Perinatal Care and Considerations for Survivors of Child Abuse: Challenges and Opportunities

Preface
Acknowledgments
About the Book
Contents
Notes on Contributors
About the Editors
List of Figures
List of Tables
1: Introduction
	References
2: Child Abuse: Definitions, Prevalence, and Considerations in Assessment
	Why Just Child Abuse?
	Historical Background of Child Abuse
	Defining Child Abuse
		Definitions of Abuse Types
	Prevalence of Child Abuse
	Assessing Child Abuse and Maltreatment
		Multitype Maltreatment
		Adverse Childhood Experiences
	Implications for Perinatal Women
	Conclusion
	References
3: Theoretical Perspectives of Child Abuse
	Developmental Cascade Theories
	Differential Susceptibility Theory
	Experiential Avoidance
	Resilience Theories
	Traumagenic Dynamics Model (Finkelhor & Browne, 1985)
	The Stress Sensitization Model
	Conclusion
	References
4: Maltreatment Trauma, Post-traumatic Stress, and the Embodied Experience of Pregnancy and Childbirth of Child Abuse Survivors
	Seeing Childbearing Through a Post-traumatic Stress Disorder Lens
	PTSD Is a Common Mental Health Condition, Including During Childbearing
	Etiology of PTSD
	Childhood Maltreatment and PTSD: An Embodied View of PTSD and Complex PTSD
	Other Sources of Perinatal PTSD
	PTSD and Disparities
	PTSD and Perinatal Providers’ Trauma
	PTSD and Complex PTSD Diagnostic Criteria
	The Role of Perinatal Care Team Members in Addressing PTSD During the Childbearing Year
	A First Imperative: To Address “Unresolved Maternal Trauma” Ahead of Parenting
	A Second Imperative: To Provide Perinatal Care that Resists Retraumatization
	Where to Begin? Structure, Process, Outcome
	A Hallmark of Trauma-Informed Change for the Perinatal Professions
	References
5: Childhood Abuse and Perinatal Depression, Anxiety, and Suicidal Thoughts and Behaviors
	Part I: The Developmental Psychopathology (DP) Perspective and Intervening Mechanisms
		The Developmental Psychopathology of Childhood Abuse
			Maladaptive Development from Childhood to Pregnancy
			Ghosts in the Nursery
	Part II: Mechanisms Linking Child Abuse to Perinatal Depression, Anxiety, and STBs
		Emotion Dysregulation
		Maladaptive Coping Skills
		Problems Within Social Support Networks
		Disrupted Stress Biology
	Part III: Comorbidities and Conclusions
		Comorbidity of Perinatal Mental Health Problems
	Future Directions and Conclusions
	References
6: Child Abuse and Perinatal Outcomes: Examining Prenatal Health, Intergenerational Abuse, Motherhood, and Childbirth for Survivors
	Part 1. Prenatal Health
		General Health
		Prenatal Substance Use
		Psychological Health
			Prenatal Eating Disorders (ED)
	Part 2 Mother-Child Relationship
		Mother-Child Bonding
		Intergenerational Abuse
		Revictimization
	Part 3. The Childbirth Experience
	Summary and Conclusion
	References
7: Screening for Child Abuse and Trauma During the Perinatal Period
	Challenges and Barriers Related to Screening
	Current Screening Landscape
	Screening as Part of a Continuum of Trauma-Informed Responsivity
		Screening Conditions that Foster Disclosure
	Brief Review of Available Tools
	Basic Recommendations and Precautions Across Contexts
	Screening from the Perspective of the Survivor
	Recommendations for Trauma Responsivity in the Absence of Screening or Disclosure
	Addressing Provider Trauma as a Requisite for Effective Screening
	Summary
	References
8: Building Resilience in the Perinatal Period for Survivors of Childhood Adversity
	Overview of Resilience Science
	Promotive and Protective Factors in the Perinatal Period Following Child Abuse
		Individual-Level Factors
		Family-Level Factors
		Community-Level and System-Level Factors
	Practices and Interventions that Promote Resilience in the Perinatal Period
		Individual-Level Interventions
		Community-Level Interventions
		System-Level Approaches
	Conclusion
	References
9: Conclusion
	References
Index