Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/146263 |
Resumo: | 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 χ2, 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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Clinics |
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Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association?Post-Traumatic Stress DisorderMaternal MorbidityMaternal Near MissOBJECTIVE: 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 χ2, 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, Faculdade de Medicina, Universidade de São Paulo2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/14626310.6061/clinics/2018/e309Clinics; Vol. 73 (2018); e309Clinics; v. 73 (2018); e309Clinics; Vol. 73 (2018); e3091980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/146263/139952Copyright (c) 2018 Clinicsinfo:eu-repo/semantics/openAccessAngelini, Carina R.Pacagnella, Rodolfo C.Parpinelli, Mary A.Silveira, CarlaAndreucci, Carla B.Ferreira, Elton C.Santos, Juliana P.Zanardi, Dulce M.Souza, Renato T.Cecatti, Jose G.2019-05-14T11:48:50Zoai:revistas.usp.br:article/146263Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2019-05-14T11:48:50Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
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? |
spellingShingle |
Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association? Angelini, Carina R. Post-Traumatic Stress Disorder Maternal Morbidity Maternal Near Miss |
title_short |
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_sort |
Post-Traumatic Stress Disorder and severe maternal morbidity: is there an association? |
author |
Angelini, Carina R. |
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_role |
author |
author2 |
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. |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
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. |
dc.subject.por.fl_str_mv |
Post-Traumatic Stress Disorder Maternal Morbidity Maternal Near Miss |
topic |
Post-Traumatic Stress Disorder Maternal Morbidity Maternal Near Miss |
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 χ2, 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. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/146263 10.6061/clinics/2018/e309 |
url |
https://www.revistas.usp.br/clinics/article/view/146263 |
identifier_str_mv |
10.6061/clinics/2018/e309 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/146263/139952 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 73 (2018); e309 Clinics; v. 73 (2018); e309 Clinics; Vol. 73 (2018); e309 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222763678433280 |