Severe postpartum hemorrhage increases risk of posttraumatic stress disorder:a prospective cohort study
| Autor: | Lea M. Dijksman, Miranda Olff, Diana E van Rooijen, Karel W. F. Scheepstra, Tjitske R. Zaat, Claire A. I. Stramrood, Minouk E. van Steijn, Joris A. M. van der Post, Welmoed Wiltenburg, Maria G. van Pampus, Arijaan W Valkenburg-van den Berg |
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| Přispěvatelé: | Graduate School, Amsterdam Neuroscience - Mood, Anxiety, Psychosis, Stress & Sleep, APH - Global Health, APH - Mental Health, Adult Psychiatry, Amsterdam Reproduction & Development (AR&D), Obstetrics and Gynaecology, Obstetrics and gynaecology, Psychiatry |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty macromolecular substances behavioral disciplines and activities subthreshold posttraumatic stress disorder Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Pregnancy mental disorders Medicine Humans severe postpartum hemorrhage 030212 general & internal medicine Prospective Studies Risk factor Prospective cohort study Event (probability theory) 030219 obstetrics & reproductive medicine business.industry musculoskeletal neural and ocular physiology Postpartum Hemorrhage Postpartum Period Parturition Obstetrics and Gynecology Posttraumatic stress disorder Traumatic birth Psychiatry and Mental health Clinical Psychology Posttraumatic stress nervous system Reproductive Medicine Female business traumatic birth |
| Zdroj: | van Steijn, M E, Scheepstra, K W F, Zaat, T R, van Rooijen, D E, Stramrood, C A I, Dijksman, L M, Valkenburg-van den Berg, A W, Wiltenburg, W, van der Post, J A M, Olff, M & van Pampus, M G 2021, ' Severe postpartum hemorrhage increases risk of posttraumatic stress disorder : a prospective cohort study ', Journal of Psychosomatic Obstetrics and Gynaecology, vol. 42, no. 4, pp. 335-345 . https://doi.org/10.1080/0167482X.2020.1735343 Journal of psychosomatic obstetrics and gynaecology. Informa Healthcare Journal of Psychosomatic Obstetrics and Gynaecology, 42(4), 335-345. Informa Healthcare |
| ISSN: | 0167-482X |
| DOI: | 10.1080/0167482X.2020.1735343 |
| Popis: | Purpose: To evaluate whether severe postpartum hemorrhage (PPH) is a risk factor for posttraumatic stress disorder (PTSD). Severe PPH can be experienced as a traumatic event. PTSD leads to negative mental health effects. Knowing risk factors for PTSD during childbirth offers opportunities for early interventions, which may prevent the development of PTSD.Materials and methods: In this prospective study, we compared two groups of participants; women with ≥2000 mL of blood loss (severe PPH, patients) and women with ≤500 mL of blood loss (controls). Participants were screened for PTSD using the PCL-5 four to six weeks after delivery. Positive screening was followed by the CAPS-5 to diagnose PTSD.Results: We included 187 PPH patients and 121 controls. Median PCL-5 scores were higher for PPH patients (5.0) than controls (4.0, p = 0.005). Thirteen PPH patients (7.0%) and two controls (1.7%) scored ≥32 on the PCL-5, indicative of probable PTSD (OR 4.45, 95% CI 0.99-20.06, p = 0.035). Significant more PPH patients than controls met criteria for a clinical diagnosis of PTSD on the CAPS-5 (n = 10, 5.6% vs n = 0, 0.0%; p = 0.007).Conclusions: There is a significant and clinically relevant increased risk for developing PTSD after severe PPH. Gynecologists and midwives are advised to screen for PTSD at postpartum follow-up visits to prevent long-term negative mental health effects. Clinical Trial Registration: NL50273.100.14. |
| Databáze: | OpenAIRE |
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