تأثير مشاوره بر اختلال استرس پس از تروما، در زايمان تروماتيك

The effect of counseling on post traumatic stress disorder after a traumatic childbirth

Background & Aim: Adverse childhirth experiences a~ a trauma can evoke fear and post-traumatic stress disorder in some women. This study was conducted to investigate the effect of counseling on post traumatic stress disorder after a traumatic childbirth. Methods & Materials: This research was a clinical trial which was conducted at Kamaly hospital in Karaj. Samples (300 women) who had experienced a traumatic childbirth were selected by a convenient sampling method and were randomized into an intervention (0,=150) and a control (0=150) group. The intervenrion gronp recei ved face-to-face counseling within 72 hours of birth for forty to sixty minutes in a session. The control group just received usual care after childhirth. The data collection tool was questionnaire, which was completed via interview. The measuring variables were demographic characteristic, reproductive history, maternity social support, and post-traumatic stress disorder. Data were analyzed using descriptive statistics and inferential tests (Chi-square, Fisherʹs exact test, and generalized Fisherʹs exact test) by SPSS v.13 software. Results: After 4-6 weeks of follow-np there was no significant difference regarding post-traumatic stress disorder between two groups tF=O.295). At f-month of follow-up, the intervention group reported less post-traumatic stress disorder comparing with the control group (P=O.OOl). Conclusion: A midwife-led counseling plan