Article

PTSD after childbirth: Early detection and treatment

The Nurse practitioner 03/2014; 39(3):36-41. DOI: 10.1097/01.NPR.0000425827.90435.e1
Source: PubMed

ABSTRACT

: Posttraumatic stress disorder (PTSD) following childbirth may be diagnosed as postpartum depression. With a thorough assessment, women with this condition can be diagnosed correctly and receive appropriate treatment, promoting a better outcome for both mother and baby.

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Available from: Cheryl Zauderer, Oct 29, 2014
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    • "This finding is consistent with other studies. Zauderer (2014) stated that women who experience a difficult or traumatic birthing experience are at risk for developing psychological difficulties, which may evolve into PTSD. Joseph and Bailham (2004) found that those who experience traumatic obstetric and/or gynaecological procedures may go on to develop PTSD. "
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    ABSTRACT: childbirth is a positive experience for most women yet some women express distress after birth. Traumatic experience can sometimes cause post-traumatic stress disorder (PTSD) in relation to childbirth. Prevalence of traumatic birth experience and PTSD after childbirth differs between cultures. to examine the subjective recall of childbirth experiences and PTSD symptoms of Israeli Jewish and Arab women; to examine comparatively the prevalence of PTSD symptoms six to eight weeks after childbirth and to establish the factors that predict PTSD symptoms. a prospective study was conducted in a region characterised by wide variations in ethnocultural groups. The study was comprised of two time points: Time 1 (T1) interviews were conducted at the bedside of the women in the maternity ward of each hospital 24-48 hours after childbirth. Time 2 (T2), all 171 women participating in T1 were interviewed by phone six to eight weeks after childbirth. 34 women (19.9%) reported their labour as traumatic 24-48 hours after birth (T1), and six to eight weeks later (T2) 67 women (39.2%) assessed their experience as traumatic. More Arab women (69.6%) than Jewish women (56.5%) had a positive memory of childbirth, but this difference only approached statistical significance (p=.09). Results showed rather low frequencies of PTSD symptoms, and no ethnic difference. PTSD symptoms were significantly and positively predicted by subjective recollection of childbirth experience (Time 2). PTSD symptoms were higher for women who did not have a vaginal birth, and more women with PTSD symptoms were not breast feeding. we found more similarities than differences between Arab and Jewish women׳s experience of their births and no differences between them on the prevalence of PTSD symptoms after birth. The results suggest that non-vaginal birth (instrumental or caesarean section) and negative recollection of the childbirth experience are important factors related to the development of PTSD symptoms after birth, and that women with PTSD symptoms are less likely to breast feed. Copyright © 2015 Elsevier Ltd. All rights reserved.
    Full-text · Article · Mar 2015 · Midwifery
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    ABSTRACT: Résumé L’objectif de ce travail est de définir l’état de stress post-traumatique (ESPT), de décrire une situation clinique emblématique pour l’illustrer, de présenter des points de repères et des éléments de prévention à l’intention des soignants. Méthode Revue de la littérature et description d’un cas clinique caricatural. Résultats L’ESPT est une entité nosographique mal connue en périnatalité. Non repéré, l’ESPT peut profondément perturber la prise en charge des patientes et ceci explique un certain nombre de difficultés rencontrées par les soignants. Sa prise en charge nécessite l’implication des soignants dans un travail en pluridisciplinarité particulièrement efficace lorsqu’il inclut une réelle attention aux effets de nos pratiques et une vraie sollicitude. Par ailleurs, compte tenu du nombre d’événements potentiellement traumatiques en périnatalité (aigus facilement repérés, ou plus pernicieux), la prévention de l’ESPT au cours de la grossesse et de l’accouchement constitue un vrai enjeu de santé publique. Conclusion L’ESPT doit constituer un point de vigilance pour les soignants (être recherché systématiquement) et être pris en charge dès lors qu’il est confirmé. L’ESPT peut concerner également les professionnels de santé (double peine), d’où la nécessité d’analyser de telles situations pour éviter la répétition pour les patientes et réduire les effets en accompagnant davantage les soignants.
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