Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage

Abstract This study intend to compare the long-term psychological impact (depression, post-traumatic stress disorder) on both partners between patients that underwent uterine artery embolization (UAE) for post-partum hemorrhage (PPH) and uneventful deliveries. Women who experienced severe PPH treate...

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Autores principales:	Maude Bernasconi, Béatrice Eggel-Hort, Antje Horsch, Yvan Vial, Alban Denys, Thibaud Quibel, David Baud
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/170d8bb5611b4dd9ae79ec7742f47132
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spelling	oai:doaj.org-article:170d8bb5611b4dd9ae79ec7742f471322021-12-02T15:23:16ZPaternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage10.1038/s41598-021-92847-z2045-2322https://doaj.org/article/170d8bb5611b4dd9ae79ec7742f471322021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92847-zhttps://doaj.org/toc/2045-2322Abstract This study intend to compare the long-term psychological impact (depression, post-traumatic stress disorder) on both partners between patients that underwent uterine artery embolization (UAE) for post-partum hemorrhage (PPH) and uneventful deliveries. Women who experienced severe PPH treated by UAE in our institution between 2003 and 2013 were identified in our obstetrical database. These cases were matched to controls with uneventful deliveries. Matching criteria were maternal age, parity, ethnicity, year of delivery, birthweight, gestational age and mode of delivery. Patients and their partners completed validated questionnaires measuring post-traumatic stress (TSQ), as well as depression symptoms (MINI). A total of 63 cases of PPH and 189 matched controls (1:3) participated in a study exploring gynecological and obstetrical outcomes. With a mean of 8 years post-index delivery, patients after PPH showed increased risk of depression (p = 0.015) and post-traumatic stress disorder (22.2% versus 4.8%, p < 0.005) compared to controls. PPH remains strongly associated with post-traumatic stress disorder, even after adjustment for depression (adjusted odds ratio 5.1; 95% confidence intervals 1.5–17.5). Similarly, partners of patients with PPH showed a propensity to depression (p = 0.029) and post-traumatic stress disorder (11.5% versus 1.5%, p = 0.019). In conclusion, both women and their partners are at increased risk of long-term psychological adverse outcomes after PPH. Couples may benefit from psychological support.Maude BernasconiBéatrice Eggel-HortAntje HorschYvan VialAlban DenysThibaud QuibelDavid BaudNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Maude Bernasconi Béatrice Eggel-Hort Antje Horsch Yvan Vial Alban Denys Thibaud Quibel David Baud Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage
description	Abstract This study intend to compare the long-term psychological impact (depression, post-traumatic stress disorder) on both partners between patients that underwent uterine artery embolization (UAE) for post-partum hemorrhage (PPH) and uneventful deliveries. Women who experienced severe PPH treated by UAE in our institution between 2003 and 2013 were identified in our obstetrical database. These cases were matched to controls with uneventful deliveries. Matching criteria were maternal age, parity, ethnicity, year of delivery, birthweight, gestational age and mode of delivery. Patients and their partners completed validated questionnaires measuring post-traumatic stress (TSQ), as well as depression symptoms (MINI). A total of 63 cases of PPH and 189 matched controls (1:3) participated in a study exploring gynecological and obstetrical outcomes. With a mean of 8 years post-index delivery, patients after PPH showed increased risk of depression (p = 0.015) and post-traumatic stress disorder (22.2% versus 4.8%, p < 0.005) compared to controls. PPH remains strongly associated with post-traumatic stress disorder, even after adjustment for depression (adjusted odds ratio 5.1; 95% confidence intervals 1.5–17.5). Similarly, partners of patients with PPH showed a propensity to depression (p = 0.029) and post-traumatic stress disorder (11.5% versus 1.5%, p = 0.019). In conclusion, both women and their partners are at increased risk of long-term psychological adverse outcomes after PPH. Couples may benefit from psychological support.
format	article
author	Maude Bernasconi Béatrice Eggel-Hort Antje Horsch Yvan Vial Alban Denys Thibaud Quibel David Baud
author_facet	Maude Bernasconi Béatrice Eggel-Hort Antje Horsch Yvan Vial Alban Denys Thibaud Quibel David Baud
author_sort	Maude Bernasconi
title	Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage
title_short	Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage
title_full	Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage
title_fullStr	Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage
title_full_unstemmed	Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage
title_sort	paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/170d8bb5611b4dd9ae79ec7742f47132
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Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage

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