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Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?

OBJECTIVE: To evaluate the occurrence of Post-Traumatic Stress Disorder among women experiencing a severe maternal morbidity event and associated factors in comparison with those without maternal morbidity. METHODS: In a retrospective cohort study, 803 women with or without severe maternal morbidity...

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Autores principales: Angelini, Carina R., Pacagnella, Rodolfo C., Parpinelli, Mary A., Silveira, Carla, Andreucci, Carla B., Ferreira, Elton C., Santos, Juliana P., Zanardi, Dulce M., Souza, Renato T., Cecatti, Jose G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902760/
https://www.ncbi.nlm.nih.gov/pubmed/29723346
http://dx.doi.org/10.6061/clinics/2018/e309
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author Angelini, Carina R.
Pacagnella, Rodolfo C.
Parpinelli, Mary A.
Silveira, Carla
Andreucci, Carla B.
Ferreira, Elton C.
Santos, Juliana P.
Zanardi, Dulce M.
Souza, Renato T.
Cecatti, Jose G.
author_facet Angelini, Carina R.
Pacagnella, Rodolfo C.
Parpinelli, Mary A.
Silveira, Carla
Andreucci, Carla B.
Ferreira, Elton C.
Santos, Juliana P.
Zanardi, Dulce M.
Souza, Renato T.
Cecatti, Jose G.
author_sort Angelini, Carina R.
collection PubMed
description OBJECTIVE: To evaluate the occurrence of Post-Traumatic Stress Disorder among women experiencing a severe maternal morbidity event and associated factors in comparison with those without maternal morbidity. METHODS: In a retrospective cohort study, 803 women with or without severe maternal morbidity were evaluated at 6 months to 5 years postpartum for the presence of Post-Traumatic Stress Disorder. Interviews were conducted by telephone and electronic data was stored. Data analysis was carried out by using χ(2), Fisher’s Exact test, and logistic regression analysis. RESULTS: There was no significant change in the prevalence of Post-Traumatic Stress Disorder related to a previous severe maternal morbidity experience. There were also no differences in diagnostic criteria for severe maternal morbidity (hypertensive syndromes, hemorrhage, surgical intervention or intensive care unit admission required, among other management criteria). Low parity (2.5-fold risk) and increasing age were factors associated with Post-Traumatic Stress Disorder. CONCLUSIONS: A severe maternal morbidity episode is not associated with Post-Traumatic Stress Disorder symptoms within five years of the severe maternal morbidity event and birth. However, a more advanced maternal age and primiparity increased the risk of Post-Traumatic Stress Disorder. This does not imply that women who had experienced a severe maternal morbidity event did not suffer or need differentiated care.
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spelling pubmed-59027602018-04-18 Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association? Angelini, Carina R. Pacagnella, Rodolfo C. Parpinelli, Mary A. Silveira, Carla Andreucci, Carla B. Ferreira, Elton C. Santos, Juliana P. Zanardi, Dulce M. Souza, Renato T. Cecatti, Jose G. Clinics (Sao Paulo) Original Article OBJECTIVE: To evaluate the occurrence of Post-Traumatic Stress Disorder among women experiencing a severe maternal morbidity event and associated factors in comparison with those without maternal morbidity. METHODS: In a retrospective cohort study, 803 women with or without severe maternal morbidity were evaluated at 6 months to 5 years postpartum for the presence of Post-Traumatic Stress Disorder. Interviews were conducted by telephone and electronic data was stored. Data analysis was carried out by using χ(2), Fisher’s Exact test, and logistic regression analysis. RESULTS: There was no significant change in the prevalence of Post-Traumatic Stress Disorder related to a previous severe maternal morbidity experience. There were also no differences in diagnostic criteria for severe maternal morbidity (hypertensive syndromes, hemorrhage, surgical intervention or intensive care unit admission required, among other management criteria). Low parity (2.5-fold risk) and increasing age were factors associated with Post-Traumatic Stress Disorder. CONCLUSIONS: A severe maternal morbidity episode is not associated with Post-Traumatic Stress Disorder symptoms within five years of the severe maternal morbidity event and birth. However, a more advanced maternal age and primiparity increased the risk of Post-Traumatic Stress Disorder. This does not imply that women who had experienced a severe maternal morbidity event did not suffer or need differentiated care. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2018-04-17 2018 /pmc/articles/PMC5902760/ /pubmed/29723346 http://dx.doi.org/10.6061/clinics/2018/e309 Text en Copyright © 2018 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
spellingShingle Original Article
Angelini, Carina R.
Pacagnella, Rodolfo C.
Parpinelli, Mary A.
Silveira, Carla
Andreucci, Carla B.
Ferreira, Elton C.
Santos, Juliana P.
Zanardi, Dulce M.
Souza, Renato T.
Cecatti, Jose G.
Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?
title Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?
title_full Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?
title_fullStr Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?
title_full_unstemmed Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?
title_short Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?
title_sort post-traumatic stress disorder and severe maternal morbidity: is there an association?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902760/
https://www.ncbi.nlm.nih.gov/pubmed/29723346
http://dx.doi.org/10.6061/clinics/2018/e309
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