Women’s experiences of trauma, the psychosocial impact and health service needs during the perinatal period

Abstract Background Traumatic events are associated with psychological and physical health problems for women in the perinatal period (i.e., pregnancy-12-months after childbirth). Despite the negative impact of trauma on perinatal women, the long-term impact of such diverse trauma and women’s experi...

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Main Authors: Essence Perera, Sharon Chou, Nicole Cousins, Natalie Mota, Kristin Reynolds
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-023-05509-5
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author Essence Perera
Sharon Chou
Nicole Cousins
Natalie Mota
Kristin Reynolds
author_facet Essence Perera
Sharon Chou
Nicole Cousins
Natalie Mota
Kristin Reynolds
author_sort Essence Perera
collection DOAJ
description Abstract Background Traumatic events are associated with psychological and physical health problems for women in the perinatal period (i.e., pregnancy-12-months after childbirth). Despite the negative impact of trauma on perinatal women, the long-term impact of such diverse trauma and women’s experience during the perinatal period remains understudied. Methods This study explored two research questions: 1) What are the psychological experiences of perinatal women who have experienced interpersonal traumatic events? And 2) What are the service needs and gaps expressed by women relating to perinatal medical protocols and psychological services? These questions were addressed via in-depth semi-structured qualitative interviews with nine perinatal women (one pregnant and eight postpartum) residing in central Canada who reported experiencing interpersonal traumatic events occurring from adolescence to the perinatal period. Recruitment and data collection occurred from October 2020 to June 2021. Interviews were audio-recorded, transcribed, and analyzed according to constructivist grounded theory. Results The emergent grounded theory model revealed the central theme of the role of prior trauma in shaping women’s perinatal experiences, with four related main themes including perinatal experiences during the COVID-19 pandemic, the role of social support in women’s perinatal experiences, the barriers that women experienced while seeking psychological and medical services prior to the perinatal period and during the perinatal period, and the specific needs of perinatal women with a history of interpersonal trauma. Conclusions Findings of this research highlight the negative and long-lasting impact of traumatic events experienced on women’s psychological health and psychosocial functioning during the perinatal period, as well as perinatal women’s unmet psychological and medical service needs. A call to action for perinatal researchers and clinicians is imperative in furthering this important area of research and practicing person-centered and trauma-informed care with this population.
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spelling doaj.art-53de9d84d66e43cf8479b34e9011dfc42023-03-22T12:39:09ZengBMCBMC Pregnancy and Childbirth1471-23932023-03-0123111810.1186/s12884-023-05509-5Women’s experiences of trauma, the psychosocial impact and health service needs during the perinatal periodEssence Perera0Sharon Chou1Nicole Cousins2Natalie Mota3Kristin Reynolds4Department of Psychology, University of ManitobaDepartment of Psychology, University of ManitobaDepartment of Psychiatry, University of ManitobaDepartment of Psychiatry, University of ManitobaDepartment of Psychology, University of ManitobaAbstract Background Traumatic events are associated with psychological and physical health problems for women in the perinatal period (i.e., pregnancy-12-months after childbirth). Despite the negative impact of trauma on perinatal women, the long-term impact of such diverse trauma and women’s experience during the perinatal period remains understudied. Methods This study explored two research questions: 1) What are the psychological experiences of perinatal women who have experienced interpersonal traumatic events? And 2) What are the service needs and gaps expressed by women relating to perinatal medical protocols and psychological services? These questions were addressed via in-depth semi-structured qualitative interviews with nine perinatal women (one pregnant and eight postpartum) residing in central Canada who reported experiencing interpersonal traumatic events occurring from adolescence to the perinatal period. Recruitment and data collection occurred from October 2020 to June 2021. Interviews were audio-recorded, transcribed, and analyzed according to constructivist grounded theory. Results The emergent grounded theory model revealed the central theme of the role of prior trauma in shaping women’s perinatal experiences, with four related main themes including perinatal experiences during the COVID-19 pandemic, the role of social support in women’s perinatal experiences, the barriers that women experienced while seeking psychological and medical services prior to the perinatal period and during the perinatal period, and the specific needs of perinatal women with a history of interpersonal trauma. Conclusions Findings of this research highlight the negative and long-lasting impact of traumatic events experienced on women’s psychological health and psychosocial functioning during the perinatal period, as well as perinatal women’s unmet psychological and medical service needs. A call to action for perinatal researchers and clinicians is imperative in furthering this important area of research and practicing person-centered and trauma-informed care with this population.https://doi.org/10.1186/s12884-023-05509-5Perinatal periodTraumaPsychological symptomsMedical careHealth service needsPsychological health
spellingShingle Essence Perera
Sharon Chou
Nicole Cousins
Natalie Mota
Kristin Reynolds
Women’s experiences of trauma, the psychosocial impact and health service needs during the perinatal period
BMC Pregnancy and Childbirth
Perinatal period
Trauma
Psychological symptoms
Medical care
Health service needs
Psychological health
title Women’s experiences of trauma, the psychosocial impact and health service needs during the perinatal period
title_full Women’s experiences of trauma, the psychosocial impact and health service needs during the perinatal period
title_fullStr Women’s experiences of trauma, the psychosocial impact and health service needs during the perinatal period
title_full_unstemmed Women’s experiences of trauma, the psychosocial impact and health service needs during the perinatal period
title_short Women’s experiences of trauma, the psychosocial impact and health service needs during the perinatal period
title_sort women s experiences of trauma the psychosocial impact and health service needs during the perinatal period
topic Perinatal period
Trauma
Psychological symptoms
Medical care
Health service needs
Psychological health
url https://doi.org/10.1186/s12884-023-05509-5
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