Findings from a feasibility study of a programme to prevent the development of posttraumatic stress disorder in midwifery (POPPY)

Background: There is potential for midwives to experience events whilst at work that they personally perceive to be traumatic, and for some to be at risk of developing posttraumatic stress disorder (PTSD). This paper presents... [ view full abstract ]

Background: There is potential for midwives to experience events whilst at work that they personally perceive to be traumatic, and for some to be at risk of developing posttraumatic stress disorder (PTSD). This paper presents findings from a feasibility study of a programme aimed at specifically preventing the development of PTSD in midwives. The programme for the prevention of posttraumatic stress disorder in midwifery (POPPY) was developed following primary research conducted with midwives. POPPY includes three elements; an educational workshop, a peer support system, and access to psychological assessment and intervention if required.

Method: The POPPY package was provided for midwives at one NHS Trust in the North West of England, as part of an 18-month project funded by Health Education North West. Questionnaires were completed and focus groups conducted with midwives, to collate feedback on their perceptions of acceptability and to identify areas for modification if required.

Results: Midwives’ views of the POPPY programme will be presented. Further development of the POPPY programme and considerations for large-scale evaluation will be discussed.

Discussion: POPPY is the first programme that specifically aims to (1) prepare midwives for the potential to experience traumatic events, (2) prevent the development of posttraumatic stress disorder through the use of educational and supportive resources and (3) provide accessible trauma-focussed intervention as required. Findings from this feasibility study provide an evidence base from which to inform further development and large-scale testing of the POPPY programme.

Conclusion: The provision of educational resources aimed at raising awareness of trauma and guidance on the self-management of trauma responses, and enabling easy access to appropriate psychological input, is likely to positively impact upon midwives’ wellbeing and support the provision of compassionate care. It is important however to ensure that such resources are acceptable for midwives, and can be integrated into existing maternity services.