Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated Factors
Postpartum post-traumatic stress disorder (PTSD) is not a specific process but can last for months and may manifest itself during any subsequent pregnancies or even become chronic. This study aimed to determine the factors associated with long-term PTSD symptoms one year after delivery. A cross-sect...
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doaj-e86f3a3a6a8d43ee971a3a9908d96dbd2021-01-31T00:00:13ZengMDPI AGJournal of Clinical Medicine2077-03832021-01-011048848810.3390/jcm10030488Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated FactorsSergio Martínez-Vazquez0Julián Rodríguez-Almagro1Antonio Hernández-Martínez2Miguel Delgado-Rodríguez3Juan Miguel Martínez-Galiano4Department of Nursing, Faculty of Health Sciences, University of Jaen, 23071 Jaen, SpainDepartment of Nursing, Physiotherapy and Occupational Therapy, Ciudad Real Faculty of Nursing, University of Castilla-La Mancha, 13071 Ciudad Real, SpainDepartment of Nursing, Physiotherapy and Occupational Therapy, Ciudad Real Faculty of Nursing, University of Castilla-La Mancha, 13071 Ciudad Real, SpainDepartment of Health Science, University of Jaen, 23071 Jaen, SpainDepartment of Nursing, Faculty of Health Sciences, University of Jaen, 23071 Jaen, SpainPostpartum post-traumatic stress disorder (PTSD) is not a specific process but can last for months and may manifest itself during any subsequent pregnancies or even become chronic. This study aimed to determine the factors associated with long-term PTSD symptoms one year after delivery. A cross-sectional study was conducted on 1301 Spanish puerperal women. Data were collected on sociodemographic, obstetric, and neonatal variables. The Perinatal Post-Traumatic Stress Disorder Questionnaire (PPQ) was administered online through midwives’ associations across Spain. Crude odds ratio (OR) and adjusted odds ratio (aOR) and their 95% confidence intervals were calculated. A PPQ score ≥ 19 (high-risk) was recorded for 13.1% (171) of the participants. Identified risk factors were not respecting a birth plan (aOR = 1.89 (95% CI 1.21–2.94)), formula-feeding of the baby at discharge (aOR = 2.50 (95% CI 1.20–5.17)), postpartum surgical intervention (aOR = 2.23 (95% CI 1.02–4.85)), hospital readmission (aOR = 3.45 (95% CI 1.21–9.84)), as well as verbal obstetric violence (aOR = 3.73 (95% CI 2.52–5.53)) and psycho-affective obstetric violence (aOR = 3.98 (95% CI 2.48–6.39)). During childbirth, some clinical practices, such as formula-feeding of the newborn at discharge or types of obstetric violence towards the mother, were associated with a higher risk of PTSD symptoms one year after delivery.https://www.mdpi.com/2077-0383/10/3/488postpartumpost-traumatic stress disorderPTSDassociated factors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sergio Martínez-Vazquez Julián Rodríguez-Almagro Antonio Hernández-Martínez Miguel Delgado-Rodríguez Juan Miguel Martínez-Galiano |
spellingShingle |
Sergio Martínez-Vazquez Julián Rodríguez-Almagro Antonio Hernández-Martínez Miguel Delgado-Rodríguez Juan Miguel Martínez-Galiano Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated Factors Journal of Clinical Medicine postpartum post-traumatic stress disorder PTSD associated factors |
author_facet |
Sergio Martínez-Vazquez Julián Rodríguez-Almagro Antonio Hernández-Martínez Miguel Delgado-Rodríguez Juan Miguel Martínez-Galiano |
author_sort |
Sergio Martínez-Vazquez |
title |
Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated Factors |
title_short |
Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated Factors |
title_full |
Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated Factors |
title_fullStr |
Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated Factors |
title_full_unstemmed |
Long-Term High Risk of Postpartum Post-Traumatic Stress Disorder (PTSD) and Associated Factors |
title_sort |
long-term high risk of postpartum post-traumatic stress disorder (ptsd) and associated factors |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-01-01 |
description |
Postpartum post-traumatic stress disorder (PTSD) is not a specific process but can last for months and may manifest itself during any subsequent pregnancies or even become chronic. This study aimed to determine the factors associated with long-term PTSD symptoms one year after delivery. A cross-sectional study was conducted on 1301 Spanish puerperal women. Data were collected on sociodemographic, obstetric, and neonatal variables. The Perinatal Post-Traumatic Stress Disorder Questionnaire (PPQ) was administered online through midwives’ associations across Spain. Crude odds ratio (OR) and adjusted odds ratio (aOR) and their 95% confidence intervals were calculated. A PPQ score ≥ 19 (high-risk) was recorded for 13.1% (171) of the participants. Identified risk factors were not respecting a birth plan (aOR = 1.89 (95% CI 1.21–2.94)), formula-feeding of the baby at discharge (aOR = 2.50 (95% CI 1.20–5.17)), postpartum surgical intervention (aOR = 2.23 (95% CI 1.02–4.85)), hospital readmission (aOR = 3.45 (95% CI 1.21–9.84)), as well as verbal obstetric violence (aOR = 3.73 (95% CI 2.52–5.53)) and psycho-affective obstetric violence (aOR = 3.98 (95% CI 2.48–6.39)). During childbirth, some clinical practices, such as formula-feeding of the newborn at discharge or types of obstetric violence towards the mother, were associated with a higher risk of PTSD symptoms one year after delivery. |
topic |
postpartum post-traumatic stress disorder PTSD associated factors |
url |
https://www.mdpi.com/2077-0383/10/3/488 |
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