2020
DOI: 10.1002/jts.22641
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Psychological Intervention and Treatment for Posttraumatic Stress Disorder During Pregnancy: A Systematic Review and Call to Action

Abstract: Posttraumatic stress disorder (PTSD) during pregnancy is a significant global mental health concern that affects up to 1 in 5 trauma‐exposed pregnant women and is associated with an increased risk of adverse maternal and infant complications and health outcomes. This systematic literature review, conducted in accordance with PRISMA guidelines, examined findings from studies of psychological interventions and treatments for prenatal PTSD to inform recommendations for future research. Relevant evidence was ident… Show more

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Cited by 14 publications
(13 citation statements)
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“…Psychotherapeutic treatment for PTSD has been established as a safe option for pregnant individuals, ( 65 , 66 ) despite commonly held beliefs that discussing trauma may be stressful and thus detrimental to an expectant mother or her child ( 67 ). However, few studies include pregnant women in research investigating psychotherapeutic treatments for PTSD, ( 68 , 69 ) and even fewer specifically target perinatal PTSD or pPTSD ( 42 , 66 ).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Psychotherapeutic treatment for PTSD has been established as a safe option for pregnant individuals, ( 65 , 66 ) despite commonly held beliefs that discussing trauma may be stressful and thus detrimental to an expectant mother or her child ( 67 ). However, few studies include pregnant women in research investigating psychotherapeutic treatments for PTSD, ( 68 , 69 ) and even fewer specifically target perinatal PTSD or pPTSD ( 42 , 66 ).…”
Section: Discussionmentioning
confidence: 99%
“…Prenatal interventions for PTSD have largely been neglected in favor of screening and treatment efforts for post-partum depression ( 42 , 66 ). Perinatal PTSD is undetected and untreated in the vast majority of women, ( 10 , 75 ) and pPTSD may be even more overlooked.…”
Section: Discussionmentioning
confidence: 99%
“…Knowledge of PTSD prior to or during pregnancy that is also associated with a higher risk of traumatic birth experience (e.g., experience of fear, helplessness or horror, or re-experiencing delivery) is crucial for health-care providers to be alert of when they treat these high-risk women (20,76). Moreover, trauma-informed interventions should be developed and tested especially for women with PTSD and a history of interpersonal trauma or comorbid depression (74,77). Targets that should be addressed are prevention of re-traumatization during delivery, improvement of maternal partnership problems and social support, and sensitivity training to encourage mother-childinteraction and bonding/ attachment (78)(79)(80).…”
Section: Discussionmentioning
confidence: 99%
“…However, screening without sufficient services is not helpful and could be triggering for both professionals and families. Thus, a fully trauma informed perinatal system and effective trauma specific interventions during pregnancy and immediately after traumatic births is warranted to ensure that the families receive help for parenting and early bonding (77).…”
Section: Discussionmentioning
confidence: 99%
“…Several more formal programs have been developed, which can be offered to individuals or groups (eg, Seeking Safety , Survivor Moms’ Companion ) 42,51 . To date, these programs have been the subject of pilot studies, evaluation, and implementation reports but have not been fully evaluated for effectiveness 52,53 . Trauma‐specific programs can be implemented at the practice, hospital, or community level.…”
Section: The Trauma‐informed Continuum Of Carementioning
confidence: 99%