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Latest research on childbirth fear

Latest research on childbirth fear

There are few well-designed studies that test interventions to address women’s childbirth fear, support normal birth, and diminish the possibility of a negative birth experience. With the assistance of a grant from the National Health and Medical Research Council, we recruited and screened 1400 pregnant women in their second trimester of pregnancy from antenatal clinics in Queensland. Women reporting high childbirth fear were randomly allocated to the intervention or control group. A psycho-educational intervention known as BELIEF (Birth Emotions – Looking to Improve Expectant Fear) was offered by midwives over the telephone at 24 and 34 weeks of pregnancy.

The intervention aimed to review birth expectations, work through distressing elements of childbirth, discuss strategies to develop support networks, affirm that negative childbirth events can be managed and develop a birth plan. Women in the control group received standard care. All women received an information booklet on childbirth choices. On behalf of the BELIEF team, I would like to talk about our program of research on birth trauma and fear over the past 15 years, the responses of women who agreed to participate, and changes that need to be made to maternity care in Australia to prevent trauma and improve birthing women’s emotional health.

Conference: RACGP
Areas of Interest / Categories: RACGP 2015

RACGP 2015

Engaging adolescents - Dealing with difficult teens

The Engaging Adolescents parenting education course teaches parents what goes into forming a great relationship with their teenagers and how to broach difficult topics with teenagers and importantly, emerge in one piece! Based on scripted mediation techniques, the PASTA for teenagers’ process provides parents with a method for holding tough conversations with adolescents, where parents can deal with short term issues (such as being interrupted) and long term issues teaching teenagers how to negotiate successfully).  PASTA stands for Prepare, Appointment, Say, Tame the Tiger and Agree. This program has been taught to over 2000 professionals in Australia and it has demonstrated a method that is easy to learn where parents might have otherwise just become angry with their teenagers. There is some preparation involved in holding this type of conversation (using a three-page worksheet), but the PASTA method is eloquent in its simplicity, and easy for professionals to teach to parents in groups. 

Recovery from complex trauma

The Royal Commission into Institutional Responses to Child Sexual Abuse has put the issue of child abuse on the national agenda. The need for informed services is highlighted daily in stories and testimony. Many intractable health problems result from the chronic life stress and compensatory behaviours which underlie traumatic childhood experiences. Adverse childhood experiences are common, destructive and powerfully impact both mental and physical health `a half-century later’ (Felitti, 2002:45). Unresolved trauma not only has significant morbidity and mortality for those experiencing it, but also has profound impacts on their children, families and communities.

Recovery from complex trauma

The Royal Commission into Institutional Responses to Child Sexual Abuse has put the issue of child abuse on the national agenda. The need for informed services is highlighted daily in stories and testimony. Many intractable health problems result from the chronic life stress and compensatory behaviours which underlie traumatic childhood experiences. Adverse childhood experiences are common, destructive and powerfully impact both mental and physical health `a half-century later’ (Felitti, 2002:45). Unresolved trauma not only has significant morbidity and mortality for those experiencing it, but also has profound impacts on their children, families and communities.

Engaging adolescents - Dealing with difficult teens

The Engaging Adolescents parenting education course teaches parents what goes into forming a great relationship with their teenagers and how to broach difficult topics with teenagers and importantly, emerge in one piece! Based on scripted mediation techniques, the PASTA for teenagers’ process provides parents with a method for holding tough conversations with adolescents, where parents can deal with short term issues (such as being interrupted) and long term issues teaching teenagers how to negotiate successfully). PASTA stands for Prepare, Appointment, Say, Tame the Tiger and Agree. This program has been taught to over 2000 professionals in Australia and it has demonstrated a method that is easy to learn where parents might have otherwise just become angry with their teenagers. There is some preparation involved in holding this type of conversation (using a three-page worksheet), but the PASTA method is eloquent in its simplicity, and easy for professionals to teach to parents in groups.

Managing suicidal risk and self-harming behaviours in adolescents

Mental health disorders account for the highest burden of disease among young people (almost 50%) in the 16-24 year age group (Young Australians: their health and wellbeing. AIHW 2011). There are nearly 300 suicides in this age group each year in Australia. Research also suggests that up to 12% of young people engage in deliberate self-harm. These behaviours present significant challenges for health professionals working with young people. The presenter provides a greater understanding of self-harming and suicidal behaviour in young people, as well as identifying effective responses in the assessment and management of these behaviours.

Exercises in Laughter Yoga

Laughter Yoga falls into all three categories: healing, education and entertainment. Dr Maslowski is a Certified Laughter Yoga Teacher by the founder of Laughter Yoga, Dr Madan Kataria of India. A certified Hypnosis Trainer by Dr Tad James and is registered with the American Board of Hypnotherapy as a practitioner and teacher. He established a number of clinics both in Europe and in Australia, where his unique model of combining the best of Western Medicine with the best of Complementary Medicine is used with amazingly great effects.

Building consultation skills with young people: sex, minors and kids who cut.

This presentation is an outline of some principles of adolescent health that are relevant to GPs. Summarising their main burdens of disease, and contextualising the role of General Practice in supporting