Repository logo

 

Healing the past by nurturing the future: a qualitative systematic review and metasynthesis of pregnancy, birth and early postpartum experiences and views of parents with a history of childhood maltreatment.

dc.contributor.authorChamberlain C.
dc.contributor.authorRalph N.
dc.contributor.authorHokke S.
dc.contributor.authorClark Y.
dc.contributor.authorGee G.
dc.contributor.authorStansfield C.
dc.contributor.authorSutcliffe K.
dc.contributor.authorBrown S.J.
dc.contributor.authorBrennan S.
dc.date.accessioned2024-11-19T05:30:02Z
dc.date.available2024-11-19T05:30:02Z
dc.date.copyright2019
dc.date.issued2020-04-08en
dc.description.abstractBackground Child maltreatment can have serious effects on development and physical, social and emotional wellbeing. Any long-lasting relational effects can impede the capacity to nurture children, potentially leading to 'intergenerational trauma'. Conversely, the transition to parenthood during pregnancy, birth and the early postpartum period offers a unique life-course opportunity for healing. This systematic review aims to understand the pregnancy, birth and early postpartum experiences of parents who reported maltreatment in their own childhood. Methods A protocol, based on the ENTREQ statement, was registered with PROSPERO. We searched Medline, PsycINFO, CINAHL, EMBASE, NHS Evidence and key Web of Science databases from date of inception to June 2018 to identify qualitative studies exploring perinatal experiences of parents who were maltreated in their own childhood. Two reviewers independently screened articles for inclusion and extracted data. Data were synthesised using grounded theory and thematic analysis approaches. Findings The search yielded 18329 articles, 568 full text articles were reviewed, and 50 studies (60 articles) met inclusion criteria for this review. Due to the large number of studies across the whole perinatal period (pregnancy to two years postpartum), this paper reports findings for experiences during pregnancy, birth and early postpartum (27 studies). Parents described positive experiences and strategies to help them achieve their hopes and dreams of providing safe, loving and nurturing care for their children. However, many parents experienced serious challenges. Seven core analytic themes encapsulated these diverse and dynamic experiences: New beginnings; Changing roles and identities; Feeling connected; Compassionate care; Empowerment; Creating safety; and Reweaving a future. Conclusions Pregnancy birth and the early postpartum period is a unique life-course healing opportunity for parents with a history of maltreatment. Understanding parent's experiences and views of perinatal care and early parenting is critical for informing the development of acceptable and effective support strategies.Copyright © 2019 Chamberlain et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.description.grantNo: 1103976 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
dc.description.grantNo: 1141593 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
dc.description.grantNo: 1161065 Organisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
dc.description.grantThis review and the Healing the Past by Nurturing the Future project is funded by the Lowitja Institute Aboriginal and Torres Strait Islander Health CRC and the National Health and Medical Research Council (1141593).
dc.identifier.citationPLoS ONE. Vol.14(12), 2019.
dc.identifier.doihttps://dx.doi.org/10.1371/journal.pone.0225441
dc.identifier.institution(Chamberlain, Ralph, Hokke, Clark) Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia
dc.identifier.institution(Chamberlain, Gee, Brown) Intergenerational Health Group, Murdoch Children's Research Institute, Melbourne, VIC, Australia
dc.identifier.institution(Chamberlain, Brennan) School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
dc.identifier.institution(Clark, Brown) Women and Kids Theme, South Australian Health and Medical Research Institute, Adelaide, SA, Australia
dc.identifier.institution(Gee) Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, VIC, Australia
dc.identifier.institution(Stansfield, Sutcliffe) Evidence for Policy and Practice Co-ordinating Centre, Social Science Research Unit, UCL Institute of Education, University College London, London, United Kingdom
dc.identifier.institution(Brown) Department of Paediatrics, Royal Children's Hospital, University of Melbourne, Melbourne, VIC, Australia
dc.identifier.pubmedid31834894 [https://www.ncbi.nlm.nih.gov/pubmed/?term=31834894]
dc.identifier.urihttps://lowitja.intersearch.com.au/handle/1/619
dc.relation.ispartofPLoS ONE
dc.subject.keywordsMaternal health
dc.subject.keywordsAdverse childhood experiences
dc.titleHealing the past by nurturing the future: a qualitative systematic review and metasynthesis of pregnancy, birth and early postpartum experiences and views of parents with a history of childhood maltreatment.
dc.typeArticle
dc.type.studyortrialQualitative study
dc.type.studyortrialSystematic review and/or meta-analysis

Files