دورية أكاديمية

Risk factors for postpartum posttraumatic stress disorder after emergency admission.

التفاصيل البيبلوغرافية
العنوان: Risk factors for postpartum posttraumatic stress disorder after emergency admission.
المؤلفون: Fengxia Du1, Jun Zha2, Yan Li3, Lichao Fang4 lichaofang76@163.com, Shuyu Xia1 xsyxcyy@163.com, Youjia Yu3 yuyoujia0717@163.com
المصدر: World Journal of Emergency Medicine. 2024, Vol. 15 Issue 2, p121-125. 5p.
مصطلحات موضوعية: *POST-traumatic stress disorder, *FIRST stage of labor (Obstetrics), *PUERPERIUM, *LOGISTIC regression analysis, *CESAREAN section
مستخلص: BACKGROUND: Postpartum posttraumatic stress disorder (PTSD) can occur in women who give birth after emergency admission. The identification of risk factors for this condition is crucial for developing effective preventive measures. This retrospective study aimed to explore the incidence and risk factors for postpartum PTSD in women who give birth after emergency admission. METHODS: Medical records of women who gave birth after emergency admission were collected between March 2021 and April 2023. The patients' general conditions and perinatal clinical indicators were recorded. The puerperae were divided into PTSD group and control group based on symptom occurrence at six weeks postpartum. Multivariate logistic regression analysis was performed to identify risk factors. RESULTS: A total of 276 puerperae were included, with a PTSD incidence of 20.3% at six weeks postpartum. Multivariate logistic regression analysis identified emergency cesarean section (odds ratio [OR]=2.102; 95% confidence interval [CI]: 1.114-3.966, P=0.022), admission to the emergency department after midnight (12:00 AM) (OR=2.245; 95%CI: 1.170-4.305, P<0.001), and cervical dilation (OR=3.203; 95%CI: 1.670-6.141, P=0.039) as independent risk factors for postpartum PTSD. Analgesia pump use (OR= 0.500; 95%CI: 0.259-0.966, P=0.015) was found to be a protective factor against postpartum PTSD. CONCLUSION: Emergency cesarean section, admission to the emergency department after midnight, and cervical dilation were identified as independent risk factors for postpartum PTSD, while analgesic pump use was a protective factor. These findings provide insights for developing more effective preventive measures for women who give birth after emergency admission. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:19208642
DOI:10.5847/wjem.j.1920-8642.2024.013