Gamble Jenny, Creedy Debra K
Research Centre for Clinical Practice Innovation, Griffith University, Logan Campus Meadowbrook, Queensland 4131, Australia.
Midwifery. 2009 Apr;25(2):e21-30. doi: 10.1016/j.midw.2007.04.004. Epub 2007 Jul 27.
to describe the development and application of a brief counselling intervention for women who have experienced a traumatic birth.
the birthing trauma counselling model reflecting women's need to establish a therapeutic connection with a midwife, talk about their birth experience and have their feelings validated. Gaps in understanding of events need explanation and explicit connections made between the event and subsequent emotions and behaviours. Developing a rational understanding of birthing events and how labour may have been managed differently assists women to revise their assumptions about maternity care and gain a sense of control. Fostering social support, reinforcing positive approaches to coping and exploring solutions to restoring self-confidence and reducing anxiety may help re-establish psychological equilibrium.
the counselling intervention is consistent with trauma theory and draws on cognitive behavioural therapy principles. Midwives are well placed to provide counselling support to women experiencing birth-related distress. Further testing of the intervention in the clinical setting with a large sample is required.
描述一种针对经历过创伤性分娩的女性的简短咨询干预措施的开发与应用。
分娩创伤咨询模式反映了女性需要与助产士建立治疗关系、谈论她们的分娩经历并使自己的感受得到认可。对事件理解上的差距需要解释，并要在事件与随后的情绪和行为之间建立明确的联系。对分娩事件形成理性的理解以及了解分娩过程可能如何以不同方式进行管理，有助于女性修正她们对孕产妇护理的假设并获得控制感。培养社会支持、强化积极的应对方式以及探索恢复自信和减轻焦虑的解决方案，可能有助于重新建立心理平衡。
该咨询干预措施与创伤理论一致，并借鉴了认知行为疗法的原则。助产士非常适合为经历与分娩相关困扰的女性提供咨询支持。需要在临床环境中对大量样本进行该干预措施的进一步测试。
