DOĞUM TRAVMASI VE POSTPARTUM TRAVMATİK STRES BOZUKLUĞU İLE İLİŞKİLİ FAKTÖRLER

Project no. 23035 · Status: Kapanmış · 2021

Summary

Introduction: Pregnancy, childbirth and postpartum periods are the periods when the risk of developing a mental disorder increases. Postpartum post-traumatic stress disorder (PTSD) is one of these disorders and its prevalence varies between 4% and 16.4%. PTSD has many adverse effects on the mother, fetus/newborn, and family. Women who do not have traumatic birth experience adapt more easily to the new process and motherhood role.Aim: This study was conducted to determine PTSD and related factors in postpartum women aged 6-12 months.Method: The research is cross-sectional and analytical type, it was conducted online with 402 postpartum Turkish women aged 6-12 months between June 2021/June 2022. Research data were collected with Descriptive Questionnaire, City Birth Trauma Scale (CityDTS) and Birth Perception Scale (DAS). Kruskal Wallis, Mann Whitney U test and Correlation Analysis were used to evaluate the data.Results: The mean age of the women participating in the study was 29.08±5.19 years and the education level of the majority of them was at the undergraduate level (38.8%). The mean CityDTS score of the women was 15.77±13.51; 90.5% have at least 1 or more symptoms. The proportion of women who met all diagnostic criteria for Post-Traumatic Stress Disorder (PTSD) in DSM-5 was 14.93%. It was observed that PTSD increased as women's perception of traumatic birth increased (p<0.05, r=0.523). The woman's high education level, history of a psychological disorder, primigravida, primiparous, exposure to physical/verbal violence, sexual abuse, stress or anxiety during pregnancy, fear of childbirth during pregnancy, no skin to skin contact after birth, and not breastfeeding within the first hour, Complications in the mother during or after birth, complications in the baby during or after birth, negative attitudes and behaviors of the health personnel at birth, insufficient support and care from the health personnel during labor, the failure of the health personnel to respect the privacy of the woman at birth, and the family health center of the woman in the perinatal period not getting adequate counseling/education from health personnel increased the rate of PTSD (p<0.05).Conclusion: Women at risk for PTSD should be closely monitored for proactive early screening in the perinatal period, to detect and prevent the risk of postpartum PTSD development, and for effective treatment. In perinatal care, health professionals and nurses should provide adequate counseling, traumatic interventions should be avoided in intrapartum, and necessary care and support should be provided to women.Keywords: traumatic birth; post traumatic stress disorder; perinatal care; consultancy

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