Scoping review of the impact of birth trauma on clinical decisions of midwives

Minooee, Sonia, Cummins, Allison, Sims, Deborah J., Foureur, Maralyn, and Travaglia, Joanne (2020) Scoping review of the impact of birth trauma on clinical decisions of midwives. Journal of Evaluation in Clinical Practice, 26 (4). pp. 1270-1279.

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Objective: The psychological and emotional impact of a traumatic birth experience on clinicians is well-established. It is also known that emotions can generally influence decisions. However, it is not clear whether experiencing a birth trauma can affect the professional behaviour and decision-making of clinicians. This study explores the impact of birth trauma on clinical decision-making of midwives.

Data Sources: Four databases (Medline, Scopus, CINAHL and ProQuest) were searched to identify English language studies published from 1990 to 2018. Due to the lack of studies with specific focus on clinical decision-making after birth trauma, we defined two main domains for our literature search. To be included, studies had to focus on either traumatic birth experience or clinical decision-making in midwifery. The findings of the two domains were then integrated.

Study Selection: Of a total 2104 studies identified, 70 received full-text screening with 40 included in the review. Twenty-two articles were about traumatic birth events and 18 examined decision-making in midwifery.

Data Extraction: Information were extracted on each article's purpose, study design, data collection, participants, definitions of birth trauma and the context in which clinical decisions were made.

Results: Thematic analysis was conducted. The impact of birth trauma on midwives could be categorized into the following themes: psychological issues; professional concerns; changes in practice and positive impact. Review of literature indicated that clinical decision-making could be influenced through all these themes.

Conclusion: Decision-making can be impacted by the midwife's affective state related to previous experience of birth trauma. The continuum of impact may vary from increased defensiveness to increased personal and professional growth. Being aware of this impact can help midwives to better manage their emotions while making decision after traumatic birth experiences.

Item ID: 77752
Item Type: Article (Research - C1)
ISSN: 1365-2753
Copyright Information: © 2019 John Wiley & Sons, Ltd.
Date Deposited: 28 Nov 2023 03:06
FoR Codes: 42 HEALTH SCIENCES > 4204 Midwifery > 420403 Psychosocial aspects of childbirth and perinatal mental health @ 100%
SEO Codes: 20 HEALTH > 2003 Provision of health and support services > 200306 Midwifery @ 100%
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