Correlation between Kind of Cesarean Section and Posttraumatic Stress Disorder in Greek Women

Orovou, Eirini; Δάγλα, Μαρία; Iatrakis, Georgios; Lykeridou, Aikaterini; Tzavara, Chara; Antoniou, Evangelia

doi:10.3390/ijerph17051592

Cited by 36 publications

(33 citation statements)

References 42 publications

(61 reference statements)

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“…Precious pregnancies of women with IVF conception, a high risk of placenta accreta ( 39 ) and, in some cases, the maternal age ( 40 ) constitute factors for ELCS. In our study, women with anxiety disorder or depression were more likely to have an EMCS, a comparable finding of similar studies ( 41 , 42 ) revealing a deficit in perinatal mental health services in Greece ( 43 , 44 ) as opposite to other European countries with low CS rates ( 45 , 46 ).…”

Section: Discussionsupporting

confidence: 90%

Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Antoniou¹,

Orovou²,

Iliadou³

et al. 2021

Acta Inform Med

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Background: Cesarean section (CS) rates have been increasing worldwide with different effects on maternal and neonatal health. Factors responsible for the growing trend of CSs, include maternal characteristics, medical insurance and convenient scheduling or financial incentives. Effective interventions and guidelines are required to reduce CS rates. Objective: The aim of this research was to investigate the factors contributing to CS rate increase and their correlation with international guidelines. Methods: The performed analysis included the available socio-demographic and medical information retrieved from the medical records and a related questionnaire in both emergency and elective CSs. Results: Out of the included 633 births, the cesarean delivery rate was 58%. Women with a previous CS showed higher percentages for Elective CS (66.1%) compared to Emergency CSs for the same reasons (8.9%). Furthermore, 23% of the patients underwent an Emergency CS because of failure of labor to progress while 18% of CSs were due to maternal desire. Conclusion: The high rates of CS in Greece demonstrate the lack of use of international obstetric protocols, national strategies, Cesarean Section audits and a significant shortage of midwives. A decrease in iatrogenic and non-iatrogenic factors leading to the primary CS will decrease CS rates.

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Section: Discussionsupporting

confidence: 90%

Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Antoniou¹,

Orovou²,

Iliadou³

et al. 2021

Acta Inform Med

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“…Many researchers also have identified the kind of delivery, and in particular cesarean delivery, as a major risk factor for the development of P-PTSD [15][16][17], with a great correlation of PTSD to emergency cesarean section (EMCS) and elective cesarean section (ELCS) [18,19]. Other main risk factors for P-PTSD area history of previous mental disorder [19,20], preterm labor [19][20][21][22], inclusion of neonate in neonatal intensive care unit [23,24], lack of breastfeeding [19,25,26] and a lack of support from spouse during the perinatal period [14,19,23].The factors that can lead to P-PTSD are common in postpartum women of all countries. Given that CS is associated with P-PTSD [27][28][29], in Greek mothers the problem is greater due to the high prevalence of CS.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Post Traumatic Stress Disorder Checklist for DSM-5 (PCL-5) in Greek women after cesarean section

2021

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The aim of this study was to examine psychometric properties of the revised Posttraumatic Stress Checklist (PCL-5) for Diagnostic and Statistical Manual– 5th Edition (DSM-5) in Greek postpartum women after Cesarean Section(CS) (emergency-elective).So far, there was no study in Greece assessing psychometric properties of the PCL-5 in women after CS. The participating women (N = 469), who gave birth with emergency and elective CS at the Greek University Hospital of Larisa, have consented to participate in two phases of the survey and completed self-report questionnaires, the 2nd day after CS and at the 6th week after CS. Measures used in this study were the PCL-5 for DSM-5, the Life Events Checklist (LEC-5), Criteria B, C, D, E, and Criterion A, specifically designed for detection of posttraumatic stress disorder (PTSD) symptoms in postpartum period. To evaluate the internal reliability of the PCL-5 two different indices of internal consistency were calculated, i.e., Cronbach’s alpha (.97) and Guttman’ssplit-half (.95), demonstrating high reliability level. The data were positively skewed, suggesting that the reported levels of PTSD among our participants were low. Factor analyses demonstrated acceptable construct validity; a comparison of thePCL-5 with the other measures of the same concept showed a good convergent validity of the scale. Overall, all the results suggest that the four-factor PCL-5 seemed to work adequately for the Greek sample of women after CS.

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“…This case study is part of a larger survey on postpartum PTSD [ 29 ]. Due to the rarity of the incident, we proceeded after the written consent of the patient for further investigation.…”

Section: Case Presentation Sectionmentioning

confidence: 99%

Postpartum Psychosis after Traumatic Cesarean Delivery

et al. 2021

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An emergency cesarean delivery can be a traumatic childbirth experience for a woman and a risk factor for postpartum psychosis, especially in a patient with a history of bipolar disorder. This article describes the case of a pregnant woman with an unknown history of bipolar disorder who developed an acute psychotic reaction during the procedure of an emergency caesarian section and switched to mania. The purpose of this case study is for perinatal health care professionals to identify suspicious symptoms and promptly refer to psychiatric services so as to ensure the mother’s and the newborn’s safety. This case study highlights the importance of assessing women with bipolar disorder or a previous psychotic episode for the risk of psychiatric complications in pregnancy and after childbirth. Midwifery education on perinatal mental health is crucial for the detection of suspicious symptoms and early referral to a specialist.

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Correlation between Kind of Cesarean Section and Posttraumatic Stress Disorder in Greek Women

Cited by 36 publications

References 42 publications

Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines

Psychometric properties of the Post Traumatic Stress Disorder Checklist for DSM-5 (PCL-5) in Greek women after cesarean section

Postpartum Psychosis after Traumatic Cesarean Delivery

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