Evidence map›Paper›PMID 42271335›Full record

ArticleBMC pregnancy and childbirth2026

Antenatal intervention for childbirth trauma: the clinical profile of Australian women at a tertiary hospital.

Kelli K MacMillan, Catherine F Greenhalgh, Dominique B Cleary, Jacqueline Cahill, Kellie Dedman, Chloe Weir, Carolyn Bright, Scott W White, Zoe Bradfield, Stuart J Watson

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Kelli K MacMillanSchool of Psychology, Murdoch University, 90 South Street, Perth, WA, 6150, Australia. kelli.macmillan@murdoch.edu.au.
Catherine F GreenhalghSchool of Psychology, Murdoch University, 90 South Street, Perth, WA, 6150, Australia.
Dominique B ClearySchool of Psychology, Murdoch University, 90 South Street, Perth, WA, 6150, Australia.
Jacqueline CahillWomen and Newborn Health Service, King Edward Memorial Hospital, Subiaco, 6008, Australia.
Kellie DedmanWomen and Newborn Health Service, King Edward Memorial Hospital, Subiaco, 6008, Australia.
Chloe WeirWomen and Newborn Health Service, King Edward Memorial Hospital, Subiaco, 6008, Australia.
Carolyn BrightWomen and Newborn Health Service, King Edward Memorial Hospital, Subiaco, 6008, Australia.
Scott W WhiteDivision of Obstetrics and Gynecology, School of Medicine, The University of Western Australia, Perth, 6009, Australia.
Zoe BradfieldDivision of Obstetrics and Gynecology, School of Medicine, The University of Western Australia, Perth, 6009, Australia.
Stuart J WatsonSchool of Psychology, Murdoch University, 90 South Street, Perth, WA, 6150, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite global recognition of childbirth trauma, as well as identifiable factors in pregnancy that may increase its occurrence, there is an absence of accessible and cost-effective primary (i.e., before childbirth) antenatal intervention. This study describes an antenatal intervention, Sensitive Care Birth Plans (SCBP), currently implemented at the Women and Newborn Health Service (WNHS) in Western Australia and aims to analyse the maternal and infant characteristics of women accessing it for childbirth trauma.

methodsData were drawn from 126 patient files, which was the total number of women identified with SCBPs from January to December 2022 at WNHS in a retrospective file review. Where possible, outcomes of the SCBP cohort are compared to all other women who birthed during the same period at the service.

resultsData were analysed using descriptive and inferential statistics. The SCBP cohort was 14.1-44.4 years of age (M = 30.34 years). Most women were diagnosed with the diagnostic category of a neurotic, stress-related and somatoform disorder (85.3%). There were high prevalences of childhood and adulthood trauma (63.5% and 63.2%, respectively), childbirth trauma (64.3%) and perinatal loss (54.1%). There was also high use of mental health services (84.8%), elevated antenatal admission days (M = 3.72), and caesarean section birth (44.3%) observed in the SCBP cohort. Infants born to women in the SCBP cohort, compared to the full birthing cohort, had a 79% (p<.001) increased likelihood of admission to the Special Care Nursery.

conclusionsBy understanding the profile of women receiving SCBPs, this study provides an insight into the complex interaction of factors for women receiving antenatal intervention for childbirth trauma. Key additional risk factors for childbirth trauma such as perinatal loss are highlighted, with the high rates of childhood and adulthood trauma demonstrating the potential role of screening to ensure that women with known vulnerabilities are identified for comprehensive assessment.

Indexed as

ParturitionPrenatal CareAdolescentAdultFemaleHumansInfant, NewbornPregnancyRetrospective StudiesTertiary Care CentersWestern AustraliaYoung AdultAntenatal interventionChildbirth traumaPosttraumatic stress disorder post-childbirthRetrospective file reviewTrauma informed care

Identifiers

PMID42271335
PMCPMC13480047

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.