التفاصيل البيبلوغرافية
| العنوان: |
Post-traumatic stress syndromes following childbirth influenced by birth mode—is an emergency cesarean section worst? |
| المؤلفون: |
Hüner, Beate, Friedl, Thomas, Schütze, Sabine, Polasik, Arkadius, Janni, Wolfgang, Reister, Frank |
| المصدر: |
Archives of Gynecology & Obstetrics; Jun2024, Vol. 309 Issue 6, p2439-2446, 8p |
| مصطلحات موضوعية: |
CESAREAN section, POST-traumatic stress disorder, CHILDBIRTH, PSYCHOLOGICAL stress, POST-traumatic stress, WELL-being, SYNDROMES |
| مستخلص: |
Purpose: The experience of birth is an emotional challenge for women. Traumatic birth experiences can cause psychological stress symptoms up to post-traumatic stress disorders (PTSD), with impact on women's wellbeing. Primarily unplanned interventions can trigger birth-mode-related traumatization. The aim of the study was to evaluate whether an emergency cesarean section (ECS) is the most traumatizing. Methods: A retrospective case–control study was undertaken. Therefore, data were collected by standardized questionnaires (Impact of Event Scale-Revised and City Birth Trauma Scale) that were sent to women with singleton pregnancies > 34 weeks of gestation who either give birth by ECS (case group, n = 139), unplanned cesarean section (UCS), operative vaginal birth (OVB), or natural birth (NB) (three control groups, n = 139 each). The investigation period was 5 years. Results: Overall, 126 of 556 (22%) sent questionnaires were returned and could be analyzed (32 ECS, 38 UCS, 36 OVB, and 20 NB). In comparison to other birth modes, women with ECS were associated with a higher degree of traumatization as revealed by statistically significant differences regarding the DSM-5 criteria intrusion and stressor. In addition, women who underwent ECS declared more frequently a demand for professional debriefing compared to other birth modes. Discussion: ECS is associated with more post-traumatic stress symptoms compared to other birth modes. Therefore, early interventions are recommended to reduce long-term psychological stress reactions. In addition, outpatient follow-ups by midwives or emotional support programs should be implemented as an integral component of postpartum debriefings. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
