Department of Psychiatry, Geneva University Hospitals, University of Geneva, 1205 Geneva, Switzerland.
Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland.
Int J Environ Res Public Health. 2022 Oct 31;19(21):14246. doi: 10.3390/ijerph192114246.
Birth-related post-traumatic stress disorder occurs in 4.7% of mothers. No previous study focusing precisely on the stress factors related to the COVID-19 pandemic regarding this important public mental health issue has been conducted. However, the stress load brought about by the COVID-19 pandemic could have influenced this risk.
We aimed to estimate the prevalence of traumatic childbirth and birth-related PTSD and to analyze the risk and protective factors involved, including the risk factors related to the COVID-19 pandemic. We conducted a prospective cohort study of women who delivered at the University Hospitals of Geneva between 25 January 2021 and 10 March 2022 with an assessment within 3 days of delivery and a clinical interview at one month post-partum.
Among the 254 participants included, 35 (21.1%, 95% CI: 15.1-28.1%) experienced a traumatic childbirth and 15 (9.1%, 95% CI: 5.2-14.6%) developed a birth-related PTSD at one month post-partum according to DSM-5. Known risk factors of birth-related PTSD such as antenatal depression, previous traumatic events, neonatal complications, peritraumatic distress and peritraumatic dissociation were confirmed. Among the factors related to COVID-19, only limited access to prenatal care increased the risk of birth-related PTSD.
This study highlights the challenges of early mental health screening during the maternity stay when seeking to provide an early intervention and reduce the risk of developing birth-related PTSD. We found a modest influence of stress factors directly related to the COVID-19 pandemic on this risk.
与分娩相关的创伤后应激障碍在 4.7%的母亲中发生。以前没有研究专门针对与 COVID-19 大流行相关的压力因素来关注这一重要的公共心理健康问题。然而，COVID-19 大流行带来的压力可能会影响这种风险。
我们旨在估计创伤性分娩和与分娩相关的创伤后应激障碍的患病率，并分析所涉及的风险和保护因素，包括与 COVID-19 大流行相关的风险因素。我们对 2021 年 1 月 25 日至 2022 年 3 月 10 日期间在日内瓦大学附属医院分娩的妇女进行了一项前瞻性队列研究，在分娩后 3 天内进行评估，并在产后 1 个月进行临床访谈。
在纳入的 254 名参与者中，根据 DSM-5，35 名（21.1%，95%CI：15.1-28.1%）经历了创伤性分娩，15 名（9.1%，95%CI：5.2-14.6%）在产后 1 个月时发生了与分娩相关的 PTSD。与与分娩相关的 PTSD 相关的已知风险因素，如产前抑郁、先前的创伤事件、新生儿并发症、围产期痛苦和围产期解离，得到了证实。在与 COVID-19 相关的因素中，只有产前保健机会有限增加了与分娩相关的 PTSD 的风险。
这项研究强调了在产妇住院期间进行早期心理健康筛查的挑战，以便提供早期干预并降低发生与分娩相关的 PTSD 的风险。我们发现，与 COVID-19 直接相关的压力因素对这种风险有一定影响。
