PTSD following childbirth: A prospective study of incidence and risk factors in Canadian women

Verreault, Nancy; Costa, Deborah Da; Marchand, André; Ireland, Kierla; Banack, Hailey R.; Dritsa, Maria; Khalifé, Samir

doi:10.1016/j.jpsychores.2012.07.010

Cited by 112 publications

(121 citation statements)

References 48 publications

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“…It is likely there are variables that warrant further exploration which are not analysed here because of insufficient evidence. For example, cognitive appraisals after birth (Ford et al, 2010;Vossbeck-Elsebusch et al, 2014), anxiety sensitivity (Keogh, Ayers, & Francis, 2002;Verreault et al, 2012) and insomnia (Garthus-Niegel, Ayers, von Soest, Torgersen & Eberhard-Gran, 2014) all appear promising but there was not enough evidence to include them in the metaanalysis. Future research should therefore consider other variables, such as these, which are not included in this review.…”

Section: Discussionmentioning

confidence: 99%

The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework

et al. 2016

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Section: Discussionmentioning

confidence: 99%

The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework

et al. 2016

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“…However, point prevalence of PTSD in pregnancy could not be assessed due to lack of studies reporting prevalence rates at different time points in pregnancy. For studies where data was reported on subsequent time points (Alcorn et al, 2010;Haagen et al, 2015;Kersting et al, 2004;Verreault et al, 2012;Zaers et al, 2008), the average mean was calculated for estimation of overall effect size by combining multiple outcomes within same study. This is a common method for dealing with sample size inflation inherent in longitudinal studies (Rosenthal and DiMatteo, 2001).…”

Section: 4data Analysismentioning

confidence: 99%

“…In pregnancy prevalence estimates range from 0% to 35% (Horsch et al, 2013;Mahenge et al, 2013) and after birth from 0% to 21% (Schwab et al, 2012;Verreault et al, 2012). This is a common problem in the epidemiology of mental health disorders where prevalence often varies widely across studies and countries (Pringsheim et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The prevalence of posttraumatic stress disorder in pregnancy and after birth: A systematic review and meta-analysis

Dikmen-Yildiz

Ayers

Phillips

2017

Journal of Affective Disorders

566

340

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This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link AbstractBackground: Previous reviews have provided preliminary insights into risk factors and possible prevalence of post-traumatic stress disorder (PTSD) postpartum with no attempt to examine prenatal PTSD. This study aimed to assess the prevalence of PTSD during pregnancy and after birth, and the course of PTSD over this time.Methods: PsychINFO, PubMed, Scopus and Web of Science were searched using PTSD terms crossed with perinatal terms. Studies were included if they reported the prevalence of PTSD during pregnancy or after birth using a diagnostic measure. Limitations: Limitations include use of stringent diagnostic criteria, wide variability of PTSD rates, and inadequacy of studies on prenatal PTSD measured in three trimesters.Conclusions: PTSD is prevalent during pregnancy and after birth and may increase postpartum if not identified and treated. Assessment and treatment in maternity services is recommended.

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“…A number of authors also argue that women's subjective interpretations of the birth are the most important pre-disposing factors (Verreault et al, 2012;Garthus-Niegel et al, 2013). A meta-ethnography undertaken by Elmir et al (2010) into women's experiences and perceptions 4 of a traumatic birth highlighted that poor quality care from health professionals was a key contributory factor, especially when it was experienced as degrading.…”

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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PTSD following childbirth: A prospective study of incidence and risk factors in Canadian women

Cited by 112 publications

References 48 publications

The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework

The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework

The prevalence of posttraumatic stress disorder in pregnancy and after birth: A systematic review and meta-analysis

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

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