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

Detalhes bibliográficos
Autor(a) principal: Angelini, Carina R.
Data de Publicação: 2018
Outros Autores: 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.
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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spelling 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
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