Antenatal Services, Gosford Maternity Services, Central Coast Health, Northern Sydney Central Coast Area Health Service, PO Box 361, Gosford NSW 2250, Australia.
Women Birth. 2009 Sep;22(3):82-8. doi: 10.1016/j.wombi.2009.02.001. Epub 2009 Mar 13.
To investigate the impact of conducting structured antenatal psychosocial assessments (SAPSA) on midwives' emotional wellbeing. The SAPSA includes screening and assessment tools for domestic violence, childhood trauma, drug and alcohol use, depression, and vulnerability factors.
Registered midwives who had conducted the SAPSA with women during the first hospital booking visit at two hospitals in NSW. Data was collected by means of focus group interviews.
Four sub-themes were identified that directly impacted upon the midwives' emotional wellbeing: cumulative complex disclosures, frustration and stress, lack of support for midwives and unhealthy coping strategies.
There was a cumulative emotional effect with some midwives utilising unhealthy strategies to cope with feelings of frustration, inadequacy and vicarious trauma. Establishment of structured referral pathways for women and supportive systems for midwives is essential prior to implementing the SAPSA.
调查进行结构化产前心理社会评估 (SAPSA) 对助产士情绪健康的影响。SAPSA 包括针对家庭暴力、儿童期创伤、药物和酒精使用、抑郁和脆弱因素的筛查和评估工具。
在新南威尔士州的两家医院，在第一次医院预约就诊时对妇女进行 SAPSA 的注册助产士。通过焦点小组访谈收集数据。
确定了直接影响助产士情绪健康的四个子主题：累积复杂披露、挫败感和压力、缺乏对助产士的支持和不健康的应对策略。
一些助产士使用不健康的策略来应对挫败感、不称职和替代性创伤的感觉，这会产生累积的情绪影响。在实施 SAPSA 之前，为妇女建立结构化的转介途径和为助产士提供支持系统至关重要。
