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A phenomenological exploration of parenting after birth trauma : mothers’ perceptions of the first year

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Molloy, Eleanor, Biggerstaff, Deborah and Sidebotham, Peter (2021) A phenomenological exploration of parenting after birth trauma : mothers’ perceptions of the first year. Women and Birth, 34 (3). pp. 278-287. doi:10.1016/j.wombi.2020.03.004 ISSN 1871-5192.

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Official URL: https://doi.org/10.1016/j.wombi.2020.03.004

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Abstract

Problem
While perinatal mental health issues are considered to have an impact on a mother’s parenting capacity, there is limited research exploring mothers’ perceptions of their relationship with their child following traumatic birth experiences and how these might affect their parenting capacity.

Background
Birth trauma is a well-recognised phenomenon which may result in ongoing physical and perinatal mental health difficulties for women. This may impact on their attachment to their children, their parenting capabilities, and their self-identity as mothers.

Aims
To explore maternal self-perceptions of bonding with their infants and parenting experiences following birth trauma.

Methods
In-depth interviews with ten mothers were undertaken using an Interpretative Phenomenological Analysis methodology.

Findings
Women who experienced birth trauma often described disconnection to their infants and lacking confidence in their parental decision making. Many perceived themselves as being ‘not good enough’ mothers. For some women the trauma resulted in memory gaps of the immediate post-partum period which they found distressing, or physical recovery was so overwhelming that it impacted their capabilities to parent the way they had imagined they would. Some women developed health anxiety which resulted in an isolating experience of early parenthood.

Conclusions
Women who have suffered birth trauma may be at risk of increased fear and anxiety around their child’s health and their parenting abilities. Some women may experience this as feeling a lower emotional attachment to their infant. Women who experience birth trauma should be offered support during early parenting. Mother-Infant relationships often improve after the first year.

Item Type: Journal Article
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Postpartum depression, Childbirth, Childbirth -- Psychological aspects, Post-traumatic stress disorder, Mothers -- Mental health, Psychic trauma, Delivery (Obstetrics) -- Psychological aspects
Journal or Publication Title: Women and Birth
Publisher: Elsevier
ISSN: 1871-5192
Official Date: May 2021
Dates:
DateEvent
May 2021Published
14 April 2020Available
6 March 2020Accepted
Volume: 34
Number: 3
Page Range: pp. 278-287
DOI: 10.1016/j.wombi.2020.03.004
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 9 March 2020
Date of first compliant Open Access: 14 April 2021
Is Part Of: 1
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