De Soysa Hospital for Women, Colombo, Sri Lanka.
National Institute of Mental Health, Angoda, Sri Lanka.
BMC Pregnancy Childbirth. 2021 Sep 17;21(1):626. doi: 10.1186/s12884-021-04058-z.
Post-Traumatic Stress Disorder (PTSD) usually follows a catastrophic event. However, the experience of child birth can be severe enough to cause PTSD in some women. The aim of this study is to highlight the prevalence of Post Traumatic Stress Disorder among a cohort of postpartum mothers.
A cross-sectional study was conducted in field clinics of a semi-urban area in Sri Lanka. A pre-tested interviewer administered checklist was used to collect socio-demographic and pregnancy related data. Pre-existing self-administered, validated Sinhalese versions of the Edinburgh Postnatal Depression Scale (EPDS) and PTSD Symptom Scale-Self Report (PSS-SR) were used to assess the presence of Post-Partum Depression (PPD) and PTSD, respectively. Each participant was assessed for PTSD and PPD after one, two and six months following delivery. Scores of PPD > 9 and PSS-SR > 13 were taken as screening positive for the two conditions, respectively.
Two hundred and twenty-five mothers at the end of postpartum one month were recruited for the study. The response rate at their follow-up visits at the second and sixth months were 95 % (n = 214) and 93 % (n = 211). The prevalence of postpartum PTSD was 2.7 % (n = 6), 0.9 % (n = 2) and 0.5 % (n = 1) after one, two and sixth months respectively. Prevalence of postpartum PTSD was 3.6 % over 6 months. Verbal abuse during labour (p = 0.04) and the presence of postpartum depression (P ≤ 0.001) were significantly associated with postpartum PTSD. There were no significant associations between PTSD and gestational age at delivery, index pregnancy being a planned pregnancy, a history of subfertility, family history of psychiatric disorders, intimate partner violence, receiving antenatal counseling, type and mode of delivery, duration of labour, presence of a labour companion, post-partum hemorrhage, manual removal of placenta, negative birth experience, low APGAR score of the baby at delivery, receiving neonatal and maternal intensive care, birth defects, problems with breast feeding or opportunity to discuss with a health care worker.
Prevalence of postpartum PTSD in this community-based study is 3.6 %; which is comparable with the overall global prevalence. PTSD was significantly associated with verbal abuse during labour and postpartum depression.
创伤后应激障碍（PTSD）通常发生在灾难性事件之后。然而，分娩的经历足以使一些女性患上 PTSD。本研究的目的是强调产后母亲 PTSD 的患病率。
在斯里兰卡半城市地区的现场诊所进行了一项横断面研究。使用经过预测试的访谈者管理清单收集社会人口统计学和妊娠相关数据。使用现有的、经过验证的僧伽罗语版爱丁堡产后抑郁量表（EPDS）和创伤后应激障碍症状量表-自我报告（PSS-SR）来评估产后抑郁症（PPD）和 PTSD 的存在。在分娩后一个月、两个月和六个月后，对每位参与者进行 PTSD 和 PPD 的评估。PPD 的评分>9 和 PSS-SR>13 分别被视为两种情况的筛查阳性。
在产后一个月结束时招募了 225 名母亲参加研究。在第二次和第六个月的随访中，应答率分别为 95%（n=214）和 93%（n=211）。产后 PTSD 的患病率分别为 2.7%（n=6）、0.9%（n=2）和 0.5%（n=1），在一个月、两个月和六个月后。6 个月后产后 PTSD 的患病率为 3.6%。分娩时的言语虐待（p=0.04）和产后抑郁症的存在（P≤0.001）与产后 PTSD 显著相关。在 PTSD 与分娩时的胎龄、计划妊娠、不孕史、精神疾病家族史、亲密伴侣暴力、接受产前咨询、分娩方式和模式、分娩持续时间、分娩陪伴者的存在、产后出血、胎盘手动取出、分娩时婴儿的低 APGAR 评分、新生儿和产妇重症监护、出生缺陷、母乳喂养问题或与医疗保健工作者讨论的机会之间没有显著关联。
在这项基于社区的研究中，产后 PTSD 的患病率为 3.6%；与全球总体患病率相当。PTSD 与分娩时的言语虐待和产后抑郁症显著相关。
