Postpartum Post-Traumatic Stress Symptoms Following Cesarean Section—the Mediating Effect of Sense of Control

Tomsis, Yeela; Perez, Esther S Arguello; Sharabi, Limor; Shaked, Moshit; Haze, Shani; Hadid, Salam

doi:10.1007/s11126-021-09949-0

Cited by 10 publications

(5 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Measurement instruments assessing patients’ sense of control in healthcare interventions exist. 39 40 Very few studies, however, report the need to feel in control from the perspectives of healthcare professionals, 41 and we were unable to find a measure assessing professional specific sense of control. In our study, only a small number of professionals mentioned this as a priority, which warrants further research investigating the importance and impacts of perceived sense of control.…”

Section: Discussionmentioning

confidence: 83%

“…In addition, these measures of subjective perception might provide useful care quality indicators to highlight where improvements, for example, in information provision, might be required. Measurement instruments assessing patients’ sense of control in healthcare interventions exist 39 40. Very few studies, however, report the need to feel in control from the perspectives of healthcare professionals,41 and we were unable to find a measure assessing professional specific sense of control.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Exploring what is important during burn recovery: a qualitative study investigating priorities of patients and healthcare professionals over time

et al. 2023

View full text Add to dashboard Cite

ObjectivesThis qualitative study aimed to investigate: (1) priorities of patients and healthcare professionals during recovery from a burn injury, (2) how priorities change over time and (3) how priorities map to outcomes currently reported in burns research.DesignSemi-structured interviews were conducted. Interviews were audio recorded, transcribed and analysed thematically.Setting, participantsA total of 53 patients and healthcare professionals were recruited from four National Health Service (NHS) burn services across England and Wales across England and Wales. Patient participants (n=32) included adults, adolescents and parents of paediatric patients, with a variety of burn injuries in terms of severity and cause of burn injury. Healthcare professionals (n=21) were NHS staff members involved in burn care and included professionals with a range of clinical experience and roles (eg, nurses, surgeons, occupational therapists, physiotherapist, administration).ResultsTen themes relating to priorities (outcomes) during recovery from a burn injury were identified for patients and professionals. Of those, six were identified for patients and professionals (‘pain and discomfort’, ‘psychological well-being’, ‘healing’, ‘scarring’, ‘function’, ‘infection’), three were unique to professionals (‘patient knowledge, understanding and support’, ‘sense of control’, ’survival’) and one was unique to patients (‘uncertainty’). Results highlighted that importance of these priorities changes over time (eg, ‘survival’ was only a concern in the short term). Likewise, priorities differed between patients and professionals (eg, ‘pain’ was important to patients throughout their recovery, but not for professionals). Seven out of 10 themes overlapped with outcomes commonly assessed in burn research.ConclusionProfessionals’ and patients’ priorities (important outcomes) change over time after burn injury and differ between those groups. Burn care research should consider measuring outcomes at different time points during the recovery from a burn injury to accurately reflect complexity of burn recovery.

show abstract

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 90%

Exploring what is important during burn recovery: a qualitative study investigating priorities of patients and healthcare professionals over time

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Emergency obstetrical interventions during labor and delivery can be a trigger for PTSD. A study published in 2021 [39] further supported this association and identified that emergency C-sections predicted higher post-traumatic stress symptoms than elective C-sections. PTSD is highly associated with PPD.…”

Section: Birth Experiences and Ptsdmentioning

confidence: 85%

Associations among Caesarean Section Birth, Post-Traumatic Stress, and Postpartum Depression Symptoms

Grisbrook

Dewey

Cuthbert

et al. 2022

IJERPH

View full text Add to dashboard Cite

Caesarean section (C-section) deliveries account for nearly 30% of births annually with emergency C-sections accounting for 7–9% of all births. Studies have linked C-sections to postpartum depression (PPD). PPD is linked to reduced quality of parent-child interaction, and adverse effects on maternal and child health. New mothers’ perceptions of more negative childbirth experiences, such as unplanned/emergency C-sections, are linked to post-traumatic stress disorder (PTSD), which in turn is related to PPD. Our objectives were to determine: (1) the association between C-section type (unplanned/emergency vs. planned) and PPD symptoms, and (2) if postnatal PTSD symptoms mediate this association. Employing secondary analysis of prospectively collected data from 354 mother-child dyads between 2009 and 2013 from the Alberta Pregnancy Outcomes and Nutrition (APrON) study, conditional process modeling was employed. The Edinburgh Postnatal Depression Scale (EPDS) and the Psychiatric Diagnostic Screening Questionnaire (PDSQ) were administered at three months postpartum, to assess for postpartum depressive and post-traumatic stress symptoms. The direct effect of emergency C-section on PPD symptoms was non-significant in adjusted and non-adjusted models; however, the indirect effect of emergency C-section on PPD symptoms with PTSD symptoms as a mediator was significant after controlling for prenatal depression symptoms, social support, and SES (β = 0.17 (SE = 0.11), 95% CI [0.03, 0.42]). This suggests that mothers who experienced an emergency or unplanned C-section had increased PTSD scores of nearly half a point (0.47) compared to mothers who underwent a planned C-section, even after adjustment. Overall, emergency C-section was indirectly associated with PPD symptoms, through PTSD symptoms. Findings suggest that PTSD symptoms may be a mechanism through which emergency C-sections are associated with the development of PPD symptoms.

show abstract

“…The HPA-feedback system is thought to be coregulated by mother and infant in the first phase of life and is heavily influenced by early life stress through epigenetic processes ( Provenzi et al, 2019 ; Sheng et al, 2021 ). In addition, a particularly stressful event, like an emergency C-section, influences the stress-regulation system, as mothers need more time to recover and might feel traumatized ( Tomsis et al, 2021 ), disabling the mother to down-regulate stress in the infant ( Beijers et al, 2014 ). In addition, mothers are at increased risk for post-partum depression after a C-section delivery, which might lead to prolonged decreased (physical) contact between mother and infant ( Xu et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

A Preliminary Study of Correlates of Premature Birth and Their Influence on Cortisol Levels in Young Children

Kloosterboer,

Anolda Naber,

Heyman

et al. 2023

Biological Research For Nursing

View full text Add to dashboard Cite

Objective The HPA-axis is programmed during early infancy, but a lot is unknown about the programming of the HPA-axis in prematurely born or small for gestational age (SGA) children. Therefore, the aim of this preliminary study was to investigate the influence of prematurity and variables associated with birth on cortisol levels in young children. Methods Cortisol was measured in a cross-sectional design in 38 premature born participants (<37 weeks of gestation), aged between 3 – 9 years old. Correlates of prematurity (degree of prematurity and birth delivery route) were investigated in relationship with cortisol levels with regression analysis. Results Corrected for sex, delivery by C-section was associated with lower cortisol levels in the children ( ß = −.42, p = .028), with an explained variance of 34%. Conclusion Birth delivery route by C-section is associated with lowered (or flattened) cortisol levels in children born prematurely. This is clinically relevant and might have important implications, because an HPA-axis disturbance might lead to developmental problems later on in life. However, future research is necessary to investigate the underlying indications for performing a C-section, which will help to understand factors that influence the HPA-axis development in children born prematurely.

show abstract

Postpartum Post-Traumatic Stress Symptoms Following Cesarean Section—the Mediating Effect of Sense of Control

Cited by 10 publications

References 30 publications

Exploring what is important during burn recovery: a qualitative study investigating priorities of patients and healthcare professionals over time

Exploring what is important during burn recovery: a qualitative study investigating priorities of patients and healthcare professionals over time

Associations among Caesarean Section Birth, Post-Traumatic Stress, and Postpartum Depression Symptoms

A Preliminary Study of Correlates of Premature Birth and Their Influence on Cortisol Levels in Young Children

Contact Info

Product

Resources

About