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"evidence of the effects of 'supportive listening' such as debriefing
(women of their labour and birth experience) in preventing PND indicates
that it is likely to be of no benefit."
Sadly most women seem to have absorbed the ethos to tough it out, not make
a fuss, do whatever has to be done and just get over it. This seems to be what
is expected of them too by most staff
These two comments are linked I feel. From experience the immediate post
natal period (the time in hospital and the first few months) are not really
conducive to actually taking
in what ever explanations are given to women.
You have to take into consideration the facts that a woman is most probably
in shock (for any numbers of reasons :her well being, the safety and well being
of the child....the impact of language can have a huge influence of the degree
of shock...did someone mention the words baby dying/ distressed/ needing help
out/ cant birth the baby normally? etc.) and coupled with the amount of
drugs that are given; the normal shock involved in becoming a mother (breast
feeding caring for babe etc) the continuous sleep interruptions and all the
other wonderful things that happen in hospital, all add up to either not fully
taking the explanation in or simply saying "yes I understand" and not really
exploring how she feels.
Another factor that would support the notion that debriefing doesn't help
(don't think that I disagree with the need to explain the reasons whilst in
hospital cause I feel it is hugely important) is that a woman will accept the
explanation and think that it is true and factual and then find out further down
the track that stalling at 8cm for 2 hours doesn't really mean failure to
progress, some woman stall for many more and still go on to birth
vaginally....THEN adverse psychological reactions kick in. It would be
interesting to read the study that the above mentioned statement came from to
see at what period did they evaluate the woman's emotional state: the way in
which information/ explanations were presented and their definition of
'depression'.
I agree wholeheartedly that more research has to be done and that its
findings need to be published in Obs journals not the journals dealing with
psychiatry or psychology cause obs don't read them!!!!!
Sorry this is so long...will hold back for now to continue the conversation
in other emails ...not just the one email!
Thanks for your comments Marilyn...love to talk more! - gee really?
Jo Bainbridge
founding member CARES SA www.cares-sa.org.au [EMAIL PROTECTED] phone: 08 8388 6918 birth with trust, faith & love...
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