Post-traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia: a prospective cohort study
Abstract 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 associate...
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12955-017-0692-y |
| _version_ | 1828377949286432768 |
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| author | U. Lopez M. Meyer V. Loures I. Iselin-Chaves M. Epiney C. Kern G. Haller |
| author_facet | U. Lopez M. Meyer V. Loures I. Iselin-Chaves M. Epiney C. Kern G. Haller |
| author_sort | U. Lopez |
| collection | DOAJ |
| description | Abstract 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. Patients were followed up six weeks postpartum. Patient and procedure characteristics, past morbidity or traumatic events, psychosocial status and stressful perinatal events were measured. Outcome was divided into two categories: full PTSD disease and PTSD profile. This was based on the number of DSM-IV criteria of the Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) present. The PTSD Checklist Scale and the Clinician Administered PTSD Scale were used for measurement. Results Of the 280 patients included, 217 (77.5%) answered the questionnaires and 175 (62.5%) answered to an additional phone interview. Twenty (9.2%) had a PTSD profile and six (2.7%) a PTSD. When a full predictive model of risk factors for PTSD profile was built using logistic regression, maternal prepartum and intrapartum complications, anaesthetic complications and dissociative experiences during C-section were found to be the significant predictors for PTSD profile. Conclusion This is the first study to show in parturients having a C-section that an anaesthesia complication is an independent risk factor for postpartum PTSD and PTSD profile development, in addition to known perinatal and maternal risk factors. |
| first_indexed | 2024-04-14T08:18:24Z |
| format | Article |
| id | doaj.art-729da4a169774487998237c6d40fdaea |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-04-14T08:18:24Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-729da4a169774487998237c6d40fdaea2022-12-22T02:04:18ZengBMCHealth and Quality of Life Outcomes1477-75252017-06-0115111310.1186/s12955-017-0692-yPost-traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia: a prospective cohort studyU. Lopez0M. Meyer1V. Loures2I. Iselin-Chaves3M. Epiney4C. Kern5G. Haller6Department of Neurology, Neuropsychology Unit, University Hospital of GenevaDepartment of Anaesthesia, University Hospital of LausanneDepartment of Anaesthesia Pharmacology & Intensive Care, University Hospital of GenevaDepartment of Anaesthesia Pharmacology & Intensive Care, University Hospital of GenevaDepartment of Gynaecology & Obstetric-section, University Hospital of GenevaDepartment of Anaesthesia, University Hospital of LausanneDepartment of Anaesthesia Pharmacology & Intensive Care, University Hospital of GenevaAbstract 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. Patients were followed up six weeks postpartum. Patient and procedure characteristics, past morbidity or traumatic events, psychosocial status and stressful perinatal events were measured. Outcome was divided into two categories: full PTSD disease and PTSD profile. This was based on the number of DSM-IV criteria of the Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) present. The PTSD Checklist Scale and the Clinician Administered PTSD Scale were used for measurement. Results Of the 280 patients included, 217 (77.5%) answered the questionnaires and 175 (62.5%) answered to an additional phone interview. Twenty (9.2%) had a PTSD profile and six (2.7%) a PTSD. When a full predictive model of risk factors for PTSD profile was built using logistic regression, maternal prepartum and intrapartum complications, anaesthetic complications and dissociative experiences during C-section were found to be the significant predictors for PTSD profile. Conclusion This is the first study to show in parturients having a C-section that an anaesthesia complication is an independent risk factor for postpartum PTSD and PTSD profile development, in addition to known perinatal and maternal risk factors.http://link.springer.com/article/10.1186/s12955-017-0692-yPost-partum post-traumatic stress disorderAnaesthesiaCaesarean sectionRisk factors |
| spellingShingle | U. Lopez M. Meyer V. Loures I. Iselin-Chaves M. Epiney C. Kern G. Haller Post-traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia: a prospective cohort study Health and Quality of Life Outcomes Post-partum post-traumatic stress disorder Anaesthesia Caesarean section Risk factors |
| title | Post-traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia: a prospective cohort study |
| title_full | Post-traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia: a prospective cohort study |
| title_fullStr | Post-traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia: a prospective cohort study |
| title_full_unstemmed | Post-traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia: a prospective cohort study |
| title_short | Post-traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia: a prospective cohort study |
| title_sort | post traumatic stress disorder in parturients delivering by caesarean section and the implication of anaesthesia a prospective cohort study |
| topic | Post-partum post-traumatic stress disorder Anaesthesia Caesarean section Risk factors |
| url | http://link.springer.com/article/10.1186/s12955-017-0692-y |
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