Browsing by Author "Thomson, Gill"
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- Birth-related PTSD symptoms and related factors following preterm childbirth in TurkeyPublication . Gökçe İsbir, Gözde; İnci, Figen; Kömürcü Akik, Burcu; Abreu, Wilson; Thomson, GillAbstract Objective: To examine factors associated with birth-related post-traumatic stress disorder (PTSD) among women who had preterm birth in their last pregnancy in Turkey.Methods: 304 women were asked to report sociodemographic factors, perinatal factors, birth-related factors, preterm birth/premature infant characteristics, and social support factors and PTSD symptoms. Data were collected using online surveys between November 2020 and February 2021. Hierarchical multiple linear regression was used. Results: The prevalence of birth-related PTSD symptoms following preterm birth was 71.1%. Older age, the woman being positively affected by her own mother’s birth experience, not having traumatic experience in pregnancy and in the postnatal period, lower stress level after traumatic events experienced during birth, not feeling that their life/physical integrity was at risk during birth, having amniotomy, feeling psychologically well after childbirth, not being negatively affected by witnessing other parents’ happy moments with their babies in friend/family groups, the absence of infant illness and mother’s reporting higher positive interactions with healthcare team were associated with decreased likelihood of birth-related PTSD. Except for age and traumatic event in the postnatal period, all the variables explained 43% of the variance with a small effect size (f2 = 0.04). Stress level after the traumatic events experienced during labor was the strongest predictor of birth-related PTSD symptoms (β = 0.33). Conclusion: Wellbeing of mother and baby, facilitating interventions at labor, and positive communication with the healthcare team was associated with lower birth-related PTSD symptoms. The study findings highlighted on birth-related PTSD symptoms in mothers of preterm infants in Turkey.
- Posttraumatic growth in women after a childbirth experience: The influence of individual characteristics and intrusive and deliberate rumination.Publication . Brandão, Tânia; Brandão, Sónia; Prata, Ana Paula; Silva, Rosa; Abreu, Wilson; Riklikiene, Olga; Jarasiunaite-Fedosejeva, Gabija; González-Mesa, Ernesto; İsbir, Gözde Gökçe; Inci, Figen; Akik, Burcu Kömürcü; Uriko, Kristiina; Thomson, GillObjective: This study targeted women who had a self-defined traumatic birth to a) explore the differences between sociodemographic, obstetric, and childbirth trauma related variables in relation to women’s rumination style following a traumatic birth, b) determine differences between intrusive and deliberate rumination in relation to post-traumatic growth dimensions, and c) test whether deliberate rumination explains the relationship between intrusive rumination and post-traumatic growth dimensions. Method: A cross-sectional study design was employed using a web-based survey method for data collection. In total, 202 women who identified their childbirth experience as traumatic participated in this study. Results: Intrusive rumination and deliberate rumination were positively associated with all dimensions of post-traumatic growth in women following the traumatic childbirth event. Deliberate rumination fully explained the relationship between intrusive rumination and post-traumatic growth aspects of relating to others, new opportunities, and personal strength, and partially explained the relationship between intrusive rumination and posttraumatic growth aspects of spiritual changes and appreciation of life. Conclusions: The results suggest that deliberate rumination can contribute to explaining the occurrence of post-traumatic growth. These findings could help develop psychosocial interventions to maximise opportunities for deliberate rumination for women with traumatic childbirth experiences.
