?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F38050%2F&rft.title=Perceptions+and+experiences+of+patient+birth+trauma+among+maternity+healthcare+professionals%3A+an+exploratory+study&rft.creator=Salter%2C+Cynthia&rft.description=Each+year+3.79+million+U.S.+women+give+birth%2C+and+more+than+98%25+of+births+take+place+in+hospitals.++Yet+the+U.S.+maternal+mortality+ratio+is+increasing+and+is+four+to+five+times+higher+for+women+of+color+than+for+white+women.++Besides+poor+physical+health+outcomes%2C+many+women+experience+lasting+psychological+trauma+symptoms+after+giving+birth%2C+even+in+the+absence+of+obstetric+emergencies.%0D%0AThis+dissertation+research+uses+semi-structured+interviews+with+28+maternity+healthcare+professionals+including+labor+and+delivery+nurses+(n%3D14)%2C+midwives+(n%3D8)+and+physicians+(n%3D6)+to+explore+their+perceptions+and+experiences+of+patient+birth+trauma.+Findings+include+reports+of+potential+secondary+trauma%2C+compassion+fatigue%2C+burnout+and+moral+distress+among+participants%2C+associated+with+providing+maternity+care.+++Participants+identified+system+drivers+with+patient+birth+trauma%2C+including+lack+of+provider+training+in+responding+to+patient+emotional+needs%2C+lack+of+structure+for+processing+their+own+emotional+response+to+trauma%2C+and+inadequate+nursing+staff.+Other+contextual+factors+that+participants+associated+with+patient+birth+trauma+included+lack+of+patient+birth+preparation%2C+lack+of+continuity+of+care%2C+lack+of+informed+consent%2C+lack+of+patient-centered+care+and+poor+communication.++It+is+noteworthy+that+some+contextual+factors+that+participants+associated+with+increased+risk+of+patient+birth+trauma+are+the+same+factors+that+interfered+with+provider+ability+to+manage+their+own+responses+to+trauma.%0D%0AAdditionally%2C+participants%E2%80%99+descriptions+of+birth+trauma+were+mapped+onto+the+Bohren+et+al.+2015+%E2%80%9CTypology+of+Mistreatment+of+Women+During+Childbirth%2C%E2%80%9D+with+participant+narratives+fitting+into+six+of+the+seven+mistreatment+categories.++The+greatest+number+of+participant+statements+mapped+onto+the+category+%E2%80%9CFailure+to+meet+professional+standards+of+care%2C%E2%80%9D+followed+by+%E2%80%9CPoor+rapport+between+women+and+providers.%E2%80%9D++These+findings+demonstrate+that+some+providers+use+the+phrase+%E2%80%9Cbirth+trauma%E2%80%9D+as+a+euphemism+for+patient+mistreatment.++%0D%0AThis+research+contributes+to+understanding+system+factors+associated+with+birth+trauma%2C+respectful+patient-centered+maternity+care+and+mistreatment%2C+all+issues+of+public+health+significance.++Findings+reinforce+the+need+to+address+systemic+mistreatment+and+racism+and+to+provide+adequate+support+for+clinicians+in+addressing+their+own+emotional+responses+to+birth+trauma+as+well+as+training+in+the+psychological+and+emotional+components+of+birth.&rft.date=2020-01-29&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F38050%2F13%2FSalterC_Dissertation_18_Dec2019_Final.pdf&rft.identifier=++Salter%2C+Cynthia++(2020)+Perceptions+and+experiences+of+patient+birth+trauma+among+maternity+healthcare+professionals%3A+an+exploratory+study.++Doctoral+Dissertation%2C+University+of+Pittsburgh.++++(Unpublished)++