MONDAY 15TH MARCH 2004
AUCKLAND
"Implications for care and best practice
PTSD and Childbirth"
MONDAY 15TH MARCH 2004 9.00AM - 5.00PM
WAIPUNA HOTEL AND CONFERENCE CENTRE, WAIPUNA RD,
MT WELLINGTON, AUCKLAND
PROGRAMME
OUR SPONSORS
Summary from Gillian White and Sara Weeks:
Gill and Sara presented for 90 minutes "Teasing out and Understanding PTSD and PND"
- What is Postnatal Depression?
- A major mood disorder - "We can talk of pnd when mood changes last more than two weeks and are disabling. That is when they interfere with life and functioning physically, psychologically, socially or all three"
- What is Post Traumatic Stress Disorder?
- An adjustment, anxiety or dissociative disorder. "PTSD following childbirth is a condition which can result from a 'traumatic' experience of childbirth."
Snippets from the presentation …
Prevalence, Statistics, Aetiology, Risk factors, The Brain, Fear and Emotional Memory, Processing the memory of trauma, Negative impact of pre or postnatal stressors, Dual Diagnosis and the Consequences.
We thank Gill and Sara for their expertise.
Dr Sara Weeks
Address: Mensana Clinic, Roberts Rd, Ellerslie, Auckland
Phone: 0-9-5257288
Ass Prof Gillian White
School Of Health Sciences, Massey University, Wellington
Phone: 0-4-8012794 extn 6753
Nimisha Waller presented for 90 minutes: "Caring for mothers to minimise PTSD in childbirth and working with mothers with PTSD"
It has been recognised for a long time that some women following difficult childbirth may go on to develop psychological problems. However it is only recently that it has become accepted that women can develop Post Traumatic Stress disorder (PTSD) following childbirth. This is because of the changes in the 1994 edition of the Diagnostic and Statistical Manual (DSM-IV) in the definition of what constitutes a traumatic event (American Psychiatric Association 1994). Though PTSD diagnosis can only be made subsequent to DSM-IV, the presence of PTSD-like symptoms were first documented in the late 1970's when two French obstetricians identified symptoms in group of 10 women undergoing obstetric care over a 2 year period (Beech & Robinson 1985). There are 5 studies relating to PTSD after childbirth and the prevalence rate ranges from 1.7% to 6% (Menage 1993, Wijma et al 1997, Czarnocka et al 2000, Creedy et al 2000, Ayres and Pickering 2001). The prevalence rate within New Zealand is not known. Literature around PTSD and Childbirth describe particular symptoms that women may exhibit, its effect on mother - infant attachment (Ballard et al 1995) and parenting (Weaver 1997), tokophobia (Hofberg & Brockington 2000) and factors that may put the women at risk following difficult birth (Ryding et al 1997). This presentation will be from a midwifery perspective looking at how we can care for mothers to minimise PTSD in childbirth as well as how we can work with mothers who already have PTSD or PTSD like symptoms. The presentation will include women's stories to highlight aspects of care that are relevant to them.
I am currently completing a narrative analysis of women's stories of traumatic birth and PTSD following childbirth as a part of my Master's thesis and I am very happy to present and discuss this further with groups that are interested.
Nimisha Waller
Senior Lecturer in Midwifery, Auckland University of Technology
Phone: 021-474057
Email: nimisha.waller@aut.ac.nz
Jilleen Cole - Counsellor psychotherapist, previously, midwife / nurse / teacher / childbirth educator
Honouring women and the process of birth. Working with women and / or their families who have experienced trauma in childbirth.
* Why the women come ..........
*How do we do this together .............
*Effects on the family ...........
*Desired outcomes ..........
Working from a perspective of health and wholeness and a belief in the integrity of the individual - physical, emotional, mental, spiritual.
I have a profound respect for women and a deep compassion for those women and their families who have been traumatised by this experience which should in most instances, have been both empowering and joyful.
Address: 192 Gills Road, Albany
Phone: 0-9-4159608 - I am not always available on the phone but messages left are answered as soon as possible.
Gerry Brawn Douglas, comes to Tabs with a wealth of experience on EMDR and much of his presentation concentrated on EMDR; "The 8 steps involved in EMDR therapy" and "The 6 septs involved in Focussing" "Highlighting the relevance of these therapeutic approaches to traumatic birth"
To contact Gerry:
Address: 22 Pupuke Rd, Birkenhead, North Shore
Email: gerry@pl.net
Phone: 0-9-4800194
Glenda Stimpson, friend of TABS, Convenor of Childbirth Education at Aucklands National Womens Hospital - gave a very interesting and humorous presentation summarised as follows …
- You can get a copy of your hospital notes anytime. And time frames to obtain them differ from hospital to hospital. They do not cost you any monies. The writing can be difficult to read and the photocopies may not be of good quality.
- To gain the maxium information from your notes you would be advised to have an inpartial health professional present to make explanation if required and to assist you.
- It is important to deal with your concerns/queries after the event because misconceptions/misunderstandings or a feeling that your care has been less than adequate can leave us feeling very angry, disempowered, desparing and depressed especially if the outcome has not met our expectations.
To make us "whole people" again we must face the situation and sometimes working through the notes can be very healing.
If there is anything I can do to assist you with intrepretation of your notes, I am willing to help.
Glenda E Stimpson
Email: glendas@pl.net
Phone: 0-9-8250710
THREE OF THE FIVE FOUNDERS OF TABS PRESENTED …
Carolyn Sutcliffe presented …
Minimising Trauma for Multiple Pregnancies - discussing the need to fully inform mothers openly and honestly about their situation and to give full consent and decision making.
For information on antenatal classes, contact Carolyn:
Phone: 0-9-8287538
Email: multiplemiracles@watchdog.net.nz
Teaching Post Natal Mental Illness
Sue Watson presented …
- Be positive about teaching Post Natal Mental Illness.
- Being aware of community groups, counselors and helping agencies in your own area, so you can pass this information on to mothers.
- Incorporate Post natal illness and trauma into the applicable and appropriate areas, subjects as they arise in your classes. Avoid the 'one off ' session on mental illness.
Kiri Hider, is currently establishing a midwifery practice in Christchurch
Overview: What are we being taught in midwifery about PTSD?
Reflecting on my own education, I wondered where was PTSD on the curriculum. It was mentioned but never in great depth. This alarmed me somewhat, however the more I thought about it, the more I realised that midwifery and direct entry midwives aren't taught ambulance at the bottom of the cliff skills. Rather we are taught how women deserve to be treated, that women own the process of birth and the midwifes role is that of information giver and supporter.
What does this mean? How are midwives prepared for the reality of birth, what skills do they bring to birthing women which recognise the physical, social, spiritual and emotional needs of women and their families? Is midwifery education ahead of its time in the way it educates indirectly about PTSD?
To contact either Sue or Kiri:
Address: PO Box 18 002, Glen Innes, Auckland
Sue - Email: ptsdtabs@ihug.co.nz
Kiri - Email: hider5@ihug.co.nz.
NATUROPHARM
TABS acknowledges the support of this NZ company ... Naturo Pharm, one of New Zealand's leading manufacturers and suppliers of homoeopathic remedies, has produced a comprehensive range of classical homoeopathic remedies for over 30 years. In addition to these classical remedies, Naturo Pharm has its own brand of combination homoeopathic remedies to help simplify remedy selection for many common health problems.
The Naturo Pharm Relief Ranges of natural homeopathic remedies help boost your body's natural responses to a wide spectrum of life's ailments and injuries: allergies, accidents, stress, colic, joint pain, and jet lag to name just a few. All Naturo Pharm products are manufactured in purpose built laboratories according to the requirements of the German Homoeopathic Pharmacopoeia, the internationally recognised quality standard for homeopathic manufacture. Quality control is enhanced by adherence to internationally recognised ISO 9001:2000 quality standards.
Homoeopathy is a unique system of medicine that aims to promote good health by stimulating the body's own natural healing ability. It is a non-drug therapy based on the principle of "like cures like". The remedies are highly diluted, natural substances. Homoeopathy is rapidly growing in popularity as more and more people seek out safer, more natural health options. Homoeopathic remedies are easy to administer, do not interfere with any other medications and can be safely used by everyone - children, pregnant women, the elderly, even the family pet!
Distinct in their blue and white packaging, Naturo Pharm remedies are available from leading pharmacies, health food stores and from many homoeopaths and healthcare practitioners.
Naturo Pharm Ltd
PO Box 952, Rotorua, New Zealand
Phone: 07 347 1688
E-mail: info@naturo.co.nz
Website: www.naturopharm.co.nz
POPPETTS
PROFESSIONAL NANNY SERVICES
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Welcome to the world of Poppett's Nannies.
One of the most important decisions to make when returning to work or going away is "who will look after our children". Naturally, you need to feel confident about the nanny and her ability to care for your children.
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After discussing your requirements, we will then suggest the nannies most suitable to your family's needs.
You are welcome at any stage to call us or email with any questions you may have about Poppetts nannies.
http://www.poppetts.com/
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SERVICES AVAILABLE
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SERVICES FOR
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Full time nanny
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Newborn
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Part time nanny
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Toddlers
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Interim nanny
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Maternity nanny
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Teenagers
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Sole Care nanny
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Multiple births
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Baby-sitters
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Special needs
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CHRISSYE MATERNITY WESBITE
www.chrissye.co.nz: order your maternity clothing and accessory needs on line with Chris Mulligan.
THE WOMEN'S BOOKSHOP
105 Ponsonby Road, Ponsonby, Auckland
Email: books@womensbookshop.co.nz
Monday-Friday 10.00am to 6.00pm
Saturday & Sunday 10.00am to 5.00pm
Phone: 0-9-3764399 Fax: 0-9-3764365
CONCLUSION:
The study day went tremendously well, TABS is thankful to the generosity of all those who both supported the day and to those who shared their expertise. We encourage you to approach any of the speakers and call upon their expertise to assist you in your practice and organize a workshop of your own.
Yours sincerely
Sue Watson
CHAIRPERSON TABS