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Refining Trauma‐Informed Perinatal Care for Urban Prenatal Care Patients with Multiple Lifetime Traumatic Exposures: A Qualitative Study
Author(s) -
Gokhale Priyanka,
Young Maria R.,
Williams Makayla N.,
Reid Shayla N.,
Tom Laura S.,
O'Brian Catherine A.,
Simon Melissa A.
Publication year - 2020
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1111/jmwh.13063
Subject(s) - medicine , qualitative research , prenatal care , limiting , family medicine , pregnancy , psychiatry , nursing , population , mechanical engineering , social science , environmental health , sociology , biology , engineering , genetics
Because lifetime trauma exposure has been linked to multiple adverse pregnancy outcomes, there is a need for all perinatal care providers to be versed in trauma‐informed care practices. However, there are few data to guide trauma‐informed practice during the perinatal period. The objective of this study was to refine ongoing development of a trauma‐informed care framework for perinatal care by conducting a qualitative study of all trauma experiences and preferred screening practices of pregnant patients at an urban prenatal clinic. Methods In this qualitative study, we conducted semistructured interviews with 30 women receiving prenatal care at an urban clinic. Participants also completed a trauma history questionnaire. Inductive coding was used to generate themes and subthemes. Results Participants described multiple lifetime traumatic exposures as well as background exposure to community violence. Not all participants desired routine trauma screening; factors limiting disclosure included fear of retraumatization and belief that prior trauma is unrelated to the current pregnancy. Strong therapeutic relationships were identified as critical to any trauma history discussion. Discussion This study supports a trauma‐informed care approach to caring for pregnant women with prior traumatic exposures, including trauma screening without retraumatization and trusting patient‐provider relationships.