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The Anesthesiologist's Role in Trauma-Informed Care: An Update
Tracey M Vogel1, Katherine M Seligman2, Erica Coffin3
1Allegheny Health Network, Pittsburgh, PA, USA.
Anesthesiology Clinics
|July 30, 2026
Summary
Trauma-informed care now includes 6 core principles and is recommended as universal precautions for all patients. Obstetric anesthesia providers are key in preventing trauma and psychological harm.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Psychology
Background:
- Trauma-informed care (TIC) evolved from the 4R principles (realize, recognize, respond, resist) to incorporate 6 core principles: safety, trust, peer support, mutuality, empowerment, and cultural context.
- Current recommendations advocate for universal application of trauma-informed practices as preventative measures for all individuals, irrespective of their trauma history.
Purpose of the Study:
- To highlight the expanded principles of trauma-informed care.
- To emphasize the role of obstetric anesthesia providers in trauma prevention and harm mitigation.
Main Methods:
- Review of evolving principles in trauma-informed care.
- Discussion of the application of trauma-informed practices in obstetric anesthesia.
Main Results:
- Trauma-informed care has expanded beyond the 4R principles to include 6 core guiding principles.
- Universal precautions incorporating trauma-informed practices are recommended for all individuals.
- Obstetric anesthesia providers have a significant role in preventing trauma and psychological harm.
Conclusions:
- The evolution of trauma-informed care emphasizes a broader, preventative approach.
- Implementing comprehensive trauma-informed practices is crucial for patient well-being in obstetric settings.
- Obstetric anesthesia providers are integral to minimizing iatrogenic trauma and psychological distress.
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