prevalence and risk factors of childbirth-related post-traumatic stress symptoms患病率和分娩相关的创伤后应激症状的危险因素.pdfVIP

Modarres et al. BMC Pregnancy and Childbirth 2012, 12:88 /1471-2393/12/88 RESEARCH ARTICLE Open Access Prevalence and risk factors of childbirth-related post-traumatic stress symptoms 1 2 3* 4* Maryam Modarres , Sedigheh Afrasiabi , Parvin Rahnama and Ali Montazeri Abstract Background: There is evidence that traumatic birth experiences are associated with psychological impairments. This study aimed to estimate the prevalence of childbirth-related post-traumatic stress symptoms and its obstetric and perinatal risk factors among a sample of Iranian women. Methods: This was a cross-sectional study carried out in Bushehr, Iran during a 3-months period from July to September 2009. Data were collected from all women attending eleven healthcare centers for postnatal care 6 to 8 weeks after childbirth. Those who had a traumatic delivery were identified and entered into the study. In order to assess childbirth-related post-traumatic stress, the Post-traumatic Symptom Scale-Interview (PSS-I) was administered. Data on demographic, obstetric and perinatal characteristics also were collected. Multivariate logistic regression was performed to examine the association between childbirth-related post-traumatic stress and demographic and obstetric and perinatal variables. Results: In all, 400 women were initially evaluated. Of these, 218 women (54.5%) had a traumatic delivery and overall, 80 women (20%) were found to be suffering from post-partum post-traumatic stress disorder (PTSD). Multiple logistic regression analysis revealed that post-partum PTSD was associated with educational level, gestational age at delivery, number of prenatal care visits, pregnancy complications, pregnancy intervals, labor duration, and