Ruppin Academic Center, Emek Hefer 4025000, Israel.
School of Social Work, Hebrew University of Jerusalem, Jerusalem 9190500, Israel.
Int J Environ Res Public Health. 2023 Sep 28;20(19):6851. doi: 10.3390/ijerph20196851.
Pregnant women with symptoms of post-traumatic stress disorder (PTSD), who have experienced traumatic events such as sexual abuse and traumatic births, are particularly vulnerable to experiencing extreme fear of childbirth complications during labor and traumatic deliveries. In this commentary, we review the literature on this group of women and their specific needs during pregnancy and childbirth. We present a childbirth preparation intervention for pregnant women with PTSD symptoms, "Women Friendly", designed in Israel and gradually becoming available in the community and Israeli hospitals. This intervention is intended for women with high levels of fear of childbirth who are unmotivated or unable to undergo traditional psychotherapy that focuses on exposure to and processing of past traumatic event(s). It is based on birth-oriented thinking, principles of positive psychology, and trauma-informed care. In addition to the five sessions offered to pregnant women, medical staff are provided with 19 training sessions on the "Women Friendly" approach. Qualitative and quantitative research should examine the effectiveness of this intervention. Should results be encouraging, this intervention could be more widely implemented in Israel and abroad and applied in broader contexts, such as gynecological check-ups and medical examinations, interventions, and surgery.
患有创伤后应激障碍（PTSD）症状的孕妇，曾经历过性虐待和创伤性分娩等创伤性事件，在分娩时特别容易对分娩并发症产生极度恐惧和创伤性分娩。在这篇评论中，我们回顾了关于这组妇女及其在怀孕期间和分娩期间特定需求的文献。我们提出了一种针对 PTSD 症状孕妇的分娩准备干预措施，称为“关爱女性分娩”，该干预措施在以色列设计，并逐渐在社区和以色列医院中得到应用。这种干预措施适用于那些对分娩极度恐惧、没有动力或无法接受传统以暴露和处理过去创伤事件为重点的心理治疗的女性。它基于以分娩为导向的思维、积极心理学原则和创伤知情护理。除了为孕妇提供的五次课程外，医务人员还接受了 19 次关于“关爱女性分娩”方法的培训课程。应进行定性和定量研究来评估这种干预措施的效果。如果结果令人鼓舞，这种干预措施可以在以色列和其他国家更广泛地实施，并应用于更广泛的背景，如妇科检查、医疗干预和手术。
