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Therapeutic conversations in the reduction of psychological birth trauma in postpartum patients
Dissertation

Therapeutic conversations in the reduction of psychological birth trauma in postpartum patients

Mackenzie McGraw
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2026
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Abstract

Background: Traumatic birth experiences are subjective, cause emotional distress, and can have negative effects on perinatal mental health and bonding of the family unit. Purpose: The purpose of this project was to identify those at risk for psychological birth trauma and use therapeutic conversations to reduce the negative effects of traumatic birth experiences. Methods: Universal screening for psychological birth trauma and appropriate follow up based on screening results were implemented. Findings: Results revealed that screening identified those at risk for psychological birth trauma and therapeutic support can positively alter birth perception. Discussion: The discussion suggests that perception of birth is highly individualized and can be positively influenced through therapeutic conversations. These findings highlight the importance of proper identification and follow-up when a patient perceives their birth as traumatic.
perinatal mental health psychological birth trauma screening validation perception follow up

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