[Posttraumatic stress disorder and emergency cesarean delivery: Incidence and risk factors].

Autor: Bodin E; Service de PMA, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France. Electronic address: manu974@laposte.net., Peretti V; Service de gynécologie obstétrique, CHU Sud Réunion, avenue François-Mitterrand, 97410 Saint-Pierre, Réunion. Electronic address: veronique.peretti974@gmail.com., Rouillay J; UMPP Ouest, EPSMR Saint-Paul, 11, rue de l'Hôpital, 97460 Saint-Paul, Réunion. Electronic address: julia-d@hotmail.fr., Tran PL; Service de gynécologie obstétrique, CHU Sud Réunion, avenue François-Mitterrand, 97410 Saint-Pierre, Réunion. Electronic address: phuong_lien_tran@yahoo.com., Boukerrou M; Service de gynécologie obstétrique, CHU Sud Réunion, avenue François-Mitterrand, 97410 Saint-Pierre, Réunion. Electronic address: malik.boukerrou@chu-reunion.fr.
Jazyk: francouzština
Zdroj: Gynecologie, obstetrique, fertilite & senologie [Gynecol Obstet Fertil Senol] 2022 Mar; Vol. 50 (3), pp. 240-260. Date of Electronic Publication: 2022 Jan 10.
DOI: 10.1016/j.gofs.2021.12.015
Abstrakt: Background: Posttraumatic stress disorder (PTSD) is declared in 3 to 6 % of postpartum women (PP) and up to 18.5 % in cases of complications of pregnancy or childbirth. The objective of this study is to assess the prevalence of PTSD after a red code cesarean section and to identify the risk factors among the prenatal vulnerability factors, the birth alert factors and the maintenance factors in PP.
Method: A phone or computerized questionnaire including an Questionnaire de stress immédiat and the Posttraumatic Stress Disorder Checklist for DSM-5 was offered to patients who had a red code cesarean section between 05/12/2015 and 02/28/2021 at the University South Hospital of Reunion Island.
Results: Among the 555 cesarean sections selected, 329 parturients responded. The prevalence of PTSD was 20.1 % and was stable over time. The 2 risk factors found were the negative experience of childbirth and the proven traumatic experience. Prenatal vunerability factors were not found to be statistically significant. Almost 3 in 4 women had not been informed of the risk of cesarean section and more than 1 in 2 women did not have an explanation in PP.
Conclusion: Red code cesarean sections cause PTSD in 1 in 5 women. This lasting disorder can last up to 6 years after childbirth. This indicates the seriousness of this disorder and the need to prevent it. The risk of developing it is 4 times greater in the event of a traumatic experience proven in the Questionnaire de stress immédiat. Offering this questionnaire in the maternity could be an important element of secondary prevention. The role of health personnel remains essential.
(Copyright © 2022 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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