Traumatic Stress after Childbirth: The Role of Obstetric Variables

  title={Traumatic Stress after Childbirth: The Role of Obstetric Variables},
  author={Jean N. Soderquist and Klaas Wijma and Barbro Wijma},
  journal={Journal of Psychosomatic Obstetrics \& Gynecology},
  pages={31 - 39}
In a sample of 1550 recently delivered women, traumatic stress after childbirth was studied in relation to obstetric variables A post-traumatic stress disorder (PTSD) symptom profile and traumatic stress symptoms were assessed by means of the Traumatic Event Scale (TES) Obstetric data comprised delivery mode, duration of the second stage of labor (the time from cervical dilation of 10 cm to partus) and the use of analgesia/anesthesia Traumatic stress symptoms and having a PTSD symptom profile… 

Prevalence of Post-traumatic Stress Disorder in Women with Normal Vaginal Delivery and Those with Caesarian Section

The prevalence of PTSD was significantly higher in women with normal vaginal delivery and those with caesarian section in this study than in reports from other countries, highlighting the need for targeted interventions to reduce this disorder.

The Involvement of Past Traumatic Life Events in the Development of Postpartum PTSD after Cesarean Delivery

It appeared that only specific direct exposure to a traumatic event and/or witnessing one were predictors of postpartum PTSD, and specific traumatic life events, psychiatric history, stressor perinatal criterion A, preterm birth, and emergency cesarean section as risk factors for the development of PTSD.

Posttraumatic Stress Disorder after Vaginal Delivery at Primiparous Women

Although severe gynaecological pathology during delivery and negative outcome have been shown to be related with posttraumatic stress disorder (PTSD) little is known about traumatic experiences

Post-traumatic symptoms after childbirth: What should we offer?

A multilevel counseling approach including postnatal counseling and counseling in a subsequent pregnancy is presented to systematically assess birth experience in this setting and screen for women at risk for developing trauma symptoms.

Postpartum Post-Traumatic Stress Symptoms Following Cesarean Section—the Mediating Effect of Sense of Control

Women who underwent emergency cesarean-sections experienced lower levels of internal control than women who had elective ones, which in turn correlated negatively with post-traumatic symptom levels, and the mediation model explained 38.5% of the variance inPost-traumatic symptoms levels.

Posttraumatic stress following childbirth in homelike- and hospital settings

One in 100 women had PTSD following childbirth, with no differences between home- and hospital deliveries after controlling for complications and interventions, in this Dutch study.

The correlation between postpartum stress disorder and maternal anxiety in different types of delivery (vaginal and cesarean section)

Postpartum stress disorder had a positive relationship with obvious anxiety and hidden anxiety in both study groups, and Counseling may be effective in reducing post-traumatic stress disorder in women.

Sense of coherence and symptoms of post‐traumatic stress after emergency caesarean section

Symptoms of post‐traumatic stress following EmCS are associated both with the new mother's personal coping style and with the circumstances of the event, and it is recommended that women who belong to groups who more often report a low SOC or who had imminent asphyxia as an indication for the operation should be offered support and follow‐up.

Posttraumatic stress disorder after childbirth: analysis of symptom presentation and sampling.

Delivery as a Traumatic Event: Prevalence, Risk Factors, and Treatment for Postnatal Posttraumatic Stress Disorder

  • S. Ayers
  • Psychology
    Clinical obstetrics and gynecology
  • 2004
The limited research available suggests that a history of psychiatric problems, mode of delivery, and low support during labor put women at increased risk of postnatal PTSD, although there is unlikely to be a simple relationship between Mode of delivery and traumatic stress responses.



Post-traumatic stress disorder after childbirth: the phenomenon of traumatic birth.

  • J. L. Reynolds
  • Psychology, Medicine
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
  • 1997
The author asserts that post-traumatic stress disorder (PTSD) may occur after childbirth, and calls this variant of PTSD a "traumatic birth experience".

Post-Traumatic Stress Disorder (PTSD) after Childbirth

The prevalence of PTSD associated with childbirth is a matter of concern, and four cases with a symptom profile suggestive of PTSD commencing within 48 hours of childbirth are presented.

Experiences of emergency cesarean section: A phenomenological study of 53 women.

The stressor criterion of DSM IV is applicable to the trauma of emergency cesarean section and it is concluded that negative feelings, such as fear, guilt, or anger, may dominate a new mother's memories of the birth.

Fear of childbirth during pregnancy may increase the risk of emergency cesarean section

Fear of childbirth during the third trimester of pregnancy may increase the risk of subsequent emergency cesarean section, and, most obviously, a greater fear of childbirth at 32 weeks' gestation.

Adverse Psychological Impact of Operative Obstetric Interventions: A Prospective Longitudinal Study

The findings of this study suggest that operative intervention in first childbirth carries significant psychological risks rendering those who experience these procedures vulnerable to a grief reaction or to posttraumatic distress and depression.

Post-traumatic stress disorder in women who have undergone obstetric and/or gynaecological procedures: A consecutive series of 30 cases of PTSD

Significant differences between the 30 women with PTSD, and 30 respondents who rated their experiences from ‘very good’ to ‘slightly distressing’, were found.

Psychological impact of emergency cesarean section in comparison with elective cesarean section, instrumental and normal vaginal delivery.

An unplanned instrumental delivery (EmCS or IVD) should be regarded as a pointer with respect to possible post-traumatic stress in women after emergency Cesarean section.

Vulnerability to posttraumatic stress disorder in adult offspring of Holocaust survivors.

The findings demonstrate an increased vulnerability to PTSD and other psychiatric disorders among offspring of Holocaust survivors, thus identifying adult offspring as a possible high-risk group within which to explore the individual differences that constitute risk factors for PTSD.

The complexity of labor pain: experiences of 278 women.

The sensory (pain intensity) and effective (negative or positive experience) dimensions of pain, as well as need for pain relief during labor were explored, suggesting that coping with pain is a rewarding experience for some women.