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

Minooee, S; Cummins, A; Sims, DJ; Foureur, M; Travaglia, J

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

Minooee, S

Cummins, A

Sims, DJ Foureur, M

Travaglia, J

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Journal of Evaluation in Clinical Practice, 2020, 26, (4), pp. 1270-1279
Issue Date:: 2020

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Field	Value	Language
dc.contributor.author	Minooee, S https://orcid.org/0000-0003-3680-2163
dc.contributor.author	Cummins, A https://orcid.org/0000-0003-0626-3365
dc.contributor.author	Sims, DJ
dc.contributor.author	Foureur, M https://orcid.org/0000-0002-0454-0165
dc.contributor.author	Travaglia, J https://orcid.org/0000-0002-7537-0466
dc.date.accessioned	2020-09-16T05:22:27Z
dc.date.available	2019-11-29
dc.date.available	2020-09-16T05:22:27Z
dc.date.issued	2020
dc.identifier.citation	Journal of Evaluation in Clinical Practice, 2020, 26, (4), pp. 1270-1279
dc.identifier.issn	1356-1294
dc.identifier.issn	1365-2753
dc.identifier.uri	http://hdl.handle.net/10453/142703
dc.description.abstract	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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation	Illawarra Shoalhaven Local Health District
dc.relation	Australian College of Midwives (ACMI) Inc
dc.relation.ispartof	Journal of Evaluation in Clinical Practice
dc.relation.isbasedon	10.1111/jep.13335
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Health Policy & Services
dc.title	Scoping review of the impact of birth trauma on clinical decisions of midwives.
dc.type	Journal Article
utslib.citation.volume	26
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Midwifery
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	closed_access	*
pubs.consider-herdc	true
dc.date.updated	2020-09-16T05:22:02Z
pubs.issue	4
pubs.publication-status	Published online
pubs.volume	26
utslib.citation.issue	4

Abstract:

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.

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http://hdl.handle.net/10453/142703