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Post-traumatic stress disorder following emergency peripartum hysterectomy
- Source :
- Archives of Gynecology and Obstetrics. 294:681-688
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- Our objective was to explore if women who experience emergency peripartum hysterectomy (EPH), a type of severe maternal morbidity, are more likely to screen positive for post-traumatic stress disorder (PTSD) compared to women who did not experience EPH. Using a retrospective cohort design, women were sampled through online communities. Participants completed online screens for PTSD. Additionally, women provided sociodemographic, obstetric, psychiatric, and psychosocial information. We conducted bivariate and logistic regression analyses, then Monte Carlo simulation and propensity score matching to calculate the risk of screening positive for PTSD after EPH. 74 exposed women (experienced EPH) and 335 non-exposed women (did not experience EPH) completed the survey. EPH survivors were nearly two times more likely to screen positive for PTSD (aOR: 1.90; 95 % CI: 1.57, 2.30), and nearly 2.5 times more likely to screen positive for PTSD at 6 months postpartum compared to women who were not EPH survivors (aOR: 2.46; 95 % CI: 1.92, 3.16). The association of EPH and PTSD was statistically significant, indicating a need for further research, and the potential need for support services for these women following childbirth.
- Subjects :
- Adult
medicine.medical_specialty
Hysterectomy
Logistic regression
Stress Disorders, Post-Traumatic
Young Adult
03 medical and health sciences
0302 clinical medicine
Pregnancy
Risk Factors
mental disorders
Peripartum Period
medicine
Humans
Childbirth
030212 general & internal medicine
Psychiatry
Retrospective Studies
Peripartum hysterectomy
030219 obstetrics & reproductive medicine
business.industry
Postpartum Period
Traumatic stress
Erythropoietin-producing hepatocellular (Eph) receptor
Obstetrics and Gynecology
Retrospective cohort study
General Medicine
biological factors
Propensity score matching
Female
Emergencies
biological phenomena, cell phenomena, and immunity
business
Psychosocial
Subjects
Details
- ISSN :
- 14320711 and 09320067
- Volume :
- 294
- Database :
- OpenAIRE
- Journal :
- Archives of Gynecology and Obstetrics
- Accession number :
- edsair.doi.dedup.....d49b19e38f44986c36ef6a9e5a4f33dc