Document Type : Original Article
Authors
1
Lecturer of Midwifery, Evidence Bace Care Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2
Lecturer of Midwifery, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
3
Associate Professor, Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4
Associate Professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract
Introduction: Pregnancy and postpartum period are considered as a stressful time in woman’s life. Maternal disease and unexpected perinatal complaint increased the risk of post traumatic stress disorder. This study was done to determine the prevalence of Post Traumatic Stress Disorder (PTSD) after childbirth in pre-eclampsia and its related factors.
Methods: This descriptive analytical study was conducted on 122 pregnant women with pre-eclampsia in labor wards of governmental hospitals of Mashhad, Iran in 2013. The prevalence of PTSD was determined by perinatal post-traumatic stress questionnaire (PPQ) and confirmed by psychiatrist interview. Related factors of demographic, obstetric and psychosocial support were also noted. Data were analyzed using SPSS software version 16, Spearman correlation coefficient, chi-square, Mann-Whitney u and independent t-test. P value less than 0.05 was considered significant.
Results: 33 cases (26%) of women with pre-eclampsia, suffered from PTSD after childbirth that PTSD was confirmed by psychiatric interview in 20 women (65%). There were significant differences between mode of delivery, depression in week 6 of postpartum, social support in weeks 2 and 6 of postpartum and PTSD (p<0.05).
Conclusion: The prevalence of PTSD after childbirth in pre-eclampsia is high. Cesarean delivery, reduction of postpartum social support and postpartum depression make women with pre-eclampsia susceptible to PTSD.
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