Cross-Sectional Study of the Frequency and Severity of Traumatic Childbirth Events and How They Affect Maternity Care Clinicians

Details

• Personal Author:
  Atlas RO ; Gaitens JM ; Johantgen ME ; Ogbolu Y ; Robinson KA ; Storr CL
• Description:
  Objective: To describe the frequency and severity of traumatic childbirth events (TCEs) and how they affected the professional practice and personal lives of maternity care clinicians, including registered nurses (RNs), certified nurse-midwives, attending physicians, and resident physicians. Design: Descriptive cross-sectional study. Setting: Maternity units across five hospitals in the Baltimore metropolitan area. Participants: Maternity care clinicians (N = 160) including RNs (n = 104), certified nurse-midwives (n = 17), attending physicians (n = 28), and resident physicians (n = 11). Methods: Participants completed an online survey to measure the frequency and severity of TCEs and how they affect participants' professional practice and personal lives. We used descriptive statistics to characterize maternity care clinicians and bivariate analysis and linear regression to examine relationships. Results: Most participants were women (92.5%), White (62.5%), between the ages of 21 and 54 years (89.4%), RNs (65.0%), and employed full-time (79.2%). Shoulder dystocia was the most frequently observed TCE (90.6%), and maternal death was the most severe TCE (M = 4.82, SD = 0.54). Attending physicians (50.0%) reported a significantly greater frequency of exposure to TCEs than the other participants, ?2(6) = 23.8 (n = 159), p <. 001. The frequency of TCEs had a significant medium correlation with perceived effect on professional practice, r(154) = 0.415, p < .001, and personal life, r(155) = 0.386, p < .001. Perception of severity was strongly associated with professional practice, β = 0.52, p < .001, and personal life, β = 0.46, p < .001. Conclusion: If severe, TCE exposure can affect the professional practice and personal life of maternity care clinicians. [Description provided by NIOSH]
• Subjects:
  Health Personnel Mental Health Nervous System Occupational Health Safety Stress Disorders, Post-Traumatic
• Keywords:
  Author Keywords: Maternity Care Clinician Cross Sectional Studies Mental Health Nurses Occupational Exposure Physicians Traumatic Childbirth Traumatic Incident Stress Well-being
• ISSN:
  0884-2175
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; OSHA Region 3
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  84-94
• Volume:
  52
• Issue:
  1
• NIOSHTIC Number:
  nn:20068719
• Citation:
  J Obstet Gynecol Neonatal Nurs 2023 Jan; 52(1):84-94
• Contact Point Address:
  Keisha A. Robinson, MSN, CNM, University of Maryland, School of Nursing, 655 W. Lombard Street, Baltimore, MD 21201
• Email:
  keisha.robinson@umaryland.edu
• Federal Fiscal Year:
  2023
• Performing Organization:
  Johns Hopkins University
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Obstetric, Gynecologic & Neonatal Nursing
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ff6e24ced0baf7f4b151f595e63fd3a4267f8994b5a16ed6675ee69ad833039bb128a5cf327ba53781056384b813b31e64cd6d82c1ee3998f793e729e79f2b7e
• Download URL:
  https://stacks.cdc.gov/view/cdc/207305/cdc_207305_DS1.pdf
• File Type:
  [PDF - 229.10 KB ]