Childbirth Induced Posttraumatic Stress Syndrome: A Systematic Review of Prevalence and Risk Factors
| Autor: | Gabriella Dishy, Sharon Dekel, Caren M Stuebe |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Prevalence Review childbirth Health outcomes behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine systematic review mental disorders Psychology Medicine Childbirth Psychiatry resilience reproductive and urinary physiology General Psychology media_common obstetrics 030219 obstetrics & reproductive medicine business.industry posttraumatic stress psychopathology 030227 psychiatry Posttraumatic stress postpartum PTSD Psychological resilience delivery business Postpartum period Psychopathology Clinical psychology |
| Zdroj: | Frontiers in Psychology |
| ISSN: | 1664-1078 |
| DOI: | 10.3389/fpsyg.2017.00560 |
| Popis: | Background: Posttraumatic stress related with the childbirth experience of full-term delivery with health outcomes has been recently documented in a growing body of studies. The magnitude of this condition and the factors that might put a woman at risk for developing childbirth-related postpartum posttraumatic stress disorder (PP-PTSD) symptoms are not fully understood. Methods: In this systematic review of 36 articles representing quantitative studies of primarily community samples, we set to examine PP-PTSD prevalence rates and associated predictors with a focus on the role of prior PTSD and time since childbirth. Results: A significant minority of women endorsed PP-PTSD following successful birth. Acute PP-PTSD rates were between 4.6 and 6.3%, and endorsement of clinically significant PP-PTSD symptoms was identified in up to 16.8% of women in community samples of high quality studies. Negative subjective experience of childbirth emerged as the most important predictor. Endorsement of PTSD before childbirth contributed to PP-PTSD; nevertheless, women without PTSD also exhibited PP-PTSD, with acute rates at 4.6%, signifying a new PTSD onset in the postpartum period. Conclusion: Although the majority of women cope well, childbirth for some can be perceived as a highly stressful experience and even result in the development of PP-PTSD symptoms. More research is needed to understand postpartum adaption and childbirth-related posttraumatic stress outcomes. |
| Databáze: | OpenAIRE |
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