Trauma-Informed Pelvic Care In the Time of COVID-19
The framework of trauma-informed care first emerged in the 1990s, proposed by sexual assault survivors as a structure for safe engagement with healthcare institutions and providers. Decades later, this approach to intimate care continues to exist more in theory than in standard practice. Exceptionalized circumstances in obstetrics and gynecology, such as the first pelvic exam, care for patients with a known history of sexual assault, or care for queer communities, often embody the ideals of trauma-informed care that could easily be extrapolated to all care interactions. The importance of intentionality in intimate care, including consent processes as well as physical touch, is all the more critical given publicized cases of providers physically and sexually assaulting patients. Further, as COVID-19 continues to affect individuals and communities worldwide, trauma now touches every person’s life in new and challenging ways. This holds the opportunity to facilitate a connected empathy between patients and providers, and thus a new possibility to integrate trauma-informed care into practice. This presentation will review the framework of trauma-informed care, detail best practices for pelvic care, discuss the impact of COVID-19 on intimate examinations, and challenge providers to modify current practices in order to create safe environments for empowering healthcare experiences.
This presentation was originally presented at our 2021 GOLD Midwifery Conference.
Stephanie Tillman (she/her) is a midwife at the University of Illinois at Chicago. She completed her undergraduate degree in Global Health and Medical Anthropology at the University of Michigan, and her graduate degree in Midwifery at Yale University. She is on the Boards of Directors of Nurses for Sexual and Reproductive Health (NSRH) and the Midwest Access Project (MAP), is an Advisory Committee Member of the Queer and Transgender Midwives Association (QTMA), and is a member of the ACNM Ethics Committee. She is currently a Clinical Medical Ethics Fellow at the University of Chicago's MacLean Center, where she is focusing on consent in intimate exams. Stephanie blogs under the name Feminist Midwife, and through that online platform, academic and public writing, and professional speaking engagements, seeks to interact with providers and consumers in conversations about consent in health provision, queer care, sex positivity, nurses and advanced practice clinicians in abortion care, and trauma-informed frameworks. Find her on social media @FeministMidwife.
Objective 1: Review current cultural contexts related to safety in gynecologic and obstetric care.
Objective 2: Define trauma-informed care (TIC) and the unique compounding traumas due to COVID-19.
Objective 3: Consider midwifery approaches to creating a safe environment for both patient care and student learning.
Objective 4: Describe complexities of providing TIC during the COVID-19 pandemic.
The framework of trauma-informed care first emerged in the 1990s, proposed by sexual assault survivors as a structure for safe engagement with healthcare institutions and providers. Decades later, this approach to intimate care continues to exist more in theory than in standard practice. Exceptionalized circumstances in obstetrics and gynecology, such as the first pelvic exam, care for patients with a known history of sexual assault, or care for queer communities, often embody the ideals of trauma-informed care that could easily be extrapolated to all care interactions. The importance of intentionality in intimate care, including consent processes as well as physical touch, is all the more critical given publicized cases of providers physically and sexually assaulting patients. Further, as COVID-19 continues to affect individuals and communities worldwide, trauma now touches every person’s life in new and challenging ways. This holds the opportunity to facilitate a connected empathy between patients and providers, and thus a new possibility to integrate trauma-informed care into practice. This presentation will review the framework of trauma-informed care, detail best practices for pelvic care, discuss the impact of COVID-19 on intimate examinations, and challenge providers to modify current practices in order to create safe environments for empowering healthcare experiences.
Accreditation
Midwifery CEUs - MEAC Contact Hours:
This program is accredited through the Midwifery Education & Accreditation Council (MEAC) and is approved for 1 Hour, the equivalent of 0.1 CEU. Please note that 0.1 MEAC Midwifery CEU is equivalent to 1.0 NARM CEUs.
CERPs - Continuing Education Recognition Points Applicable to IBCLC Lactation Consultants, Certified Lactation Consultants (CLCs), CBEs, CLE, Doulas & Birth Educators. This program is approved for 1.25 R-CERP. GOLD Conferences have been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07
If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please send us an email to [email protected] if you have any questions.
Tags / Categories
(IBCLC) Psychology, Sociology, and Anthropology, Decision Making & Consent
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