Risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study

Abstract Our study aimed to assess the prevalence of post-traumatic stress disorder (PTSD) after childbirth one year after vaginal delivery and to identify characteristics of women and deliveries associated with it. Questionnaires were mailed a year after delivery to 1103 women with prospectively co...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Loïc Sentilhes, Françoise Maillard, Stéphanie Brun, Hugo Madar, Benjamin Merlot, François Goffinet, Catherine Deneux-Tharaux
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/9a40ec7cece84fcd9164b9c4eddff647
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:9a40ec7cece84fcd9164b9c4eddff647
record_format	dspace
spelling	oai:doaj.org-article:9a40ec7cece84fcd9164b9c4eddff6472021-12-02T16:06:26ZRisk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study10.1038/s41598-017-09314-x2045-2322https://doaj.org/article/9a40ec7cece84fcd9164b9c4eddff6472017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-09314-xhttps://doaj.org/toc/2045-2322Abstract Our study aimed to assess the prevalence of post-traumatic stress disorder (PTSD) after childbirth one year after vaginal delivery and to identify characteristics of women and deliveries associated with it. Questionnaires were mailed a year after delivery to 1103 women with prospectively collected delivery and postpartum data, including a question on day 2 assessing their experience of childbirth. PTSD was assessed a year later by the Impact of Event and Traumatic Event Scales; 22 women (4.2%, 95%CI 2.7–6.3%) met the PTSD diagnostic criteria and 30 (5.7%; 95%CI 3.9–8.0%) PTSD profile criteria. Factors associated with higher risk of PTSD profile were previous abortion (aOR 3.6, 95%CI 1.4–9.3), previous postpartum hemorrhage (Aor 5.3, 95%CI 1.3–21.4), and postpartum hemoglobin <9 g/dl (aOR 2.7, 95%CI 1.0–7.5). Among 56 women (10.3%) reporting bad childbirth memories at day 2 postpartum, 11 (21.1%) met PTSD diagnosis and 11 (21.1%) PTSD profile criteria a year later, compared with 11 (2.4%) (P < 0.001) and 18 (3.8%) (P < 0.001), respectively, of the 489 (87.7%) women with good memories. PTSD is not rare at one year after vaginal delivery in a low-risk population. A simple question at day 2 post partum may identify women most at risk of PTSD and help determine if early intervention is needed.Loïc SentilhesFrançoise MaillardStéphanie BrunHugo MadarBenjamin MerlotFrançois GoffinetCatherine Deneux-TharauxNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Loïc Sentilhes Françoise Maillard Stéphanie Brun Hugo Madar Benjamin Merlot François Goffinet Catherine Deneux-Tharaux Risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study
description	Abstract Our study aimed to assess the prevalence of post-traumatic stress disorder (PTSD) after childbirth one year after vaginal delivery and to identify characteristics of women and deliveries associated with it. Questionnaires were mailed a year after delivery to 1103 women with prospectively collected delivery and postpartum data, including a question on day 2 assessing their experience of childbirth. PTSD was assessed a year later by the Impact of Event and Traumatic Event Scales; 22 women (4.2%, 95%CI 2.7–6.3%) met the PTSD diagnostic criteria and 30 (5.7%; 95%CI 3.9–8.0%) PTSD profile criteria. Factors associated with higher risk of PTSD profile were previous abortion (aOR 3.6, 95%CI 1.4–9.3), previous postpartum hemorrhage (Aor 5.3, 95%CI 1.3–21.4), and postpartum hemoglobin <9 g/dl (aOR 2.7, 95%CI 1.0–7.5). Among 56 women (10.3%) reporting bad childbirth memories at day 2 postpartum, 11 (21.1%) met PTSD diagnosis and 11 (21.1%) PTSD profile criteria a year later, compared with 11 (2.4%) (P < 0.001) and 18 (3.8%) (P < 0.001), respectively, of the 489 (87.7%) women with good memories. PTSD is not rare at one year after vaginal delivery in a low-risk population. A simple question at day 2 post partum may identify women most at risk of PTSD and help determine if early intervention is needed.
format	article
author	Loïc Sentilhes Françoise Maillard Stéphanie Brun Hugo Madar Benjamin Merlot François Goffinet Catherine Deneux-Tharaux
author_facet	Loïc Sentilhes Françoise Maillard Stéphanie Brun Hugo Madar Benjamin Merlot François Goffinet Catherine Deneux-Tharaux
author_sort	Loïc Sentilhes
title	Risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study
title_short	Risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study
title_full	Risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study
title_fullStr	Risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study
title_full_unstemmed	Risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study
title_sort	risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/9a40ec7cece84fcd9164b9c4eddff647
work_keys_str_mv	AT loicsentilhes riskfactorsforchronicposttraumaticstressdisorderdevelopmentoneyearaftervaginaldeliveryaprospectiveobservationalstudy AT francoisemaillard riskfactorsforchronicposttraumaticstressdisorderdevelopmentoneyearaftervaginaldeliveryaprospectiveobservationalstudy AT stephaniebrun riskfactorsforchronicposttraumaticstressdisorderdevelopmentoneyearaftervaginaldeliveryaprospectiveobservationalstudy AT hugomadar riskfactorsforchronicposttraumaticstressdisorderdevelopmentoneyearaftervaginaldeliveryaprospectiveobservationalstudy AT benjaminmerlot riskfactorsforchronicposttraumaticstressdisorderdevelopmentoneyearaftervaginaldeliveryaprospectiveobservationalstudy AT francoisgoffinet riskfactorsforchronicposttraumaticstressdisorderdevelopmentoneyearaftervaginaldeliveryaprospectiveobservationalstudy AT catherinedeneuxtharaux riskfactorsforchronicposttraumaticstressdisorderdevelopmentoneyearaftervaginaldeliveryaprospectiveobservationalstudy
_version_	1718384977632034816

Risk factors for chronic post-traumatic stress disorder development one year after vaginal delivery: a prospective, observational study

Ejemplares similares