A1: Project proposal
doristherese
Capstonesummary.pptx
Maternal Mental Health
Maternal Mental Health Disorder impacts mothers globally. One in three women experience birth trauma associated with the type of delivery or medical interventions
One in five women face maternal mental disorders and can affect the entire family
(O'Connell, 2019; Reed et al., 2017; Rees et al., 2019; Sukinik, 2018)
Purpose of the Project
To identify women who experienced trauma during childbirth and work with them to cope effectively
Data collection will guide the practice of Providers in this setting to eliminate factors that can contribute to these outcomes
(Improving Maternal Mental Health Care, 2020; McKinney et al., 2018)
Target Population
Postpartum patients
This Photo by Unknown Author is licensed under CC BY-SA
(Tappen, 2016)
Procedure Used to Gather Information
Patient interview will be performed via in person or telephone
This Photo by Unknown Author is licensed under CC BY-SA
This Photo by Unknown Author is licensed under CC BY-NC-ND
(Tappen, 2016)
Questionnaire
Tell me about your birth experience
Was it how you expected
What went well
What could we have done differently
This Photo by Unknown Author is licensed under CC BY-SA-NC
(Reed et al., 2017; Rees et al., 2019; Sukinik, 2018)
Tool used for data collection
5
Tell Me About Your Birth Experience
Having the patient talk about their birth experience can help make the patient understand what happened during their childbirth. The delivery note was reviewed before the interview on EHR, which was vital so that we could answer any possible questions the patients may have. Providing the opportunity to talk about their memories, thoughts, feelings, and birth experience are vital in a childbirth recovery process.
6
Total
Difficult Excellent Expected Good Satisfactory Unexpected 3 4 1 5 1 3
Was it How You Expected?
(Reed et al., 2017; Rees et al., 2019; Sukinik, 2018)
Most of the patients did not expect what their birth experience would be like, as some came in to induce labor, and some went into labor sooner than the expected due date.
7
Total
No Yes 14 3
What Went Well?
When asked about their birth experience and focused on what went well, Teamwork was one of our highest points of what went well in the unit. This is vital to promote safety in the team; partnership is vital to promote patient safety. Patients felt that they were cared for during their childbirth experience.
8
Total
Care experience Communication No Comment Teamwork 5 2 1 9
What Could We Have Done Differently
(Reed et al., 2017; Rees et al., 2019; Sukinik, 2018)
Most patients stated that they would not change anything, even though they did not expect their childbirth experience to go as they would think it would have gone. Things that we could have done differently are communication, care experience, Courtesy and Respect, and customer service, which could be improved.
9
Total
Care Expereince Communication Courtesy and Respect Customer Service None 1 1 1 2 12
Summary
Trauma can have a negative impact on the mother-baby dyad
Early screening is essential in maintaining the mother’s wellbeing
Debriefing after birth is a critical piece to assist closure on their unexpected birth experiences
No matter how their birth played out, debriefing with the mother and the team is vital to provide the opportunity to talk about their memories, thoughts, feelings, and birth experience
(McKinney et al., 2018; Reed et al., 2017; Simpson & Catling, 2016)
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Project Findings or Value of Project Finding
This project is generalizable to other locations and populations
(McKinney et al., 2018; Improving Maternal Mental Health Care, 2020)
References
Improving maternal mental health care. (2020, March 2). California Health Care Foundation. Retrieved September 4, 2020, from https://www.chcf.org/project/improving-maternal-mental-health/
McKinney, J., Keyser, L., Clinton, S., & Pagliano, C. (2018). Acog committee opinion no. 736: Optimizing Postpartum Care. Obstetrics & Gynecology, 132(3), 784–785. https://doi.org/10.1097/aog.0000000000002849
Midwifery services - southern alameda county. (2021). Southern Alameda County. https://thrive.kaiserpermanente.org/care-near-you/northern-california/gsaa/departments/midwifery-services/
O'Connell, M. (2019). Preventing, recognising, and responding to fear of childbirth and birth trauma. BMJ, l2279. https://doi.org/10.1136/bmj.l2279
Reed, R., Sharman, R., & Inglis, C. (2017). Women’s descriptions of childbirth trauma relating to care provider actions and interactions. BMC Pregnancy and Childbirth, 17(1). https://doi.org/10.1186/s12884-016-1197-0
Rees, S., Channon, S., & Waters, C. S. (2019). The impact of maternal prenatal and postnatal anxiety on children’s emotional problems: a systematic review. European Child & Adolescent Psychiatry, 28, 257–280. https://doi.org/10.1007/s00787-018-1173-5
Simpson, M., & Catling, C. (2016). Understanding psychological traumatic birth experiences: A literature review. Women and Birth, 29(3), 203–207. https://doi.org/10.1016/j.wombi.2015.10.009
Sukinik, U. S. (2018, August 3). Debriefing after birth - birth you desire. Birth You Desire. https://birthyoudesire.com/debriefing-after-birth/
Tappen, R. A. (2016). Advanced nursing research from theory to practice (2nd ed.) [Kindle]. Jones & Bartlett Learning.
