I am sure that debriefing helps even if it does not cure. I
remember one particular woman at my previous place of work who
rang me many times and needed to talk about her EM CS (possible
not necessary) and I felt sad for her when I left there as we
had not finished debriefing. I think it helped a bit but she was
still a bit of a mess. 
For my self, I would loved to have had a sympathetic ear, it
took me nearly 25 years to come to terms with the 2 CS that I
had. Fortunately I have been able to channel into midwifery,
trying hard not to let women get the raw deal that I had. 

--- Nicole Carver <[EMAIL PROTECTED]> wrote:

> HI Mary,
> I remember reading about that research and being surprised. I
> have discussed
> it with the psych nurse employed where I work, who spends time
> nearly every
> day with women who have experienced traumatic births (or
> perceived them to
> be even when we might not have called them such). She feels it
> does help.
> Even one visit can help women who want to understand what
> happened to them
> and why. Some require much more, and thankfully our maternity
> support
> workers are great with these women. However, it is a tragedy
> that we need to
> have these workers. They do also work with antenatal and
> postnatal
> depression.
> I can't remember the specifics, but I don't recall being
> particularly
> impressed with the methodology of the study that you mention.
> And if women
> want to talk about their experience they should be able to,
> whether it is
> formal debriefing or whatever. I suppose you don't want to
> treat all women
> the same, ie what is appropriate debriefing for one woman,
> would not
> necessarily work for another. If you did try to treat them the
> same it would
> not be surprising if it did not work.
> Nicole Carver.
>   -----Original Message-----
> [mailto:[EMAIL PROTECTED] Behalf Of Mary
> Murphy
>   Sent: Saturday, February 04, 2006 10:59 AM
>   To: ozmidwifery@acegraphics.com.au
>   Subject: RE: [ozmidwifery] Post cs support
>   I believe there is some research out there that looked at
> de-briefing
> women after birth, particularly traumatic births.  As I
> remember it, the
> research did not show that this debriefing had particularly
> helpful
> outcomes.  Of course it is all in the Who, the When and the
> How.  Does
> anyone remember it?  Mary Murphy
> --
>   Andrea wrote:
>   Any suggestions. Should all women have a follow up
> appointment with the
> midwife who was at her birth, is this appropriate as they may
> have been part
> of the problem, should all women have a follow up appointment
> but the woman
> be allowed to choose who she wants the appointment with, at
> what stage would
> this be appropriate, 2 weeks, 8 weeks 3 months? How does this
> fit with the
> M&CH nurses who are now involved in the woman's on going care?
> How does her
> doctor, be it her own GP, obst or the one who attended (or
> not) her birth
> be involved in this?

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