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PTSD & Childbirth

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https://www.readbyqxmd.com/read/29786116/is-childbirth-induced-ptsd-associated-with-low-maternal-attachment
#1
Sharon Dekel, Freya Thiel, Gabriella Dishy, Alyssa L Ashenfarb
Few studies examined maternal attachment in childbirth-related postpartum posttraumatic stress disorder (PP-PTSD). We studied 685 postpartum women, assessing for PP-PTSD, non-childbirth PTSD, maternal attachment, pre-birth, birth, and post-birth factors. Attachment was lower in PP-PTSD than in non-childbirth PTSD and no PP-PTSD. Hierarchical regression showed that PP-PTSD predicted less maternal attachment above and beyond pre-birth psychiatric conditions, acute distress in birth, and lack of breastfeeding...
May 21, 2018: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29747143/posttraumatic-stress-disorder-related-to-postpartum-haemorrhage-a-systematic-review
#2
REVIEW
Tjitske R Zaat, Minouk E van Steijn, Jiska M de Haan-Jebbink, Miranda Olff, Claire A I Stramrood, Mariëlle G van Pampus
In some cases childbirth leads to negative psychological responses such as posttraumatic stress disorder (PTSD). Postpartum hemorrhage (PPH) is a common and major complication of childbirth, which occasionally requires emergency hysterectomy in severe cases. Patients often describe these complications as a traumatic experience. It is unknown whether PPH is a risk factor for developing PTSD. In this systematic review we summarize the current knowledge about the association between PPH with or without emergency hysterectomy and posttraumatic stress symptoms or PTSD...
May 2, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29517303/the-impact-of-childbirth-related-post-traumatic-stress-on-a-couple-s-relationship-a-systematic-review-and-meta-synthesis
#3
A Delicate, S Ayers, A Easter, S McMullen
OBJECTIVE: This review aimed to identify the impact of childbirth-related post-traumatic stress disorder (PTSD) or symptoms (PTSS) on a couple's relationship. BACKGROUND: Childbirth can be psychologically traumatic and can lead to PTSD. There is emerging evidence that experiencing a traumatic birth can affect the quality of the couple's relationship. This is an important issue because poor-quality relationships can impact on the well-being of partners, their parenting and the welfare of the infant...
February 2018: Journal of Reproductive and Infant Psychology
https://www.readbyqxmd.com/read/29485675/postpartum-bonding-difficulties-and-adult-attachment-styles-the-mediating-role-of-postpartum-depression-and-childbirth-related-ptsd
#4
Ilana S Hairston, Jonathan E Handelzalts, Chen Assis, Michal Kovo
Despite decades of research demonstrating the role of adult attachment styles and early mother-infant bonding in parenting behaviors and maternal mental health, these constructs have seldom been studied together. The present study aimed to investigate the relationship between attachment styles and specific bonding difficulties of mothers. In addition, as postpartum depression and childbirth-related posttraumatic stress symptoms have been associated with both constructs, we explored their possible mediation effect...
March 2018: Infant Mental Health Journal
https://www.readbyqxmd.com/read/29331697/longitudinal-trajectories-of-post-traumatic-stress-disorder-ptsd-after-birth-and-associated-risk-factors
#5
Pelin Dikmen-Yildiz, Susan Ayers, Louise Phillips
BACKGROUND: Although longitudinal trajectories of post-traumatic stress disorder (PTSD) are well-established in general trauma populations, very little is known about the trajectories of birth-related PTSD. This study aimed to identify trajectories of birth-related PTSD; determine factors associated with each trajectory; and identify women more likely to develop birth-related PTSD. METHOD: 226 women who had traumatic childbirth according to DSM-IV criterion A were drawn from a community sample of 950 women...
March 15, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29163253/coping-with-childbirth-brain-structural-associations-of-personal-growth-initiative
#6
Judith Mangelsdorf
Major life events require psychological adaptations and can be accompanied by brain structural and functional changes. The goal of the current study was to investigate the association of personal growth initiative (PGI) as a form of proactive coping strategy before childbirth, with gray matter volume after delivery. Childbirth is one of the few predictable major life events, which, while being one of the most positive experiences for many, is also accompanied by multidimensional stress for the mother. Previous research has shown that high stress is associated with reductions in gray matter volume in limbic cortices as well as the prefrontal cortex (PFC)...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29096282/women-s-experiences-of-living-with-postnatal-ptsd
#7
Susanne Peeler, Jacqui Stedmon, Man Cheung Chung, Heather Skirton
the mental health of new mothers is a public health concern as it is likely to have an impact on the mother herself, her close relationships and the behavioural and emotional health of her children. Post-traumatic stress disorder affects some women after childbirth. OBJECTIVE: the aim of this study was to explore how women were affected by the memories of a birth that they perceived as traumatic. DESIGN: in this paper the authors report the qualitative analysis of interview data from seven postnatal women reporting symptoms of PTSD...
January 2018: Midwifery
https://www.readbyqxmd.com/read/28867420/a-comparative-prospective-cohort-study-of-women-following-childbirth-mothers-of-low-birthweight-infants-at-risk-for-elevated-ptsd-symptoms
#8
Nancy Feeley, Barbara Hayton, Ian Gold, Phyllis Zelkowitz
No abstract text is available yet for this article.
July 31, 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28821837/risk-factors-for-chronic-post-traumatic-stress-disorder-development-one-year-after-vaginal-delivery-a-prospective-observational-study
#9
Loïc Sentilhes, Françoise Maillard, Stéphanie Brun, Hugo Madar, Benjamin Merlot, François Goffinet, Catherine Deneux-Tharaux
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...
August 18, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28731565/a-narrative-synthesis-of-women-s-out-of-body-experiences-during-childbirth
#10
Lynda Bateman, Catriona Jones, Julie Jomeen
INTRODUCTION: Some women have a dissociated, out-of-body experience (OBE) during childbirth, which may be described as seeing the body from above or floating above the body. This review examines this phenomenon using narratives from women who have experienced intrapartum OBEs. METHODS: A narrative synthesis of qualitative research was employed to systematically synthesize OBE narratives from existing studies. Strict inclusion and exclusion criteria were applied...
July 21, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28667832/effect-of-previous-posttraumatic-stress-in-the-perinatal-period
#11
Pamela A Geller, Emily C Stasko
OBJECTIVE: To review the extant literature on the effect of traumatic experiences that pre-date conception, pregnancy, and the postpartum period (perinatal period) and present a thematic overview of current issues in this relatively new area of inquiry. DATA SOURCES: Electronic databases Cochrane, CINAHL, PsychINFO, and PubMed were searched. Manual searches of reference lists supplemented the electronic search. STUDY SELECTION: Peer-reviewed articles written in English on the role of posttraumatic stress disorder during the perinatal period were included...
November 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28629393/the-effect-of-an-elective-cesarean-section-on-maternal-request-on-peripartum-anxiety-and-depression-in-women-with-childbirth-fear-a-systematic-review
#12
Renske M Olieman, Femke Siemonsma, Margaux A Bartens, Susan Garthus-Niegel, Fedde Scheele, Adriaan Honig
BACKGROUND: Obstetricians are often reluctant to grant requests for an elective cesarean section (ECS) due to childbirth fear. To date, it is unknown if an ECS on request improves mental well-being in the mother in the peripartum period and if possible beneficial effects on anxiety and depression could outweigh the increased risk of complications associated with a surgical delivery. A systematic review was conducted to explore the effect of ECS on request on peripartum anxiety and depression...
June 19, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28577570/post-traumatic-stress-disorder-in-parturients-delivering-by-caesarean-section-and-the-implication-of-anaesthesia-a-prospective-cohort-study
#13
U Lopez, M Meyer, V Loures, I Iselin-Chaves, M Epiney, C Kern, G Haller
BACKGROUND: Post-traumatic stress disorder (PTSD) occurs in 1-7% of women following childbirth. While having a caesarean section (C-section) is known to be a significant risk factor for postpartum PTSD, it is currently unknown whether coexisting anaesthesia-related factors are also associated to the disorder. The aim of this study was to assess anaesthesia-linked factors in the development of acute postpartum PTSD. METHODS: We performed a prospective cohort study on women having a C-section in a tertiary hospital in Switzerland...
June 2, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28451072/screening-for-birth-related-ptsd-psychometric-properties-of-the-turkish-version-of-the-posttraumatic-diagnostic-scale-in-postpartum-women-in-turkey
#14
Pelin Dikmen-Yildiz, Susan Ayers, Louise Phillips
Background: Evidence suggests that 4% of women develop posttraumatic stress disorder (PTSD) after childbirth, with a potentially negative impact on women and families. Detection of postpartum PTSD is essential but few measures have been validated in this population. Objective: This study aimed to examine psychometric properties of the Turkish version of the Posttraumatic Diagnostic Scale (PDS) to screen for birth-related PTSD among postpartum women and identify factorial structure of PTSD after birth. Method: PDS was administered to 829 postpartum women recruited from three maternity hospitals in Turkey...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28443054/childbirth-induced-posttraumatic-stress-syndrome-a-systematic-review-of-prevalence-and-risk-factors
#15
REVIEW
Sharon Dekel, Caren Stuebe, Gabriella Dishy
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...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28412526/birth-setting-labour-experience-and-postpartum-psychological-distress
#16
Anna L MacKinnon, Lisa Yang, Nancy Feeley, Ian Gold, Barbara Hayton, Phyllis Zelkowitz
OBJECTIVE: although psychosocial risk factors have been identified for postpartum depression (PPD) and perinatal posttraumatic stress disorder (PTSD), the role of labour- and birth-related factors remains unclear. The present investigation explored the impact of birth setting, subjective childbirth experience, and their interplay, on PPD and postpartum PTSD. METHOD: in this prospective longitudinal cohort study, three groups of women who had vaginal births at a tertiary care hospital, a birthing center, and those transferred from the birthing centre to the tertiary care hospital were compared...
March 31, 2017: Midwifery
https://www.readbyqxmd.com/read/28348720/the-optimum-study-emdr-therapy-in-pregnant-women-with-posttraumatic-stress-disorder-after-previous-childbirth-and-pregnant-women-with-fear-of-childbirth-design-of-a-multicentre-randomized-controlled-trial
#17
M A M Baas, C A I Stramrood, L M Dijksman, A de Jongh, M G van Pampus
Background : Approximately 3% of women develop posttraumatic stress disorder (PTSD) after giving birth, and 7.5% of pregnant women show a pathological fear of childbirth (FoC). FoC or childbirth-related PTSD during (a subsequent) pregnancy can lead to a request for an elective caesarean section as well as adverse obstetrical and neonatal outcomes. For PTSD in general, and several subtypes of specific phobia, eye movement desensitization and reprocessing (EMDR) therapy has been proven effective, but little is known about the effects of applying EMDR during pregnancy...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28263726/prevalence-and-predictors-of-breastfeeding-after-childhood-abuse
#18
Meghan Eagen-Torkko, Lisa Kane Low, Ruth Zielinski, Julia S Seng
OBJECTIVE: To describe the prevalence and predictors of breastfeeding intent and outcomes in women with histories of childhood maltreatment trauma (CMT), including those with posttraumatic stress disorder (PTSD). DESIGN: Secondary analysis of a prospective observational cohort study of the effects of PTSD on perinatal outcomes. SETTING: Prenatal clinics in three health systems in the Midwestern United States. PARTICIPANTS: Women older than 18 years expecting their first infants, comprising three groups: women who experienced CMT but did not have PTSD (CMT-resilient), women with a history of CMT and PTSD (CMT-PTSD), and women with no history of CMT (CMT-nonexposed)...
May 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28088194/testing-a-cognitive-model-to-predict-posttraumatic-stress-disorder-following-childbirth
#19
Lydia King, Kirstie McKenzie-McHarg, Antje Horsch
BACKGROUND: One third of women describes their childbirth as traumatic and between 0.8 and 6.9% goes on to develop posttraumatic stress disorder (PTSD). The cognitive model of PTSD has been shown to be applicable to a range of trauma samples. However, childbirth is qualitatively different to other trauma types and special consideration needs to be taken when applying it to this population. Previous studies have investigated some cognitive variables in isolation but no study has so far looked at all the key processes described in the cognitive model...
January 14, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28032212/childhood-sexual-abuse-intimate-partner-violence-during-pregnancy-and-posttraumatic-stress-symptoms-following-childbirth-a-path-analysis
#20
Aline Gaudard E Silva de Oliveira, Michael Eduardo Reichenheim, Claudia Leite Moraes, Louise Michele Howard, Gustavo Lobato
The aim of the study was to explore the pathways by which childhood sexual abuse (CSA), psychological and physical intimate partner violence (IPV) during pregnancy, and other covariates relate to each other and to posttraumatic stress disorder (PTSD) symptoms in the postpartum period. The sample comprised 456 women who gave birth at a maternity service for high-risk pregnancies in Rio de Janeiro, Brazil, interviewed at 6-8 weeks after birth. A path analysis was carried out to explore the postulated pathways between exposures and outcome...
April 2017: Archives of Women's Mental Health
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