Benzakour Lamyae, Epiney Manuella, Girard Elodie
Service de psychiatrie de liaison et d'intervention de crise, Département de santé mentale et de psychiatrie, HUG, 1211 Genève 14.
Service d'obstétrique, Département de gynécologie et d'obstétrique, HUG, 1211 Genève 14.
Rev Med Suisse. 2019 Feb 6;15(637):347-350.
In this article, a synthesis of data from the literature on postpartum post-traumatic stress disorder (PTSD) related to childbirth is presented, knowing that the psychological suffering in this period of life is frequently associated with a certain taboo. The criteria to diagnose psychotraumatism, as well as postpartum PTSD just after the birth are here recalled as well as the importance of evaluating the subjective experience of the mother wich is a central issue. The clinical specificity and key symptoms of postpartum PTSD are described along with the risk and protective factors. In the light of scientific knowledge in the field of psychotraumatology, we present the prevention strategies of this disorder that can be applied, but which remain to be evaluated and tailored to this specific context.
在本文中,我们综合了文献中与分娩相关的产后创伤后应激障碍(PTSD)的数据,因为我们知道,这一人生阶段的心理痛苦常常伴随着某种禁忌。本文回顾了心理创伤以及产后即刻PTSD的诊断标准,同时强调了评估母亲主观体验的重要性,这是一个核心问题。文中描述了产后PTSD的临床特异性和关键症状,以及风险和保护因素。基于心理创伤学领域的科学知识,我们提出了可应用的该障碍预防策略,但这些策略仍有待评估并针对这一特定背景进行调整。