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. 2015 Mar 18:2:2333393615575313.
doi: 10.1177/2333393615575313. eCollection 2015 Jan-Dec.

Middle Range Theory of Traumatic Childbirth: The Ever-Widening Ripple Effect

Cheryl Tatano Beck  1
Affiliations

Middle Range Theory of Traumatic Childbirth: The Ever-Widening Ripple Effect

Cheryl Tatano Beck. Glob Qual Nurs Res. .

Abstract

A middle range theory of traumatic childbirth was developed using Morse's method of theoretical coalescence. The scope of this qualitative theory was increased by formalizing the connections between 14 individual studies all conducted by the same researcher on the same topic, with different groups, using different research designs and different types of analyses. Axioms were derived from this research program along with attributes of traumatic childbirth, posttraumatic stress, and secondary traumatic stress. This middle range theory addresses the long-term chronic consequences of a traumatic birth for mothers including its impact on breastfeeding, subsequent childbirth, and the anniversary of birth trauma. The impact on fathers and clinicians present at the traumatic birth is highlighted as secondary traumatic stress comes into play. Troubling glimpses of difficulties in mother-infant bonding are revealed.

Keywords: childbirth; mothering; mothers; postpartum care; posttraumatic stress disorder (PTSD); theory development; trauma.

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Conflict of interest statement

Declaration of Conflicting Interests: The author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Research program conducted in the domain of traumatic birth syndrome. Note. PTSD = posttraumatic stress disorder; OB = obstetric; EMDR = eye movement desensitization reprocessing; L&D = labor and delivery.
Figure 2.
Figure 2.
The ever-widening ripple effect. Note. PTSD = posttraumatic stress disorder. Note. Used with permission from iStock.
Figure 3.
Figure 3.
Amplifying causal looping in metaethnography of traumatic childbirth. Source. Reprinted with permission from Beck (2011, p. 307). Note. PSS = PTSD Symptom Scale; PTSD = posttraumatic stress disorder.
See this image and copyright information in PMC

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