Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Farhad Taremian. Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
BMC Pregnancy Childbirth. 2020 Mar 6;20(1):142. doi: 10.1186/s12884-020-2826-1.
This study investigated the effectiveness of brief midwife-led counseling based on Gamble and colleagues' approach in decreasing post-traumatic stress disorder, depression, and anxiety symptoms among a group of women who had experienced a traumatic childbirth.
From among 270 pregnant women screened to participate in the study, 90 women experienced a traumatic childbirth. They were randomly assigned into two groups: intervention (n = 45) and control group (n = 45). We did a face-to-face counseling session within 72 h after giving birth and a telephone counseling session four to 6 weeks after giving birth for the intervention group. The control group only received the postnatal routine care. The outcome measures were post-traumatic stress disorder, depression, and anxiety symptoms.
At the three-month follow-up, the intervention group showed significantly higher improvement on post-traumatic stress disorder, depression, and anxiety symptoms compared to the control group.
Gamble and colleagues' midwife-led brief counseling could be an effective approach to reduce psychological distress of women who have experienced a traumatic childbirth.
IRCT201608285417N2, Date of Registration: 2/21/2017.
本研究调查了基于 Gamble 及其同事方法的简短助产士主导的咨询对经历创伤性分娩的一组女性的创伤后应激障碍、抑郁和焦虑症状的有效性。
在 270 名接受筛查以参与研究的孕妇中，有 90 名孕妇经历了创伤性分娩。她们被随机分配到两组：干预组（n=45）和对照组（n=45）。我们在分娩后 72 小时内进行了面对面的咨询，在分娩后 4 至 6 周时对干预组进行了电话咨询。对照组仅接受产后常规护理。结局指标为创伤后应激障碍、抑郁和焦虑症状。
在三个月的随访中，与对照组相比，干预组的创伤后应激障碍、抑郁和焦虑症状显著改善。
Gamble 及其同事的助产士主导的简短咨询可能是一种有效的方法，可以减轻经历创伤性分娩的女性的心理困扰。
IRCT201608285417N2，注册日期：2017 年 8 月 21 日。
