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Subsequent Childbirth After a Previous Birth Trauma: A Metaphor Analysis.

Cheryl Tatano Beck¹

¹School of Nursing, University of Connecticut, Storrs, Connecticut, USA.

Issues in Mental Health Nursing

|April 26, 2021

Summary

Women experiencing subsequent births after trauma often use vivid metaphors like "mental baggage" or "waves of panic." Recognizing these expressions helps psychiatric-mental health nurses identify and support struggling mothers.

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Area of Science:

Perinatal mental health
Psychiatric nursing
Qualitative research

Background:

Subsequent births after traumatic experiences pose significant risks for maternal mental health.
Identifying women at risk is crucial for timely intervention.
Metaphorical language can offer insights into women's subjective experiences.

Purpose of the Study:

To identify metaphorical expressions used by women describing subsequent births following prior birth trauma.
To enhance understanding of the psychological impact of birth trauma on subsequent pregnancies.

Main Methods:

Secondary qualitative data analysis of existing data.
Focus on identifying and categorizing metaphorical language used by women.

Main Results:

Five key metaphors emerged: 'head buried in the sand,' 'mental baggage,' 'emotional torture,' 'waves of panic,' and 'a back and forth battle.'
These metaphors vividly illustrate the emotional and psychological distress experienced by women.

Conclusions:

Clinicians, particularly psychiatric-mental health nurses, should be aware of these metaphors to recognize women struggling with subsequent pregnancies.
Understanding these expressions can facilitate early identification of at-risk mother-infant dyads and prompt necessary interventions, including referrals.