Participating in birth trauma Facebook groups: a hermeneutic phenomenology study of women’s experiences of online peer support following a traumatic birth

Cox, Serena (2023) Participating in birth trauma Facebook groups: a hermeneutic phenomenology study of women’s experiences of online peer support following a traumatic birth. PhD thesis, University of Nottingham.

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Abstract

Background

Traumatic birth experiences affect approximately one-third of women and can have significant long-term physical and mental health consequences. While women are known to participate in online support communities for birth

trauma, their experiences within these remain unexplored.

Aims and objectives

The study aims to explore women’s experiences in online support communities following a traumatic birth, the factors motivating their access and participation, and the changes in their engagement over time.

Method

Employing a hermeneutic phenomenology methodology, semi-structured interviews were conducted with 20 women, 14 of whom participated in follow�up interviews three months later. Data analysis involved crafting stories from

the interview transcripts and processes of dwelling and writing.

Findings

Participants reported joining online support communities due to the severity of their traumatic birth experiences, persistent or worsening traumatic stress symptoms, experiences of stigma, and difficulties discussing their experiences with others. Seeking explanation and validation from peers with similar experiences was a primary motivation. Women engaged by reading, posting,

commenting, and exchanging various forms of peer support, which were predominantly positively experienced. However, some participants reported negative experiences and the potential for harm when engaging in online support. Over time, women’s participation altered due to multiple factors,

including changes in their personal circumstances, the ongoing sequelae of their traumatic birth, and their experiences on the group. The processes of

leaving or disengaging from the group were complex and unclear, with both departure and continued engagement relating to feelings of recovery and ongoing difficulties.

Conclusions

Women access and use online support communities following traumatic birth because they lack support options. These communities provide valuable peer support, but they can also have negative implications for some women. Further research is needed to better understand these experiences and inform

the development of effective support mechanisms for women who have experienced a traumatic birth.

Item Type: Thesis (University of Nottingham only) (PhD)
Supervisors: Spiby, Helen
Coulson, Neil
Keywords: Traumatic birth experiences; Online support communnities; Psychological effects of childbirth
Subjects: W Medicine and related subjects (NLM Classification) > WQ Obstetrics
Faculties/Schools: UK Campuses > Faculty of Medicine and Health Sciences > School of Health Sciences
Item ID: 73650
Depositing User: Cox, Serena
Date Deposited: 13 Dec 2023 04:40
Last Modified: 13 Dec 2023 04:40
URI: https://eprints.nottingham.ac.uk/id/eprint/73650

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