Correlation between kind of delivery and posttraumatic stress disorder

Abstract

Background:Posttraumatic stress disorder (PTSD) is a very common mental condition and a unique anxiety disorder.Aim:The present study tried to examine the correlation between kind of delivery and PTSD.Subjects and Methods:This prospective study evaluated 240 Iranian female residents of Tehran, Iran, during the third trimester of their pregnancy and 6–8 weeks after labor. Data were collected using the customized screening form, the Symptom Checklist-90, PTSD Symptom Scale (PSS), and Social Support Questionnaire. The collected data were then analyzed with SPSS software.Results:According to the participants' responses to the subscales of the PSS, reexperiencing, avoidance, and hyperarousal symptoms were present in 100, 25, and 77 participants, respectively. Moreover, 15 individuals manifested all three groups of symptoms. Therefore, the prevalence of PTSD in the studied population was 6.2%. The logistic regression analysis revealed PTSD to be 0.06 times more prevalent in women with poor social support after delivery than in those enjoying a desirable level of support (P < 0.01; odds ratio = 0.06). Based onChisquare test results, there was no significant correlation between the kind of delivery and the incidence of PTSD after delivery (P = 0.48).Conclusion:Since PTSD was more common after cesarean sections (than after vaginal deliveries), health policymakers need to develop efficient strategies to promote vaginal delivery.

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

“…In this study, women with poor support from their spouses were more likely to suffer from PTSD or PTSD Profile (28.6%) compared to the women with good support from their spouse (9.8%), the second groupseems to manage better the consequences of traumatic CS.A lot of studies reveal the relationship between social support and good health and suggest that the psychical reaction to stress is under the influence on the level of family and spouse support [49]. Focusing specifically on this, some studies agree with the present study and confirm the effective role ofpartners'supportto reduce the incidence of postnatal PTSD and PTSD Profile [15,44].…”

“…Many researchers have been carried out on the effect of the kind of delivery on the development of PTSD postpartum [11,[13][14][15]. Regarding cesarean sections (CS), however, there are surveys that do not differentiate the effect between emergency cesarean section (EMCS) and elective cesarean section (ELCS) and they finally considered that there is no correlation betweenEMCS and PTSD [16][17][18][19].…”

The abortion and mental health controversy: A comprehensive literature review of common ground agreements, disagreements, actionable recommendations, and research opportunities

“…Both vaginal and cesarean deliveries can be experienced as traumatic with a corresponding risk of PTSD. 225 , 253 – 255 Miscarriage and other natural pregnancy losses are also consistently associated with increased risk of PTSD. 170 , 222 , 256 – 258 It should therefore come as no surprise that induced abortion is also consistently found to be associated with the onset of PTSD symptoms.…”

Posttraumatic Stress Disorder Risk and Chronic Course Factors: a Review of Current Findings

“…Iako prema novoj DSM kategorizaciji akutni i kronični tijek ovoga poremećaja više ne po-still being collected, findings of recent research confirm the direction of these assumptions, particularly in the field of cardiovascular disease (5,6), malignant diseases (7,8), and different kinds of birth (9)(10)(11). Therefore, it can be concluded that new categories and subtypes of this disorder are waiting for their more thorough scientific confirmation and we can expect for them to appear within some future versions of the diagnostic classifications of this disease.…”

“…the return of a malignant disease) and highly cognitive in their quality (4). Although the data regarding this area is istraživanja posljednjega desetljeća potvrđuju smjer ovih pretpostavki posebice u području kardiovaskularnih bolesti (5,6), malignih bolesti (7,8) te poroda, kao i njegove vrste (9)(10)(11). Iz svega navedenoga nameće se zaključak kako nove kategorije kao i podvrste ovoga poremećaja čekaju svoju temeljitiju znanstvenu potvrdu te ih možemo očekivati u okviru nekih budućih inačica dijagnostičkih klasifikacija bolesti.…”