Integrating Midwife-led Counseling into Postpartum Hemorrhage Care: A Policy Option for Maternal Mental Health
| Author | Shahin-Dokht Navvabi-Rigi | en |
| Author | Bita Moudi | en |
| Author | Seyedeh Shohreh Sajedi | en |
| Orcid | Shahin-Dokht Navvabi-Rigi [0000-0002-1470-9219] | en |
| Orcid | Bita Moudi [0000-0001-6893-625X] | en |
| Issued Date | 2026-12-31 | en |
| Abstract | Context: Postpartum hemorrhage (PPH) is a major maternal health challenge that may also have psychological consequences, including postpartum post-traumatic stress disorder (PTSD). However, postpartum care often emphasizes physical recovery, whereas mental health needs remain insufficiently addressed. Objectives: To evaluate the potential role of structured midwife-led counseling based on Gamble's approach in reducing post-traumatic stress symptoms among women who experienced PPH and to highlight its implications for postpartum care. Evidence Acquisition: Evidence was derived from a quasi-experimental study conducted in Zahedan, Iran. The intervention comprised structured, midwife-led counseling based on Gamble's approach, including an early face-to-face counseling session followed by a telephone counseling session. Results: Structured counseling was associated with reduced post-traumatic stress symptoms among women who experienced PPH. These findings suggest that brief, standardized counseling interventions may be feasible for integration into routine postpartum services, including in resource-limited settings. Conclusions: Integrating psychosocial support into postpartum care after PPH may improve women’s recovery beyond physical outcomes. Health systems should consider training midwives in structured counseling, incorporating psychosocial care into postpartum protocols, and establishing simple monitoring mechanisms to support implementation and scale-up. | en |
| DOI | https://doi.org/10.5812/msnj-167367 | en |
| URI | https://brieflands.com/journals/msnj/articles/167367 | en |
| Keyword | Midwife-led Brief Counseling | en |
| Keyword | Postpartum Hemorrhage | en |
| Keyword | Post-traumatic Stress Disorder | en |
| Keyword | Policy Brief | en |
| Publisher | Brieflands | en |
| Title | Integrating Midwife-led Counseling into Postpartum Hemorrhage Care: A Policy Option for Maternal Mental Health | en |
| Type | Brief Report | en |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- msnj-15-1-167367-publish-pdf.pdf
- Size:
- 179.56 KB
- Format:
- Adobe Portable Document Format
- Description:
- Article/s PDF