Antenatal and intrapartum interventions to prevent psychological birth trauma: A mixed methods systematic review

IF 2.5 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-05-29 DOI:10.1016/j.midw.2025.104473

Victoria Barrett , Kerry Evans , Helen Spiby

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引用次数: 0

Abstract

Objective

To systematically identify interventions that have been delivered to women in the antenatal or intrapartum period to prevent or reduce psychological trauma post childbirth.

Methods

A systematic search strategy was conducted across databases including MEDLINE, AMED, EMBASE, CINAHL, PsycINFO, and Maternity Infant Care from inception to July 2024. Methodological quality of studies was assessed using recognised frameworks.

Results

Eleven studies involving 871 women met the inclusion criteria. Interventions included psychological and psycho-educational interventions, cognitive behavioural therapy, antenatal education and continuous intrapartum supportive care.

Conclusion

Multi-component interventions delivered in the antenatal period may be effective in preventing or reducing psychological trauma post childbirth in women with histories of traumatic life events. However, further research is required to identify the most effective and acceptable components of an intervention delivered to women in the antenatal or intrapartum period.

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产前和产时干预预防心理分娩创伤：一项混合方法的系统综述

目的系统识别在产前或分娩期间对妇女实施的干预措施，以预防或减少分娩后的心理创伤。方法采用系统的检索策略，对MEDLINE、AMED、EMBASE、CINAHL、PsycINFO、母婴护理等数据库进行检索，检索时间为建库至2024年7月。使用公认的框架评估研究的方法学质量。结果共纳入871名女性，符合纳入标准的研究有6项。干预措施包括心理和心理教育干预、认知行为治疗、产前教育和持续的产时支持性护理。结论产前多组分干预可有效预防或减少有创伤性生活事件史妇女分娩后的心理创伤。然而，需要进一步的研究来确定在产前或分娩期间向妇女提供的干预措施中最有效和可接受的组成部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.