@article{ref1,
title="A socioecological model of posttraumatic stress among Australian midwives",
journal="Midwifery",
year="2016",
author="Leinweber, Julia and Creedy, Debra K. and Rowe, Heather and Gamble, Jenny",
volume="45",
number="",
pages="7-13",
abstract="OBJECTIVE: to develop a comprehensive model of personal, trauma event-related and workplace-related risk factors for posttraumatic stress subsequent to witnessing birth trauma among Australian midwives. <br><br>DESIGN: a descriptive, cross-sectional design was used. PARTICIPANTS: members of the Australian College of Midwives were invited to complete an online survey. MEASUREMENTS: the survey included items about witnessing a traumatic birth event and previous experiences of life trauma. Trauma symptoms were assessed with the Posttraumatic Stress Disorder Symptom Scale Self-Report measure. Empathy was assessed with the Interpersonal Reactivity Index. Decision authority and psychological demand in the workplace were measured with the Job Content Questionnaire. Variables that showed a significant univariate association with probable posttraumatic stress disorder were entered into a multivariate logistic regression model. <br><br>FINDINGS: 601 completed survey responses were analysed. The multivariable model was statistically significant and explained 27.7% (Nagelkerke R square) of the variance in posttraumatic stress symptoms and correctly classified 84.1% of cases. Odds ratios indicated that intention to leave the profession, a peritraumatic reaction of horror, peritraumatic feelings of guilt, and a personal traumatic birth experience were strongly associated with probable Posttraumatic Stress Disorder. <br><br>CONCLUSIONS: risk factors for posttraumatic stress following professional exposure to traumatic birth events among midwives are complex and multi-factorial. Posttraumatic stress may contribute to attrition in midwifery. Trauma-informed care and practice may reduce the incidence of traumatic births and subsequent posttraumatic stress reactions in women and midwives providing care.<br><br>Copyright © 2016 Elsevier Ltd. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0266-6138",
doi="10.1016/j.midw.2016.12.001",
url="http://dx.doi.org/10.1016/j.midw.2016.12.001"
}