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The link between Pos-Traumatic Stress Disorder and Childbirth

Published online by Cambridge University Press:  19 July 2023

A. M. Fraga ,
A. Quintão ,
B. Mesquita ,
C. Melo Santos ,
F. Soares ,
J. Correia ,
M. Albuquerque ,
S. Neves ,
A. Moutinho  and
P. Cintra
A. M. Fraga*
Affiliation:
Departamento de Psiquiatria e Saúde Mental, Hospital de Cascais, Cascais
A. Quintão
Affiliation:
Serviço de Psiquiatria, Centro Hospitalar Lisboa Ocidental, Lisboa
B. Mesquita
Affiliation:
Departamento de Psiquiatria e Saúde Mental, Hospital de Cascais, Cascais
C. Melo Santos
Affiliation:
Serviço de Psiquiatria, Centro Hospitalar Lisboa Ocidental, Lisboa
F. Soares
Affiliation:
Departamento de Psiquiatria e Saúde Mental, Hospital de Cascais, Cascais
J. Correia
Affiliation:
Serviço de Psiquiatria, Unidade de Saúde Local do Nordeste, Bragança
M. Albuquerque
Affiliation:
Departamento de Psiquiatria e Saúde Mental, Hospital de Cascais, Cascais
S. Neves
Affiliation:
Serviço de Psiquiatria, Centro Hospitalar de Tâmega e Sousa, Penafiel, Portugal
A. Moutinho
Affiliation:
Departamento de Psiquiatria e Saúde Mental, Hospital de Cascais, Cascais
P. Cintra
Affiliation:
Departamento de Psiquiatria e Saúde Mental, Hospital de Cascais, Cascais
*
*Corresponding author.

Abstract

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Introduction

Childbirth can be experienced as distressing or even traumatic for some women and her partners, which could cause psychological distress, intense fear or helplessness and increases the risk of anxiety, depression and even post-traumatic stress disorder (PTSD). The reported prevalence of post-traumatic stress disorder after childbirth ranges from 1.5% to 6%.

Objectives

The current study aimed to elaborate a narrative literature review to identify predictors associated development of PTSD in women and the partners.

Methods

PubMed database searched using the terms “post-traumatic stress disorder” and “childbirth” and “trauma”. Only research conducted in the past 20 years was considered for inclusion.

Results

Several variables were associated with risk to development PTSD after childbirth, including negative experiences and severe fear of childbirth, subjetive distress, previous abortion, psychological difficulties in pregnancy, previous psychiatric problems, history of PTSD and trauma. Futhermore, obstretic and birth-related factors such as pregnancy complications, type of birth could also contribute to PTSD in women and her partners. Additionally, diferent environmental factors like poor interaction between provider and mother, low social support during labour and birth are associated with development of PTSD.

Conclusions

Clinicians should be aware that many women and her parterns have a risk to development PTSD following childbirth. We need to research risk factors in routine clinical practice and carefully monitored the patients with high risk.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S1124
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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