Improving care for Veterans impacted by traumatic birth: Effectiveness of continuing education for healthcare professionals

Abstract:Traumatic birth and postpartum posttraumatic stress disorder (PP-PTSD) are associated with a variety of negative sequelae, such as reduced parent/infant bonding, lower rates of breastfeeding, increased rates of substance use disorder, and other perinatal mood and anxiety disorders (PMADs). Due to increased rates of lifetime trauma exposure, birthing veterans are at higher risk than their civilian counterparts of developing PP-PTSD. Many healthcare providers report limited training regarding PMADs such as PP-PTSD. The current study developed, implemented, and analyzed the effectiveness of a continuing education course for Veterans Administration healthcare providers. The course, “Veterans and Traumatic Birth: Providing Optimal Care,” was offered to physicians, nurses, social workers, and psychologists. Changes in their knowledge, endorsement of trauma-informed principles, and intentions for care were studied using a pretest/post-test design. After completing the training, providers showed significant improvement in knowledge and endorsement of trauma informed principles (ETIP). They rated practical information like referral sources and screening tools as the most valuable information they received from the training. A majority of providers indicated that they intend to implement increased screening, use evidence-based treatment for PP-PTSD, recommend social support, and consider multicultural implications in perinatal care.

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