Incidence, correlates and predictors of post-traumatic stress disorder in the pregnancy after stillbirth

Turton, P; Hughes, Patricia; Evans, Chris; Fainman, David

doi:10.1192/bjp.178.6.556

Cited by 206 publications

(144 citation statements)

References 18 publications

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“…Nine studies were excluded because they reported posttraumatic stress symptoms in relation to gynecological or obstetric aspects other than regular childbirth, such as spontaneous abortion, pregnancy loss, stillbirth, obstetric and/or gynecological procedures (not related to childbirth), tokophobia and pregnancy complications (Bowles et al, 2000;Engelhard et al, 2001;Hofberg & Brockington, 2000;Holditch-Davis et al, 2003;Hunfeld et al, 1997;Menage, 1993;Pierrehumbert et al, 2003;Seng et al, 2001;Turton et al, 2001). One study was excluded because it focused specifically on parents of infants with a high-risk birth (DeMier, Hynan, Harris, & Manniello, 1996) and another because it focused on stressful life events related to childbearing (Arizmendi & Affonso, 1987).…”

Section: Resultsmentioning

confidence: 99%

“…For instance, a study on the psychological consequences of stillbirth reported that 29% of the women consequently developed PTSD at one point in their lives (Turton, Hughes, Evans, & Fainman, 2001). Among women who experienced pregnancy loss (Engelhard, Van den Hout, & Arntz, 2001), a prevalence rate of 25% of PTSD was found at one month and a rate of 7% at four months after the loss.…”

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confidence: 99%

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Posttraumatic stress following childbirth: A review

Olde

Hart

Kleber

et al. 2006

Clinical Psychology Review

362

251

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To assess the empirical basis of prevalence and risk factors of childbirth-related posttraumatic stress symptoms and PTSD in mothers, the relevant literature was critically reviewed. A MEDLINE and PSYCHLIT search using the key words bposttraumatic stressQ, bPTSDQ, bchildbirthQ and btraumatic deliveryQ was performed. The generated list of articles was supplemented by a review of their bibliographies. A total of 31 articles was selected. The primary inclusion criterion was report of posttraumatic stress symptoms or PTSD specifically related to childbirth. Case studies and quantitative studies on regular childbirth and childbirth by emergency cesarean section were identified. Consistency among studies was found with regard to development of posttraumatic stress symptoms as a consequence of traumatic delivery. Methodological issues concerning prevalence and risk factors were discussed. Case studies and quantitative studies confirm that childbirth may be experienced as so emotionally intense that it can lead to the development of posttraumatic stress symptoms or even a PTSD-profile. Among the identified risk factors were a history of psychological problems, trait anxiety, obstetric procedures, negative aspects in staff-mother contact, feelings of loss of control over the situation, and lack of partner support. The conclusion of the current review is twofold. First, traumatic reactions to childbirth are an important public health issue. Secondly, studying childbirth offers opportunity to prospectively study the development of posttraumatic stress reactions. D

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Posttraumatic stress following childbirth: A review

Olde

Hart

Kleber

et al. 2006

Clinical Psychology Review

362

251

View full text Add to dashboard Cite

show abstract

“…In community studies, up to 7% of women report PTSD in relation to birth (Ayers, Joseph, McKenzieMcHarg, Slade, & Wijma, 2008). Rates of PTSD are higher in high risk groups such as women who have preterm or stillborn infants or life-threatening complications during pregnancy or labour (Elklit et al, 2007;Kersting et al, 2009;Turton et al, 2001). Unlike other postpartum psychopathology, this is an area where there is clear potential to prevent or minimise postpartum PTSD through changing maternity care and services.…”

Section: Ptsdmentioning

confidence: 99%

Fear of childbirth, postnatal post-traumatic stress disorder and midwifery care

Ayers

2014

Midwifery

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“…There are studies that demonstrated stillbirth as a major stressor associated with post traumatic stress disorders (PTSD) (Hughes et al, 1999;Turton et al, 2001;2009). These studies also mentioned that having good emotional support after the stillbirth may be a protective factor for PTSD.…”

Section: Introductionmentioning

confidence: 99%

“…These studies also mentioned that having good emotional support after the stillbirth may be a protective factor for PTSD. Alternatively the birth of a healthy baby after the next pregnancy had a curative effect for PTSD (Boyle et al, 1996;Turton et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial impact of mothers with perinatal loss and its contributing factors: an insight

Sutan

Amin

Ariffin

et al. 2010

J. Zhejiang Univ. Sci. B

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Abstract:Objective: To evaluate the psychosocial impact among mothers with perinatal loss and its contributing factors. Methods: A cross sectional study was conducted in University Kebangsaan Malaysia Medical Centre (UKMMC) from April 2008 to May 2009 using Edinburgh Postnatal Depression Scale (EPDS) and self administered questionnaire. Results: Sixty-two respondents were included and most of them were working mothers (77.4%). The mean age of the respondents was (31.0±5.6) years and a majority of the subjects aged between 20-34 years (77.4%). According to the EPDS score, 53.2% of the respondents had a psychosocial impact with a total score of >9, out of 30. There was a significant relationship between psychosocial impact after perinatal loss and support from friends (P=0.019). However, there were no significant differences between psychosocial impact and history of previous perinatal loss, ethnicity, occupation, educational level, age or total income. Conclusion: Mothers with perinatal loss should be screened for psychosocial impact and offered support when needed. Family and friends should continue to provide emotional support. People who have experienced similar problem before will be able to provide better support than those who have not.

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Incidence, correlates and predictors of post-traumatic stress disorder in the pregnancy after stillbirth

Abstract: Women are vulnerable to PTSD in the pregnancy subsequent to stillbirth, particularly when conception occurs soon after the loss.

Cited by 206 publications

References 18 publications

Posttraumatic stress following childbirth: A review

Posttraumatic stress following childbirth: A review

Fear of childbirth, postnatal post-traumatic stress disorder and midwifery care

Psychosocial impact of mothers with perinatal loss and its contributing factors: an insight

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