Counselling processes to address psychological distress following childbirth: perceptions of midwives

Abstract

This study explored midwives' views of counselling strategies that may facilitate recovery following a traumatic birthing experience. Focus group interviews with 16 midwives were analysed to reveal recurring themes. Three themes that relate to counselling processes were identified: opportunities to talk about the birth, develop an understanding of events, and minimising guilt. There is considerable overlap between the views of these midwives regarding postpartum counselling processes and those identified in the literature, but also key areas of difference. Midwives may be unaware of the depth of exploration needed by women when reviewing their birth experience and specific content areas that should be addressed.