Posttraumatic stress disorder in partners following severe postpartum haemorrhage: A prospective cohort study.
Childbirth
DSM-5
Partners
Posttraumatic stress disorder
Psychotrauma
Severe postpartum haemorrhage
Journal
Women and birth : journal of the Australian College of Midwives
ISSN: 1878-1799
Titre abrégé: Women Birth
Pays: Netherlands
ID NLM: 101266131
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
20
12
2018
revised:
21
06
2019
accepted:
21
06
2019
pubmed:
17
7
2019
medline:
27
10
2020
entrez:
17
7
2019
Statut:
ppublish
Résumé
Partners of women are increasingly present during childbirth and may be exposed to a traumatic experience. Since parents' mental health issues (i.e. posttraumatic stress disorder) have been shown to increase the risk of problems in the child's development, it is important to identify these risk factors. Partners often describe severe postpartum haemorrhage as traumatic. Whether witnessing severe postpartum haemorrhage is a risk factor for developing posttraumatic stress disorder in partners. In this prospective cohort study, we compared partners of women with severe postpartum haemorrhage (≥2000 mL) and partners of women with ≤500 mL of blood loss (controls). Four weeks after birth partners were screened for posttraumatic stress disorder symptoms with a self-report questionnaire. Scores ≥11 were followed by a gold standard clinical interview to diagnose posttraumatic stress disorder. We included 123 severe postpartum haemorrhage partners and 62 control partners. Partners of women with severe postpartum haemorrhage reported higher scores than control partners (median 3.0 (0.0-7.0) vs 2.0 (0.0-4.0), p = 0.04) on symptoms of posttraumatic stress, but no significant difference in probable posttraumatic stress disorder diagnosis according to the self-report questionnaire was found. According to the clinical interview no partners were diagnosed with posttraumatic stress disorder. Severe postpartum haemorrhage was experienced as traumatic by the partners who felt excluded. None of the partners developed posttraumatic stress disorder, revealing the resilience of young fathers. Because some partners reported severe postpartum haemorrhage as traumatic, we recommend sufficient information and support is provided during childbirth.
Sections du résumé
BACKGROUND
BACKGROUND
Partners of women are increasingly present during childbirth and may be exposed to a traumatic experience. Since parents' mental health issues (i.e. posttraumatic stress disorder) have been shown to increase the risk of problems in the child's development, it is important to identify these risk factors. Partners often describe severe postpartum haemorrhage as traumatic.
AIM
OBJECTIVE
Whether witnessing severe postpartum haemorrhage is a risk factor for developing posttraumatic stress disorder in partners.
METHODS
METHODS
In this prospective cohort study, we compared partners of women with severe postpartum haemorrhage (≥2000 mL) and partners of women with ≤500 mL of blood loss (controls). Four weeks after birth partners were screened for posttraumatic stress disorder symptoms with a self-report questionnaire. Scores ≥11 were followed by a gold standard clinical interview to diagnose posttraumatic stress disorder.
FINDINGS
RESULTS
We included 123 severe postpartum haemorrhage partners and 62 control partners. Partners of women with severe postpartum haemorrhage reported higher scores than control partners (median 3.0 (0.0-7.0) vs 2.0 (0.0-4.0), p = 0.04) on symptoms of posttraumatic stress, but no significant difference in probable posttraumatic stress disorder diagnosis according to the self-report questionnaire was found. According to the clinical interview no partners were diagnosed with posttraumatic stress disorder. Severe postpartum haemorrhage was experienced as traumatic by the partners who felt excluded.
CONCLUSION
CONCLUSIONS
None of the partners developed posttraumatic stress disorder, revealing the resilience of young fathers. Because some partners reported severe postpartum haemorrhage as traumatic, we recommend sufficient information and support is provided during childbirth.
Identifiants
pubmed: 31307939
pii: S1871-5192(18)31729-3
doi: 10.1016/j.wombi.2019.06.016
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
360-366Informations de copyright
Copyright © 2019 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.