Adverse Events in Obstetrics: Impacts on Providers and Staff of Maternity Care.

adverse events maternal mortality obstetric traumas obstetrics and gynecology obstetrics/gynecology perinatal outcomes second victim second victim syndrome

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
21 Jan 2020
Historique:
entrez: 7 3 2020
pubmed: 7 3 2020
medline: 7 3 2020
Statut: epublish

Résumé

Objective To determine the frequency of maternity health employee experiences with maternal and perinatal/neonatal adverse outcomes and gain a deeper understanding of how these experiences impact the providers.  Design Single-institution observational study from 2016. Setting The George Washington University Hospital. Population Labor and delivery, postpartum, and neonatal intensive care staff. Methods An anonymous survey was distributed to maternity staff inquiring about feelings surrounding maternal and perinatal/neonatal adverse outcomes. Predictors included demographics and job-related variables. Associations were examined using univariable and multivariable analyses. Main Outcome Measures Outcomes included depression, post-traumatic stress disorder symptoms, and work-related problems following the event. Results  A total of 105 employees of approximately 230 eligible employees answered the survey, including obstetrics and gynecology and anesthesia physicians (residents and attendings), midwives, nurses, nurse practitioners, and medical technicians with a response rate of 46%. Being a physician was protective against symptoms of depression and post-traumatic stress disorder symptoms. Resident physicians had higher levels of anxiety/depression compared to attendings. Statistically significant variables predictive of negative repercussions included non-physician status (p=.045), substance use (p=.0036), considering a career change (p<.0001) and seeking mental health treatment (p=.0005). About half of the respondents were aware that processes exist to help them cope with adverse outcomes. Conclusions Non-physicians, those using substances, those considering career change, and those seeking mental health treatment are more likely to experience anxiety/depression and post-traumatic stress symptoms after a maternal or perinatal/neonatal loss. These individuals should be identified and offered additional support.

Identifiants

pubmed: 32140315
doi: 10.7759/cureus.6732
pmc: PMC7039370
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e6732

Informations de copyright

Copyright © 2020, Margulies et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Samantha L Margulies (SL)

Obstetrics, Gynecology and Reproductive Sciences, Yale Medicine, New Haven, USA.

Joshua Benham (J)

Obstetrics and Gynecology, Sutter West Bay Medical Group, San Francisco, USA.

Joan Liebermann (J)

Psychiatry and Behavioral Sciences; Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.

Richard Amdur (R)

Surgery, The George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.

Nancy Gaba (N)

Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.

Jennifer Keller (J)

Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.

Classifications MeSH