|Determinants of Postpartum Post-traumatic Stress Disorder: A Cross-sectional Study|
|Mousavi Shekoofehsadat1, Nourizadeh Roghaiyeh1, Mokhtari Fatemeh2, Hakimi Sevil1, Babapour Jalil3, Mousavi Saeed4|
|1Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2Department of Midwifery, School of Medicine, Arak University of Medical Sciences, Arak, Iran
3Department of Psychology, University of Tabriz, Tabriz, Iran
4Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz,Iran
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Keywords : Childbirth satisfaction,Post-traumatic stress disorder,Perceived support, Traumatic childbirth
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Objectives: Postpartum post-traumatic stress disorder (PTSD)is a life-threatening childbirth experience for mother or infant and may be accompanied by the risk of death or serious injury for the mother or her infant. Given the changes in diagnostic criteria of traumatic childbirth in DSM-5 and considering the unfavorable outcomes of postpartum PTSD, this study was carried out to identify the determinants of postpartum PTSD.
Materials and Methods : This cross-sectional study was conducted in 2018 on 310 postpartum women who, based on the DSM-5 [A] criterion, had a traumatic childbirth andreferred to Tabriz health centers for routine cares 42-60 days after the delivery. Subjects were selected by means of convenience sampling. Research instruments were demographic, obstetric and neonatal information questionnaire, Post-Traumatic Stress Checklist for DSM-5 Criteria (PCL-5), Mac key Childbirth Satisfaction Rating Scale, and Winefield and Tiggemann Social Support Questionnaire. The data were analyzed in SPSS v.25 by means of ANOVA, independent t-test, Pearson correlation coefficient test, Spear man correlation coefficient test and multivariate linear regression.
Results: The mean score of (standard deviation) of postpartum PTSD was 42.13(11.72).The determinants of postpartum PTSD included complications during pregnancy, type of delivery, concordance between desired and actual type of delivery, method of placenta removal, analgesia, sleeping and neonatal state, childbirth satisfaction, and perceived support during and after childbirth.
Conclusion: Designing interventions to make childbirth more pleasant through provision of methods for a pain-free or pain-reduced childbirth, promotion of childbirth satisfaction and support during and after the childbirth is essential for reducing postpartum PTSD.
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