scholarly journals Be Quiet and Man Up: A Qualitative Study into Men Who Experienced Birth Trauma

2019 ◽  
Author(s):  
Emily Daniels ◽  
Emily Arden-Close ◽  
Andrew Mayers
Keyword(s):  
Mental Health ◽  
Staff Training ◽  
Perinatal Period ◽  
Postnatal Period ◽  
Birth Trauma ◽  
Loss Of Life ◽  
Father’S Role ◽  
Traumatic Birth ◽  
The Uk ◽  
Paternal Mental Health

Abstract Background: Research focusing on paternal mental health is limited and the consequences of this are ignored. For example, little is known about the experiences of men who witness their partner’s traumatic birth and the subsequent impact. Therefore, the aim of this study was to explore men’s experiences of witnessing a traumatic birth, how these experiences impacted on their wellbeing, and what support they received during and following the traumatic birth. Methods: Sixty-one participants were recruited via targeted social media to complete an online qualitative questionnaire regarding their birth trauma experience. Eligible participants were aged over eighteen, resided in the UK and had witnessed a traumatic birth that did not result in loss of life. Thematic analysis was used to analyse the questionnaire data. Results: Three main themes were identified: ‘fathers’ understanding of the experience’ (subthemes: nothing can prepare you for it; merely a passenger; mixed experiences with staff; not about me); ‘life after birth trauma’ (subthemes: manhood after birth; inability to be happy; impact on relationships); and ‘the support fathers received vs what they wanted’ (subthemes: prenatal support; birth support; and postnatal support). Conclusions: Fathers reported significant experiences during childbirth when they had witnessed their partner’s traumatic birth. They felt this impacted on their mental health and relationships long into the postnatal period. However, there is no nationally recognised support in place for fathers to use as a result of their experiences. The participants attributed this to being perceived as less important than women in the perinatal/childrearing period, and maternity services’ perceptions of the father more generally. Implications include ensuring support is given to all involved in the perinatal period, with additional staff training geared towards the father’s role.

scholarly journals Be Quiet and Man Up: A Qualitative Study into Men Who Experienced Birth Trauma

2020 ◽  
Author(s):  
Emily Daniels ◽  
Emily Arden-Close ◽  
Andrew Mayers
Keyword(s):  
Mental Health ◽  
Staff Training ◽  
Perinatal Period ◽  
Postnatal Period ◽  
Birth Trauma ◽  
Loss Of Life ◽  
Father’S Role ◽  
Traumatic Birth ◽  
The Uk ◽  
Paternal Mental Health

Abstract Background Research focusing on paternal mental health is limited and the consequences of this are ignored. For example, little is known about the experiences of men who witness their partner’s traumatic birth and the subsequent impact. Therefore, the aim of this study was to explore men’s experiences of witnessing a traumatic birth, how these experiences impacted on their wellbeing, and what support they received during and following the traumatic birth. Methods Sixty-one participants were recruited via targeted social media to complete an online qualitative questionnaire regarding their birth trauma experience. Eligible participants were aged over eighteen, resided in the UK and had witnessed a traumatic birth that did not result in loss of life. Thematic analysis was used to analyse the questionnaire data. Results: Three main themes were identified: ‘fathers’ understanding of the experience’ (subthemes: nothing can prepare you for it; merely a passenger; mixed experiences with staff; not about me); ‘life after birth trauma’ (subthemes: manhood after birth; inability to be happy; impact on relationships); and ‘the support fathers received vs what they wanted’ (subthemes: prenatal support; birth support; and postnatal support). Conclusions Fathers reported that witnessing their partner’s traumatic birth had a significant impact on them. They felt this impacted on their mental health and relationships long into the postnatal period. However, there is no nationally recognised support in place for fathers to use as a result of their experiences. The participants attributed this to being perceived as less important than women in the perinatal/childrearing period, and maternity services’ perceptions of the father more generally. Implications include ensuring support is given to all involved in the perinatal period, with additional staff training geared towards the father’s role.

scholarly journals Be Quiet and Man Up: A Qualitative Study into Men Who Experienced Birth Trauma

2020 ◽  
Author(s):  
Emily Daniels ◽  
Emily Arden-Close ◽  
Andrew Mayers
Keyword(s):  
Mental Health ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Postnatal Period ◽  
Birth Trauma ◽  
Father’S Role ◽  
Traumatic Birth ◽  
The Uk ◽  
Paternal Mental Health ◽  
The Impact

Abstract Background: Research focusing on paternal mental health is limited, especially regarding the impact of the experience of poor mental health in the perinatal period. For example, little is known about the experiences of men who witness their partner’s traumatic birth and the subsequent impact on the father’s mental health. Therefore, the aim of this study was to explore fathers’ experiences of witnessing a traumatic birth, how these experiences impacted their wellbeing, and what support they received during and following the traumatic birth. Methods: Sixty-one participants were recruited via targeted social media to complete an anonymous online qualitative questionnaire regarding their birth trauma experience. Eligible participants were aged eighteen or over, resided in the UK and had witnessed their partner’s traumatic birth (that did not result in loss of life). Thematic analysis was used to analyse the questionnaire data. Results: Three main themes were identified: ‘fathers’ understanding of the experience’ (subthemes: nothing can prepare you for it; merely a passenger; mixed experiences with staff; not about me); ‘life after birth trauma’ (subthemes: manhood after birth; inability to be happy; impact on relationships); and ‘the support fathers received vs what they wanted’ (subthemes: prenatal support; birth support; and postnatal support). Conclusions: Fathers reported that witnessing their partner’s traumatic birth had a significant impact on them. They felt this affected their mental health and relationships long into the postnatal period. However, there is no nationally recognised support in place for fathers to use as a result of their experiences. The participants attributed this to being perceived as less important than women in the postnatal period, and maternity services’ perceptions of the father more generally. Implications include ensuring support is available for mother and father following a traumatic birth, with additional staff training geared towards the father’s role.

scholarly journals Be Quiet and Man Up: A Qualitative Questionnaire Study into Fathers Who Witnessed Their Partner’s Birth Trauma

2020 ◽  
Author(s):  
Emily Daniels ◽  
Emily Arden-Close ◽  
Andrew Mayers
Keyword(s):  
Mental Health ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Postnatal Period ◽  
Birth Trauma ◽  
Father’S Role ◽  
Traumatic Birth ◽  
The Uk ◽  
Paternal Mental Health ◽  
The Impact

Abstract Background: Research focusing on paternal mental health is limited, especially regarding the impact of the experience of poor mental health in the perinatal period. For example, little is known about the experiences of fathers who witness their partner’s traumatic birth and the subsequent impact on their mental health. Therefore, the aim of this study was to explore fathers’ experiences of witnessing a traumatic birth, how these experiences impacted their wellbeing, and what support they received during and following the traumatic birth. Methods: Sixty-one fathers were recruited via targeted social media to complete an anonymous online qualitative questionnaire regarding their birth trauma experience. Eligible participants were fathers aged eighteen or over, resided in the UK and had witnessed their partner’s traumatic birth (that did not result in loss of life). Thematic analysis was used to analyse the questionnaire data. Results: Three main themes were identified: ‘fathers’ understanding of the experience’ (subthemes: nothing can prepare you for it; merely a passenger; mixed experiences with staff; not about me); ‘life after birth trauma’ (subthemes: manhood after birth; inability to be happy; impact on relationships); and ‘the support fathers received vs what they wanted’ (subthemes: prenatal support; birth support; and postnatal support). Conclusions: Fathers reported that witnessing their partner’s traumatic birth had a significant impact on them. They felt this affected their mental health and relationships long into the postnatal period. However, there is no nationally recognised support in place for fathers to use as a result of their experiences. The participants attributed this to being perceived as less important than women in the postnatal period, and maternity services’ perceptions of the father more generally. Implications include ensuring support is available for both the mother and father following a traumatic birth, with additional staff training geared towards the father’s role.

scholarly journals Mental health issues in pregnant women in Nepal

2015 ◽  
Vol 5 (3) ◽  
pp. 499-501
Author(s):  
Edwin Van Teijlingen ◽  
Padam Simkhada ◽  
Bhimsen Devkota ◽  
Padmadharini Fanning ◽  
Jillian Ireland ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Change ◽  
Pregnant Women ◽  
Maternal Mental Health ◽  
Postnatal Period ◽  
Health Issues ◽  
New Mothers ◽  
Mental Health Issues ◽  
Area Of Concern ◽  
The Uk

Mental health of pregnant women and new mothers is a growing area of concern in both low- and high-income countries. Maternity services in the UK, for example, have focused more attention on maternal mental health. We recognise that pregnancy, birth and the postnatal period is a time of major psychological and social change for women.

scholarly journals The effects of continuity of care on the health of mother and child in the postnatal period: a systematic review

2019 ◽  
Vol 30 (4) ◽  
pp. 749-760 ◽  
Author(s):  
Florence D’haenens ◽  
Bart Van Rompaey ◽  
Eva Swinnen ◽  
Tinne Dilles ◽  
Katrien Beeckman
Keyword(s):  
Mental Health ◽  
Patient Outcomes ◽  
Continuity Of Care ◽  
Economic Status ◽  
Perinatal Period ◽  
Postnatal Period ◽  
Physical And Mental Health ◽  
Quality Patient Care ◽  
Mother And Child ◽  
Care Models

Abstract Background Continuity of care (COC) is essential for high-quality patient care in the perinatal period. Insights in the effects of COC models on patient outcomes are important to direct perinatal healthcare organization. To our knowledge, no previous review has listed the effects of COC on the physical and mental health of mother and child in the postnatal period. Methods A search was conducted in four databases (PubMed, Web of Knowledge, CENTRAL and CINAHL), from 2000 to 2018. Studies were included if: participants were healthy mothers or newborns with a gestational age between 37–42 weeks; they covered the perinatal period and aimed to measure breastfeeding or any outcome related to the maternal/newborn physical or mental health. At least one of the three COC types (management, informational and relationship) was identified in the intervention. The methodological quality was assessed. Results Ten articles were included. COC is mostly present in the identified care models. The effects of COC on the outcomes of mother and child in the postnatal period seem mostly to be positive, although not always significant. The relation between COC and the outcomes can be influenced by confounding factors, like the socio-economic status of the included population. Interventions with COC during pregnancy appear to be more effective for all the studied outcome factors. Conclusion COC as management, relational and informational continuity starting antenatal has the most impact on the postnatal outcomes of mother and child.

scholarly journals Improving patient experiences of mental health inpatient care: a randomised controlled trial

2017 ◽  
Vol 48 (3) ◽  
pp. 488-497 ◽  
Author(s):  
T. Wykes ◽  
E. Csipke ◽  
P. Williams ◽  
L. Koeser ◽  
S. Nash ◽  
...  
Keyword(s):  
Mental Health ◽  
Staff Training ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Self Report ◽  
Cluster Randomised Trial ◽  
Therapeutic Environment ◽  
Training Costs ◽  
Randomised Controlled ◽  
The Uk

BackgroundPoorer patient views of mental health inpatient treatment predict both further admissions and, for those admitted involuntarily, longer admissions. As advocated in the UK Francis report, we investigated the hypothesis that improving staff training improves patients’ views of ward care.MethodCluster randomised trial with stepped wedge design in 16 acute mental health wards randomised (using the ralloc procedure in Stata) by an independent statistician in three waves to staff training. A psychologist trained ward staff on evidence-based group interventions and then supported their introduction to each ward. The main outcome was blind self-report of perceptions of care (VOICE) before or up to 2 years after staff training between November 2008 and January 2013.ResultsIn total, 1108 inpatients took part (616 admitted involuntarily under the English Mental Health Act). On average 51.6 staff training sessions were provided per ward. Involuntary patient's perceptions of, and satisfaction with, mental health wards improved after staff training (N582, standardised effect −0·35, 95% CI −0·57 to −0·12, p = 0·002; interaction p value 0·006) but no benefit to those admitted voluntarily (N469, −0.01, 95% CI −0.23 to 0.22, p = 0.955) and no strong evidence of an overall effect (N1058, standardised effect −0.18 s.d., 95% CI −0.38 to 0.01, p = 0.062). The training costs around £10 per patient per week. Resource allocation changed towards patient perceived meaningful contacts by an average of £12 (95% CI −£76 to £98, p = 0.774).ConclusionStaff training improved the perceptions of the therapeutic environment in those least likely to want an inpatient admission, those formally detained. This change might enhance future engagement with all mental health services and prevent the more costly admissions.

scholarly journals Proof-of-concept support for the development and implementation of a digital assessment for perinatal mental health: a mixed methods study (Preprint)

2021 ◽  
Author(s):  
Nayra Anna Martin-Key ◽  
Benedetta Spadaro ◽  
Thea Sofie Schei ◽  
Sabine Bahn
Keyword(s):  
Mental Health ◽  
Health Assessment ◽  
Mental Healthcare ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Health Concerns ◽  
Mental Health Assessment ◽  
Digital Assessment ◽  
Mental Health Concerns ◽  
The Uk

BACKGROUND Perinatal mental health symptoms commonly remain underdiagnosed and undertreated in maternity care settings in the UK, with outbreaks of disease, like the coronavirus (COVID-19) pandemic, further disrupting access to adequate mental health support. Digital technologies may offer an innovative way to support the mental health needs of women and their families throughout the perinatal period, as well as assist midwives in the recognition of perinatal mental health concerns. However, little is known about the acceptability and perceived benefits and barriers to using such technologies. OBJECTIVE To conduct a mixed methods evaluation of the current state of perinatal mental healthcare provision in the UK, as well as users’ (women and partners) and midwives’ interest in using a digital mental health assessment throughout the perinatal period. METHODS Eight hundred and twenty-nine women, 103 partners, and 90 midwives participated in the study, which entailed completing an online survey. Quantitative data were explored using descriptive statistics. Open-ended response data were first investigated using thematic analysis. Resultant themes were then mapped onto the components of the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) and summarized using descriptive statistics. RESULTS The provision of adequate perinatal mental healthcare support was limited, with experiences varying significantly across respondents. There was a strong interest in using a digital mental health assessment to screen, diagnose, and triage perinatal mental health concerns, particularly among women and midwives. The digital assessment was seen to be well placed within maternity healthcare settings, with in-person only and blended care (i.e., in-person and remote support) approaches being preferred by women and partners in the event of further care being advised. Identified benefits and barriers mainly related to physical opportunity (e.g., accessibility), psychological capability (e.g., cognitive skills) and automatic motivation (e.g., emotions). CONCLUSIONS This study provides proof-of-concept support for the development and implementation of a digital mental health assessment to inform clinical decision-making in the assessment of perinatal mental health concerns in the UK.

A proposed psychological model for understanding and supporting individuals living with tokophobia

2021 ◽  
Vol 29 (11) ◽  
pp. 609-613
Author(s):  
Sarah-Jane Archibald
Keyword(s):  
Mental Health ◽  
Traumatic Stress ◽  
Health Professionals ◽  
Perinatal Period ◽  
Postnatal Period ◽  
Physical And Mental Health ◽  
Psychological Model ◽  
Mental Health Difficulties ◽  
Trauma Model ◽  
Pregnancy And Birth

Tokophobia is an overwhelming fear of pregnancy and birth that can lead to severe mental health difficulties in the perinatal period. The condition can be experienced by men as well as women and has implications for physical and mental health wellbeing in pregnancy and the postnatal period. Individuals with tokophobia are likely to have experienced previous traumatic events, which can trigger the condition and are also vulnerable to experiencing traumatic stress. This article proposes an adapted psychologically informed trauma model to help health professionals to understand and support pregnant women (and men) living with this condition. The aim of this is to raise awareness of the condition, as well as offer a guide for professionals to support and validate those living with this condition, as well as help them to feel safe and secure with the professional supporting them. It is hoped that this will lead those with tokophobia to experience a sense of safety, calmness, self-efficacy, connectedness and hope in working with professionals supporting them. This may, in turn, lead to them feeling more empowered and connected to becoming a parent and in planning their birth journey for those that are pregnant and living with this condition.

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