Comparing post-traumatic stress disorder (PTSD) in primiparous and multiparous women with preeclampsia

Background and Aim: Post-Traumatic Stress Disorder is one of the anxiety disorders which occur in postpartum period. The prevalence of PTSD – induced by preeclampsia has been already reported as 28%, however no study was found to compare PTSD in primiparous and multiparous women. This study was ther...

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Main Authors: Zahra Abedian, Narges Soltani, Naghmeh Mokhber, Habibollah Esmaeily
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2013-07-01
Series:Journal of Midwifery & Reproductive Health
Subjects:
Online Access:http://jmrh.mums.ac.ir/pdf_755_1abedbd9119cd8b9ee4cde0d8f18a915.html
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author Zahra Abedian
Narges Soltani
Naghmeh Mokhber
Habibollah Esmaeily
author_facet Zahra Abedian
Narges Soltani
Naghmeh Mokhber
Habibollah Esmaeily
author_sort Zahra Abedian
collection DOAJ
description Background and Aim: Post-Traumatic Stress Disorder is one of the anxiety disorders which occur in postpartum period. The prevalence of PTSD – induced by preeclampsia has been already reported as 28%, however no study was found to compare PTSD in primiparous and multiparous women. This study was therefore conducted to compare PTSD in primiparous and multiparous women. Methods: This comparative descriptive study was performed on 100 pregnant women with preeclampsia including 56 primiparous and 44 multiparous women who selected conveniently from labor wards of university hospitals in Mashhad, Iran in 2012. PTSD was diagnosed by psychiatrist interview and Perinatal Post-traumatic stress Questionnaire (PPQ) in 6th week postpartum. Social support was measured using Hopkins questionnaire in 2nd and 6th week postpartum. Data analyzed with SPSS Version 16 using Spearman correlation coefficient and Mann-Whitney test. Results: The rate of PTSD was 24% in primiparous and 37.8% in multiparous women. There was no significant difference in relation to mean score of PTSD in primiparous and multiparous women. Mean score of social support in 2nd and 6th week postpartum was significantly higher in primiparous women (P=0.000). 34% of multiparous vs. 5.4% of primiparous women had unwanted pregnancy (P=0.000). There was also a direct relationship between postpartum social support in 2nd (P=0.005) and 6th week  postpartum (P=0.002) and the rate of PTSD. Conclusion: The rate and mean score of PTSD in multiparous has been higher than primiparous women. Thus, it seems that multiparous women are at higher risk for PTSD due to lower postpartum social support and higher rate of unwanted pregnancy.
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spelling doaj.art-b6644833d90b49d58d4f390bd57822612022-12-22T03:11:09ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922345-47922013-07-01111318755Comparing post-traumatic stress disorder (PTSD) in primiparous and multiparous women with preeclampsiaZahra Abedian0Narges Soltani1Naghmeh Mokhber2Habibollah Esmaeily3Lecturer, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IranGradate, MSc in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IranAssociate Professor, Psychiatry and Behavioral Sciences Research Center, Department of Psychiatry, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, IranBackground and Aim: Post-Traumatic Stress Disorder is one of the anxiety disorders which occur in postpartum period. The prevalence of PTSD – induced by preeclampsia has been already reported as 28%, however no study was found to compare PTSD in primiparous and multiparous women. This study was therefore conducted to compare PTSD in primiparous and multiparous women. Methods: This comparative descriptive study was performed on 100 pregnant women with preeclampsia including 56 primiparous and 44 multiparous women who selected conveniently from labor wards of university hospitals in Mashhad, Iran in 2012. PTSD was diagnosed by psychiatrist interview and Perinatal Post-traumatic stress Questionnaire (PPQ) in 6th week postpartum. Social support was measured using Hopkins questionnaire in 2nd and 6th week postpartum. Data analyzed with SPSS Version 16 using Spearman correlation coefficient and Mann-Whitney test. Results: The rate of PTSD was 24% in primiparous and 37.8% in multiparous women. There was no significant difference in relation to mean score of PTSD in primiparous and multiparous women. Mean score of social support in 2nd and 6th week postpartum was significantly higher in primiparous women (P=0.000). 34% of multiparous vs. 5.4% of primiparous women had unwanted pregnancy (P=0.000). There was also a direct relationship between postpartum social support in 2nd (P=0.005) and 6th week  postpartum (P=0.002) and the rate of PTSD. Conclusion: The rate and mean score of PTSD in multiparous has been higher than primiparous women. Thus, it seems that multiparous women are at higher risk for PTSD due to lower postpartum social support and higher rate of unwanted pregnancy.http://jmrh.mums.ac.ir/pdf_755_1abedbd9119cd8b9ee4cde0d8f18a915.htmlKey Words: DisorderPrimiparityPost-Traumatic StressPostpartumPre-Eclampsia
spellingShingle Zahra Abedian
Narges Soltani
Naghmeh Mokhber
Habibollah Esmaeily
Comparing post-traumatic stress disorder (PTSD) in primiparous and multiparous women with preeclampsia
Journal of Midwifery & Reproductive Health
Key Words: Disorder
Primiparity
Post-Traumatic Stress
Postpartum
Pre-Eclampsia
title Comparing post-traumatic stress disorder (PTSD) in primiparous and multiparous women with preeclampsia
title_full Comparing post-traumatic stress disorder (PTSD) in primiparous and multiparous women with preeclampsia
title_fullStr Comparing post-traumatic stress disorder (PTSD) in primiparous and multiparous women with preeclampsia
title_full_unstemmed Comparing post-traumatic stress disorder (PTSD) in primiparous and multiparous women with preeclampsia
title_short Comparing post-traumatic stress disorder (PTSD) in primiparous and multiparous women with preeclampsia
title_sort comparing post traumatic stress disorder ptsd in primiparous and multiparous women with preeclampsia
topic Key Words: Disorder
Primiparity
Post-Traumatic Stress
Postpartum
Pre-Eclampsia
url http://jmrh.mums.ac.ir/pdf_755_1abedbd9119cd8b9ee4cde0d8f18a915.html
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