This study investigated the effectiveness of brief midwife-led counseling based on Gamble and colleagues’ approach in decreasing post-traumatic stress disorder, depression, and anxiety symptoms among a group of women who had experienced a traumatic childbirth. From among 270 pregnant women screened to participate in the study, 90 women experienced a traumatic childbirth. They were randomly assigned into two groups: intervention (n = 45) and control group (n = 45). We did a face-to-face counseling session within 72 h after giving birth and a telephone counseling session four to 6 weeks after giving birth for the intervention group. The control group only received the postnatal routine care. The outcome measures were post-traumatic stress disorder, depression, and anxiety symptoms. At the three-month follow-up, the intervention group showed significantly higher improvement on post-traumatic stress disorder, depression, and anxiety symptoms compared to the control group. Gamble and colleagues’ midwife-led brief counseling could be an effective approach to reduce psychological distress of women who have experienced a traumatic childbirth. IRCT201608285417N2, Date of Registration: 2/21/2017.

中文翻译：

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助产士主导的简短咨询干预对经历创伤性分娩的妇女的创伤后应激障碍、抑郁和焦虑症状的有效性：一项随机对照试验


这项研究基于甘布尔及其同事的方法，调查了由助产士主导的简短咨询在减少一组经历过创伤性分娩的妇女中创伤后应激障碍、抑郁和焦虑症状方面的有效性。在参与这项研究的 270 名孕妇中，有 90 名经历了分娩创伤。他们被随机分为两组：干预组（n = 45）和对照组（n = 45）。干预组在产后72小时内进行面对面咨询，并在产后4至6周进行电话咨询。对照组仅接受产后常规护理。结果指标是创伤后应激障碍、抑郁和焦虑症状。在三个月的随访中，与对照组相比，干预组在创伤后应激障碍、抑郁和焦虑症状方面表现出显着更高的改善。甘布尔和同事由助产士主导的简短咨询可能是减少经历过痛苦分娩的妇女心理困扰的有效方法。 IRCT201608285417N2，注册日期：2017 年 2 月 21 日。