is effective. Interventions aimed to prevent postnatal depression include psychotherapy, postnatal debriefing and other educational and supportive measures provided by midwives, as well as antidepressant drugs, hormones, nutritional advice, exercise, acupuncture and massage (4-7.