Post-traumatic stress disorder following emergency peripartum hysterectomy.

Details

• Personal Author:
  Coulter M ; de la Cruz CZ ; Mbah AK ; O'Rourke K ; Salihu HM
• Description:
  Purpose: Our objective was to explore if women who experience emergency peripartum hysterectomy (EPH), a type of severe maternal morbidity, are more likely to screen positive for post-traumatic stress disorder (PTSD) compared to women who did not experience EPH. Methods: Using a retrospective cohort design, women were sampled through online communities. Participants completed online screens for PTSD. Additionally, women provided sociodemographic, obstetric, psychiatric, and psychosocial information. We conducted bivariate and logistic regression analyses, then Monte Carlo simulation and propensity score matching to calculate the risk of screening positive for PTSD after EPH. Results: 74 exposed women (experienced EPH) and 335 non-exposed women (did not experience EPH) completed the survey. EPH survivors were nearly two times more likely to screen positive for PTSD (aOR: 1.90; 95 % CI: 1.57, 2.30), and nearly 2.5 times more likely to screen positive for PTSD at 6 months postpartum compared to women who were not EPH survivors (aOR: 2.46; 95 % CI: 1.92, 3.16). Conclusion: The association of EPH and PTSD was statistically significant, indicating a need for further research, and the potential need for support services for these women following childbirth. [Description provided by NIOSH]
• Subjects:
  Demography Mental Health Morbidity Occupational Health Safety Women
• Keywords:
  Author Keywords: Maternal Morbidity; Emergency Hysterectomy; Post-traumatic Stress Disorder; PTSD; Maternal Mental Health Humans; Women; PTSD; Post-traumatic Stress Disorder; Morbidity Rates; Sampling; Sociological Factors; Demographic Characteristics; Psychological Effects; Regression Analysis;
• ISSN:
  0932-0067
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; OSHA Region 4 ; OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  294
• Issue:
  4
• NIOSHTIC Number:
  nn:20065041
• Citation:
  Arch Gynecol Obstet 2016 Oct; 294(4):681-688
• Contact Point Address:
  Cara Z. de la Cruz, Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612
• Email:
  delacruz@alumni.upenn.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  Sunshine Education and Research Center, University of South Florida
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Archives of Gynecology and Obstetrics
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:74e916bc0cb826d10794027cd369de2a7815509e8eef765254eefc83a75cb9d0560197c6aa679839dcb81bc95fef002757d3329b9890bb59e626960c32d53b49
• Download URL:
  https://stacks.cdc.gov/view/cdc/249308/cdc_249308_DS1.pdf
• File Type:
  [PDF - 382.63 KB ]