Post-Traumatic Stress Disorder after childbirth and the influence of maternity team care during labour and birth: A cohort study.
Identifieur interne : 000F92 ( Main/Corpus ); précédent : 000F91; suivant : 000F93Post-Traumatic Stress Disorder after childbirth and the influence of maternity team care during labour and birth: A cohort study.
Auteurs : Sarah De Schepper ; Tinne Vercauteren ; Jolein Tersago ; Yves Jacquemyn ; Filip Raes ; Erik FranckSource :
- Midwifery [ 1532-3099 ] ; 2016.
English descriptors
- KwdEn :
- Adult (MeSH), Belgium (epidemiology), Cohort Studies (MeSH), Delivery, Obstetric (psychology), Delivery, Obstetric (statistics & numerical data), Female (MeSH), Humans (MeSH), Labor, Obstetric (psychology), Midwifery (organization & administration), Parturition (psychology), Patient Care Team (MeSH), Postpartum Period (psychology), Pregnancy (MeSH), Prevalence (MeSH), Professional-Patient Relations (MeSH), Psychiatric Status Rating Scales (MeSH), Risk Factors (MeSH), Stress Disorders, Post-Traumatic (epidemiology), Surveys and Questionnaires (MeSH).
- MESH :
- epidemiology : Belgium, Stress Disorders, Post-Traumatic.
- organization & administration : Midwifery.
- psychology : Delivery, Obstetric, Labor, Obstetric, Parturition, Postpartum Period.
- statistics & numerical data : Delivery, Obstetric.
- Adult, Cohort Studies, Female, Humans, Patient Care Team, Pregnancy, Prevalence, Professional-Patient Relations, Psychiatric Status Rating Scales, Risk Factors, Surveys and Questionnaires.
Abstract
OBJECTIVE
we examined the prevalence of Post-Traumatic Stress Disorder (PTSD) and the role of personal and obstetric risk factors, as well as the role of midwifery team care factors in a cohort of Flemish women.
DESIGN
prospective cohort study. Data collection was performed at two times post partum: During the first week, socio-demographic and obstetric data as well as information related to midwifery team care factors were assessed using self-report measures. To asses PTSD symptomatology, the Impact of Event Scale-Revised (IES-R) and the Traumatic Event Scale (TES) were used. At six weeks post partum, PTSD symptoms were reassessed either by telephone interviews or e-mail. Results were calculated in frequencies, means and standard deviations. Differences between week one and six were analysed using parametrical and non-parametrical statistics. Multiple and logistic regression was performed to determine risk factors for PTSD symptomatology. P-value was set at 0.05.
SETTING
maternity wards in Flanders, Belgium.
PARTICIPANTS
the first (week 1) and follow-up (week 6) sample of the data collection consisted of 340 and 229 women respectively.
RESULTS
the prevalence of PTSD symptoms after childbirth ranged from 22% to 24% in the first week and from 13% to 20% at six weeks follow-up. Multiple regression analysis showed that Islamic belief, a traumatic childbirth experience, family income <€2500, a history of psychological or psychiatric consults and labour/birth with complications significantly predicted PTSD symptomatology at six weeks post-birth. Midwifery team care and the opportunity to ask questions, as well as experiencing a normal physiological birth were significantly associated with less postnatal PTSD symptoms. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTISE: the results of this study suggest that contextual factors such as religion, socio-economic status, and childbirth experience might be important factors to address by the midwifery team. Midwifery team care factors such as 'providing the opportunity to the mother to ask questions' and the 'perception of the midwife being in control' proved to be potential protective factors for postnatal PTSD symptoms. Despite its prevalence, PTSD symptoms after birth are not yet well understood by health care workers. Further research concerning the influence of midwifery team care factors on developing childbirth related PTSD is required.
DOI: 10.1016/j.midw.2015.08.010
PubMed: 26410818
Links to Exploration step
pubmed:26410818Le document en format XML
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Electronic address: tinne.vercauteren@kdg.be.</nlm:affiliation></affiliation></author><author><name sortKey="Tersago, Jolein" sort="Tersago, Jolein" uniqKey="Tersago J" first="Jolein" last="Tersago">Jolein Tersago</name><affiliation><nlm:affiliation>Nursing Departments of Mother & Child, Surgery and Polyvalent Care, ZNA Jan Palfijn, Lange Bremstraat 70, 2170 Merksem, Belgium. Electronic address: jolein.tersago@zna.be.</nlm:affiliation></affiliation></author><author><name sortKey="Jacquemyn, Yves" sort="Jacquemyn, Yves" uniqKey="Jacquemyn Y" first="Yves" last="Jacquemyn">Yves Jacquemyn</name><affiliation><nlm:affiliation>University of Antwerp, Antwerp University Hospital UZA, Wilrijkstraat 10, 2650 Edegem, Antwerp, Belgium. Electronic address: yves.jacquemyn@uza.be.</nlm:affiliation></affiliation></author><author><name sortKey="Raes, Filip" sort="Raes, Filip" uniqKey="Raes F" first="Filip" last="Raes">Filip Raes</name><affiliation><nlm:affiliation>Faculty of Psychology and Educational Sciences, KU Leuven, Tiensestraat 102, 3000 Leuven, Belgium. Electronic address: filip.raes@ppw.kuleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Franck, Erik" sort="Franck, Erik" uniqKey="Franck E" first="Erik" last="Franck">Erik Franck</name><affiliation><nlm:affiliation>Karel de Grote University College - Healthcare Department, Van Schoonbekestraat 143, 2018 Antwerp, Belgium; Centre of Research and Innovation in Care, Antwerp University, Universiteitsplein 1, 2610 Wilrijk, Belgium. 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Electronic address: sarah.deschepper@kdg.be.</nlm:affiliation></affiliation></author><author><name sortKey="Vercauteren, Tinne" sort="Vercauteren, Tinne" uniqKey="Vercauteren T" first="Tinne" last="Vercauteren">Tinne Vercauteren</name><affiliation><nlm:affiliation>Karel de Grote University College - Healthcare Department, Van Schoonbekestraat 143, 2018 Antwerp, Belgium. Electronic address: tinne.vercauteren@kdg.be.</nlm:affiliation></affiliation></author><author><name sortKey="Tersago, Jolein" sort="Tersago, Jolein" uniqKey="Tersago J" first="Jolein" last="Tersago">Jolein Tersago</name><affiliation><nlm:affiliation>Nursing Departments of Mother & Child, Surgery and Polyvalent Care, ZNA Jan Palfijn, Lange Bremstraat 70, 2170 Merksem, Belgium. Electronic address: jolein.tersago@zna.be.</nlm:affiliation></affiliation></author><author><name sortKey="Jacquemyn, Yves" sort="Jacquemyn, Yves" uniqKey="Jacquemyn Y" first="Yves" last="Jacquemyn">Yves Jacquemyn</name><affiliation><nlm:affiliation>University of Antwerp, Antwerp University Hospital UZA, Wilrijkstraat 10, 2650 Edegem, Antwerp, Belgium. Electronic address: yves.jacquemyn@uza.be.</nlm:affiliation></affiliation></author><author><name sortKey="Raes, Filip" sort="Raes, Filip" uniqKey="Raes F" first="Filip" last="Raes">Filip Raes</name><affiliation><nlm:affiliation>Faculty of Psychology and Educational Sciences, KU Leuven, Tiensestraat 102, 3000 Leuven, Belgium. Electronic address: filip.raes@ppw.kuleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Franck, Erik" sort="Franck, Erik" uniqKey="Franck E" first="Erik" last="Franck">Erik Franck</name><affiliation><nlm:affiliation>Karel de Grote University College - Healthcare Department, Van Schoonbekestraat 143, 2018 Antwerp, Belgium; Centre of Research and Innovation in Care, Antwerp University, Universiteitsplein 1, 2610 Wilrijk, Belgium. Electronic address: erik.franck@kdg.be.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Midwifery</title><idno type="eISSN">1532-3099</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Belgium (epidemiology)</term><term>Cohort Studies (MeSH)</term><term>Delivery, Obstetric (psychology)</term><term>Delivery, Obstetric (statistics & numerical data)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Labor, Obstetric (psychology)</term><term>Midwifery (organization & administration)</term><term>Parturition (psychology)</term><term>Patient Care Team (MeSH)</term><term>Postpartum Period (psychology)</term><term>Pregnancy (MeSH)</term><term>Prevalence (MeSH)</term><term>Professional-Patient Relations (MeSH)</term><term>Psychiatric Status Rating Scales (MeSH)</term><term>Risk Factors (MeSH)</term><term>Stress Disorders, Post-Traumatic (epidemiology)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Belgium</term><term>Stress Disorders, Post-Traumatic</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Midwifery</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Delivery, Obstetric</term><term>Labor, Obstetric</term><term>Parturition</term><term>Postpartum Period</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Delivery, Obstetric</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Patient Care Team</term><term>Pregnancy</term><term>Prevalence</term><term>Professional-Patient Relations</term><term>Psychiatric Status Rating Scales</term><term>Risk Factors</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>we examined the prevalence of Post-Traumatic Stress Disorder (PTSD) and the role of personal and obstetric risk factors, as well as the role of midwifery team care factors in a cohort of Flemish women.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>prospective cohort study. Data collection was performed at two times post partum: During the first week, socio-demographic and obstetric data as well as information related to midwifery team care factors were assessed using self-report measures. To asses PTSD symptomatology, the Impact of Event Scale-Revised (IES-R) and the Traumatic Event Scale (TES) were used. At six weeks post partum, PTSD symptoms were reassessed either by telephone interviews or e-mail. Results were calculated in frequencies, means and standard deviations. Differences between week one and six were analysed using parametrical and non-parametrical statistics. Multiple and logistic regression was performed to determine risk factors for PTSD symptomatology. P-value was set at 0.05.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>maternity wards in Flanders, Belgium.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>the first (week 1) and follow-up (week 6) sample of the data collection consisted of 340 and 229 women respectively.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>the prevalence of PTSD symptoms after childbirth ranged from 22% to 24% in the first week and from 13% to 20% at six weeks follow-up. Multiple regression analysis showed that Islamic belief, a traumatic childbirth experience, family income <€2500, a history of psychological or psychiatric consults and labour/birth with complications significantly predicted PTSD symptomatology at six weeks post-birth. Midwifery team care and the opportunity to ask questions, as well as experiencing a normal physiological birth were significantly associated with less postnatal PTSD symptoms. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTISE: the results of this study suggest that contextual factors such as religion, socio-economic status, and childbirth experience might be important factors to address by the midwifery team. Midwifery team care factors such as 'providing the opportunity to the mother to ask questions' and the 'perception of the midwife being in control' proved to be potential protective factors for postnatal PTSD symptoms. Despite its prevalence, PTSD symptoms after birth are not yet well understood by health care workers. Further research concerning the influence of midwifery team care factors on developing childbirth related PTSD is required.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26410818</PMID><DateCompleted><Year>2017</Year><Month>01</Month><Day>23</Day></DateCompleted><DateRevised><Year>2017</Year><Month>01</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-3099</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><PubDate><Year>2016</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Midwifery</Title><ISOAbbreviation>Midwifery</ISOAbbreviation></Journal><ArticleTitle>Post-Traumatic Stress Disorder after childbirth and the influence of maternity team care during labour and birth: A cohort study.</ArticleTitle><Pagination><MedlinePgn>87-92</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.midw.2015.08.010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0266-6138(15)00228-4</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">we examined the prevalence of Post-Traumatic Stress Disorder (PTSD) and the role of personal and obstetric risk factors, as well as the role of midwifery team care factors in a cohort of Flemish women.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">prospective cohort study. Data collection was performed at two times post partum: During the first week, socio-demographic and obstetric data as well as information related to midwifery team care factors were assessed using self-report measures. To asses PTSD symptomatology, the Impact of Event Scale-Revised (IES-R) and the Traumatic Event Scale (TES) were used. At six weeks post partum, PTSD symptoms were reassessed either by telephone interviews or e-mail. Results were calculated in frequencies, means and standard deviations. Differences between week one and six were analysed using parametrical and non-parametrical statistics. Multiple and logistic regression was performed to determine risk factors for PTSD symptomatology. P-value was set at 0.05.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">maternity wards in Flanders, Belgium.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">the first (week 1) and follow-up (week 6) sample of the data collection consisted of 340 and 229 women respectively.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">the prevalence of PTSD symptoms after childbirth ranged from 22% to 24% in the first week and from 13% to 20% at six weeks follow-up. Multiple regression analysis showed that Islamic belief, a traumatic childbirth experience, family income <€2500, a history of psychological or psychiatric consults and labour/birth with complications significantly predicted PTSD symptomatology at six weeks post-birth. Midwifery team care and the opportunity to ask questions, as well as experiencing a normal physiological birth were significantly associated with less postnatal PTSD symptoms. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTISE: the results of this study suggest that contextual factors such as religion, socio-economic status, and childbirth experience might be important factors to address by the midwifery team. Midwifery team care factors such as 'providing the opportunity to the mother to ask questions' and the 'perception of the midwife being in control' proved to be potential protective factors for postnatal PTSD symptoms. Despite its prevalence, PTSD symptoms after birth are not yet well understood by health care workers. Further research concerning the influence of midwifery team care factors on developing childbirth related PTSD is required.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>De Schepper</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Karel de Grote University College - Healthcare Department, Van Schoonbekestraat 143, 2018 Antwerp, Belgium. Electronic address: sarah.deschepper@kdg.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vercauteren</LastName><ForeName>Tinne</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Karel de Grote University College - Healthcare Department, Van Schoonbekestraat 143, 2018 Antwerp, Belgium. Electronic address: tinne.vercauteren@kdg.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tersago</LastName><ForeName>Jolein</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Nursing Departments of Mother & Child, Surgery and Polyvalent Care, ZNA Jan Palfijn, Lange Bremstraat 70, 2170 Merksem, Belgium. Electronic address: jolein.tersago@zna.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jacquemyn</LastName><ForeName>Yves</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>University of Antwerp, Antwerp University Hospital UZA, Wilrijkstraat 10, 2650 Edegem, Antwerp, Belgium. Electronic address: yves.jacquemyn@uza.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raes</LastName><ForeName>Filip</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Faculty of Psychology and Educational Sciences, KU Leuven, Tiensestraat 102, 3000 Leuven, Belgium. Electronic address: filip.raes@ppw.kuleuven.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Franck</LastName><ForeName>Erik</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Karel de Grote University College - Healthcare Department, Van Schoonbekestraat 143, 2018 Antwerp, Belgium; Centre of Research and Innovation in Care, Antwerp University, Universiteitsplein 1, 2610 Wilrijk, Belgium. Electronic address: erik.franck@kdg.be.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>09</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>Midwifery</MedlineTA><NlmUniqueID>8510930</NlmUniqueID><ISSNLinking>0266-6138</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N">Belgium</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036861" MajorTopicYN="N">Delivery, Obstetric</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007743" MajorTopicYN="N">Labor, Obstetric</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008880" MajorTopicYN="N">Midwifery</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D036801" MajorTopicYN="N">Parturition</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010348" MajorTopicYN="N">Patient Care Team</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D049590" MajorTopicYN="N">Postpartum Period</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011369" MajorTopicYN="Y">Professional-Patient Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Midwifery team</Keyword><Keyword MajorTopicYN="N">Post partum</Keyword><Keyword MajorTopicYN="N">Post-Traumatic Stress Disorder</Keyword><Keyword MajorTopicYN="N">Risk factors</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>10</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>08</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>08</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>9</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>9</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>1</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26410818</ArticleId><ArticleId IdType="pii">S0266-6138(15)00228-4</ArticleId><ArticleId IdType="doi">10.1016/j.midw.2015.08.010</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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