Prevalence and risk factors of postpartum posttraumatic stress disorder: A meta-analysis

Grekin, Rebecca; O’Hara, Michael W.

doi:10.1016/j.cpr.2014.05.003

Cited by 536 publications

(496 citation statements)

References 66 publications

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“…However, this is not always the case. In Western countries, 24 -33% of postpartum women are reported to exhibit one or more traumatic stress symptoms due to childbirth (Grekin and O'Hara, 2014;Olde et al, 2006). Traumatic symptoms following childbirth (postnatal traumatic symptoms) consist of four domains: (a) re-experiencing traumatic events, (b) avoidance of situations that that recall the traumatic events, (c) negative cognitions and moods related to the traumatic events and (d) alterations in arousal and reactivity (American Psychiatric Association, 2009).…”

Section: Introductionmentioning

confidence: 99%

Aetiological relationships between factors associated with postnatal traumatic symptoms among Japanese primiparas and multiparas: A longitudinal study

et al. 2017

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Etiology of postnatal trauma 2 Highlights We studied fear of childbirth (FOC) & traumatic stress due to childbirth in Japan  Higher antenatal FOC was associated with traumatic stress symptoms after childbirth  FOC in primiparas was associated with a history of mental illness and lower income  Lower satisfaction with a previous birth was associated with FOC in multiparas Etiology of postnatal trauma 4

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Section: Introductionmentioning

confidence: 99%

Aetiological relationships between factors associated with postnatal traumatic symptoms among Japanese primiparas and multiparas: A longitudinal study

et al. 2017

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“…A recent meta-analysis of 78 studies revealed that PTSD rates post-birth were 3.1% in community samples and 15.7% in 'at risk' (i.e. experienced previous trauma, history of mental health disorders) women (Grekin and O'Hara, 2014). Psychopathology during pregnancy was also reported to be the highest predictor of PTSD in the community sample (Grekin and O'Hara, 2014).…”

Section: Introductionmentioning

confidence: 99%

Emotions and support needs following a distressing birth: Scoping study with pregnant multigravida women in North-West England

Thomson

Downe

2016

Midwifery

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Emotions and support needs following a distressing birth: Scoping study with pregnant multigravida women in North-West England AbstractObjective: To identify the emotional and support needs of pregnant multigravida women who have experienced adverse responses associated with a previous childbirth experience.Setting: Four maternity hospitals in North-West England.Design: 100 surveys were distributed at an anomaly scan clinic in each of four maternity hospitals (total n=400). The survey included an adapted version of a Post-Traumatic Stress Disorder Symptom Scale to explore trauma responses at two broad time points: a) following a previous birth and b) during the current pregnancy. Participants were also asked about the optimal time to receive support post-birth, and the type and provider of support they had accessed/would have liked to access. Descriptive and inferential statistics were undertaken on the quantitative data. The qualitative data was analysed using a basic thematic approach.Participants: Multigravida pregnant women aged 18+ years. Findings:The overall response rate was 28% (n=112); 43% (n=46) of these had experienced negative/trauma responses associated with a previous birth, 74% of whom (n=34) continued/reexperienced adverse responses in their current pregnancy. Most commonly reported trauma responses were difficulties in recalling the previous birth(s), avoiding memories associated with it, and the distress associated with these memories when they were recalled.Approximately 54% (n=25) had received some form of support post-birth, and variations in preferred timing of postnatal support provision were reported. Information on available support and opportunities to discuss the birth with a maternity professional were identified most frequently as preferred support options. Conclusion & Implications for Practice:Women's views about what might work should form the basis for effectiveness studies in this area. Among the participants in this study there was evidence of unmet support needs relating to negative or traumatic responses to a previous birth.The range of preferred timing and types of support indicate that flexible needs-based support options should be provided. Further research should assess if these findings are reinforced in a more diverse sample with a higher response rate.

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“…According to some studies, traumatic events in previous childbirth can be an important risk factor for developing PTSD in later pregnancies 25,26 . In relation to the newborn's health, it was expected that mothers of infants with perinatal problems such as low birth weight, IUGR, and malformations, as well as stillbirths and early neonatal deaths, would have a higher prevalence of PTSD due to the potential trauma of these events for the woman 2,3 . However, this did not prove true.…”

Section: Discussionmentioning

confidence: 99%

“…Although PTSD has been studied for several decades, postpartum PTSD has only been investigated more frequently in the last ten years. When diagnosed in the postpartum, PTSD may result from two distinct conditions 2 . Some women develop postpartum PTSD from experiencing traumatic situations related to birthing and/or the infant's health in the first days of life, with maternal or neonatal complications as the principal risk factors in this context 3 .…”

Section: Introductionmentioning

confidence: 99%

“…Symptoms are characterized by the following three psychopathological dimensions: (1) reliving the trauma (e.g., intrusive thoughts or memories, nightmares); (2) avoidance of stimuli that remind one of the traumatic event/ emotional blunting (e.g., avoiding thoughts, places, or situations that remind one of the traumatic event, no longer feeling affection for one's family); and (3) hyper-excitability (e.g., easily startled, always hyper-vigilant) 1 . Although PTSD has been studied for several decades, postpartum PTSD has only been investigated more frequently in the last ten years.…”

Section: Introductionmentioning

confidence: 99%

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Transtorno do estresse pós-traumático no puerpério em uma maternidade de alto risco fetal no Município do Rio de Janeiro, Brasil

et al. 2015

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Prevalence and risk factors of postpartum posttraumatic stress disorder: A meta-analysis

Cited by 536 publications

References 66 publications

Aetiological relationships between factors associated with postnatal traumatic symptoms among Japanese primiparas and multiparas: A longitudinal study

Aetiological relationships between factors associated with postnatal traumatic symptoms among Japanese primiparas and multiparas: A longitudinal study

Emotions and support needs following a distressing birth: Scoping study with pregnant multigravida women in North-West England

Transtorno do estresse pós-traumático no puerpério em uma maternidade de alto risco fetal no Município do Rio de Janeiro, Brasil

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