A counselling model for postpartum women after distressing birth experiences.
OBJECTIVE
to describe the development and application of a brief counselling intervention for women who have experienced a traumatic birth.


METHODS
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.


CONCLUSIONS
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.
Research Centre for Clinical Practice Innovation, Griffith University, Logan Campus Meadowbrook, Queensland 4131, Australia. j.gamble@griffith.edu.au
Jenny
J
Gamble
Debra K
DK
Creedy
D000328:Adult; D003376:Counseling / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D008880:Midwifery / Q000379:methods*; D016294:Models, Nursing; D009035:Mothers / Q000523:psychology*; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D007744:Obstetric Labor Complications / Q000451:nursing / Q000523:psychology*; D017060:Patient Satisfaction; D011181:Postnatal Care / Q000379:methods; D011247:Pregnancy; D011793:Queensland; D012944:Social Support; D011795:Surveys and Questionnaires; D055815:Young Adult