1. Women’s Stories: The Evolution of a Birth Trauma Support Group Robyn Wall & Julie Chalmers Women Youth & Children Community Health Programs Social Work Service wycsocialwork@act.gov.au

2. Reasons parents may be referred to our service Difficulties bonding with their baby Coping with mental health issues Adjustment to being a parent Relationship issues (stress, breakdown, change) Concerns about family relationships Feeling isolated from family, friends and community

3. Reasons parents may be referred to our service Unresolved childhood trauma that is impacting on parenting or being triggered by parenting Learning to parent in the absence of any positive role models for parenting Coping after a difficult childbirth experience or birth trauma

4. The Birth Trauma Support Group

5. Creating the Birth Trauma Support Group Noticed an increase of women who talked about having “difficult births” and found a significant proportion of these women were experiencing symptoms of trauma Clients felt alone, unprepared and uninformed about what they were experiencing

6. Creating the Birth Trauma Support Group Symptoms of trauma include – Avoidance of triggers or reminders of birth – Flashbacks – Nightmares – Hyper-vigilance – Preoccupation with details/specific aspects of the birth

7. Creating the Birth Trauma Support Group Clients felt alone, unprepared and uninformed about what they were experiencing

8. Impacts of Birth Trauma Impacts on Mother Impacts on Relationship with Child Impacts on relationship with others (eg Partner or friends) Impacts on relationship to services

9. What the research told us 1.Literature shows that up to 30% of women experience some symptoms of trauma as a result of their childbirth experience (Beck, 2010, Gamble et al, 2005).Up to 45% of women described the birth as ‘deeply distressing’

10. Incidence of Birth Trauma encountered by the Service

11. What the research told us 2.Research indicates that group work could be beneficial for women with birth trauma. 3.The Birth Trauma Support Group may well be the first of its kind.

12. Originally created as part of a QI project Aims: 1.To increase women’s understanding of birth trauma and its effects 2.To reduce feelings of isolation in this experience Developing the Birth Trauma Support Group

13. Group Outline Began as a psycho-educational group with one 3 hour session exploring Myths and facts about childbirth Defining Birth trauma and its impacts on parents Developing Coping strategies Increasing awareness of community resources and supports

14. Touchstones for the Group Drawing on the following theories for practice: Principles of Adult Education Trauma Informed Therapy Acceptance and Commitment Therapy Narrative Therapy Mindfulness The team’s own practice wisdom

15. A Learning Experience

16. The Birth Trauma Support Group Ran 8 groups in total 4-8 Women and their babies in each group 1 x 3 hr session held in various locations 2 Facilitators for each session

17. What we learned from the women in the beginning FeedbackResearchPlanRespondReview

18. What we learned from the Women throughout the group First Five Groups Focus on Psycho-Education and coping strategies Review Current approach was helpful but was clear that “Everyone wanted to tell their story”. Final Three Groups Focus on sharing stories and coping strategies

19. What we learned as a team Inviting feedback led to: Enhanced level of knowledge and skills about birth trauma Continued development of research and evaluation methods and group work

20. What we learned as a team Development of supporting resources Sharing of knowledge, skills and practice wisdom Worked closely with and were supported by other related services in the community

21. Challenges Experienced by the Team A number of challenges were experienced including Meeting a variety of needs within the group Different methods used for working in the group Deciding who would benefit from group

22. Challenges Experienced by the Team Using the group to complement individual counselling, not replacing it. Time constraints in the preparation and delivery of group considering limited staff resources Competing client demands

23. Where to from here? Turning our focus towards sustainability In the process of submitting findings for publication Hope to improve the understanding of trauma experienced following childbirth within the Health Community

24. In Summary Birth trauma is a common but poorly understood experience following childbirth Through listening and responding to feedback and ongoing research, the team has been able to develop a program that is tailored to meet our client’s needs.

25. “We are not alone” Group 3 Participant