Posttraumatic stress following childbirth in homelike- and hospital settings

作者：Stramrood Claire A I^*; Paarlberg K Marieke; Huis In't Veld Elisabeth M J; Berger Leonard W A R; Vingerhoets Ad J J M; Schultz Willibrord C M Weijmar; Van Pampus Maria G

来源：Journal of Psychosomatic Obstetrics and Gynecology, 2011, 32(2): 88-97.

DOI：10.3109/0167482X.2011.569801

• Posttraumatic stress syndrome
• childbirth
• obstetrics
• perinatal mental health
• postpartum

Methods. aEuro integral Multi-center cross-sectional study at midwifery practices, general hospitals and a tertiary (university) referral center. An unselected population of 907 women was invited to complete questionnaires on PTSD, demographic, psychosocial, and obstetric characteristics 2 to 6 months after delivery. Prevalence of PTSD was based on women who met all criteria of the diagnostic and statistical manual of mental disorders, 4th edition (DSM-IV), whereas risk factors were determined using the severity (sum-score) of posttraumatic stress symptoms.
Results. aEuro integral PTSD following childbirth was found in 1.2%% of the respondents (5/428 women, response rate 47%%), while 9.1%% of women (39/428) had experienced the delivery as traumatic. Posttraumatic stress symptoms were associated with unplanned cesarean section, low sense of coherence (coping skills), and high intensity of pain. Initial differences in posttraumatic stress symptoms between home and hospital deliveries disappeared after taking into account the (by definition) uncomplicated nature of home births.
Conclusion. aEuro integral In this Dutch study, 1 in 100 women had PTSD following childbirth, with no differences between home- and hospital deliveries after controlling for complications and interventions. Emergency cesarean section, severe labor pain, and poor coping skills were associated with more posttraumatic stress symptoms.

• 出版日期2011-6