title: Psychiatric advance practice nurses collaborate with certified nurse midwives in providing health care for pregnant women with histories of abuse.
abstract: Presented in this article is a unique model of collaborative health care practice between advance practice psychiatric nurses and certified nurse midwives in providing health care for pregnant women with histories of abuse. Women who have been sexually abused as children tend to have more problems during pregnancy, delivery, and postpartum. Four specific areas of mental health concerns have been identified: depression, dissociation, maternal/infant adjustment, and sexual adjustment in couples. Coordinated treatment plans allows for various physical and psychological interventions that are appropriate to the stage and preparation for childbirth and for after the delivery.
authors.affiliation: College of Nursing, University of Utah, Salt Lake City 84112, USA.
authors.forename: B V
authors.initials: BV
authors.lastname: Cole
authors.forename: M
authors.initials: M
authors.lastname: Scoville
authors.forename: L T
authors.initials: LT
authors.lastname: Flynn
mesh_terms: D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D009721:Nurse Midwives; D009730:Nursing Assessment; D011247:Pregnancy / Q000523:psychology*; D011568:Psychiatric Nursing; D011613:Psychotherapy