Birth setting,labour experience,and postpartum psychological distress |
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| Institution: | 1. Department of Psychology, McGill University, Montreal, Quebec, Canada;2. Lady Davis Institute for Medical Research, Montreal, Quebec, Canada;3. Department of Medicine, McMaster University, Hamilton, ON, Canada;4. Centre for Nursing Research, Jewish General Hospital, Montreal, Quebec, Canada;5. Ingram School of Nursing, McGill University, Montreal, Quebec, Canada;6. Department of Philosophy, McGill University, Montreal, Quebec, Canada;7. Department of Psychiatry, McGill University, Montreal, Quebec, Canada;8. Department of Psychiatry, Jewish General Hospital, Montreal, Quebec, Canada;1. Mid Sweden University, Department of Nursing, 851 70 Sundsvall, Sweden;2. Department of Women''s and Children''s Health, Obstetrics and Gynaecology, Uppsala University, 751 85 Uppsala, Sweden;3. Karolinska Institutet, Department of Women''s and Children''s Health, Division of Reproductive and Perinatal Healthcare, 17177 Stockholm, Sweden;1. Women''s Anaesthesia, KK Women''s and Children''s Hospital, Singapore;2. Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK;1. The Max Stern Academic College Emek-Yezreel, Emek-Yezreel 19300, Israel;2. The Center for Women?s Health Studies and Promotion and the Spitzer Department of Social Work, Ben Gurion University of the Negev, POB 653, Beer Sheva 84105, Israel;1. Department of Nursing and Health Promotion, Oslo and Akershus University College of Applied Sciences, P.O. Box 4 St. Olavs plass, 0130 Oslo, Norway;2. Division of General Gynaecology and Obstetrics, Oslo University Hospital, P.O Box 4950 Nydalen, N-0424 Oslo, Norway;3. Department of Public Health and General Practice at the Faculty of Medicine, The Norwegian University of Science and Technology (NTNU), Håkon Jarls gate 11, N-7489 Trondheim, Norway;4. Department of Gynecology at the Women''s Clinic, St.Olavs Hospital, Trondheim University Hospital, Postbox 3250 Sluppen, N-7006 Trondheim, Norway |
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| Abstract: | Objectivealthough psychosocial risk factors have been identified for postpartum depression (PPD) and perinatal posttraumatic stress disorder (PTSD), the role of labour- and birth-related factors remains unclear. The present investigation explored the impact of birth setting, subjective childbirth experience, and their interplay, on PPD and postpartum PTSD.Methodin this prospective longitudinal cohort study, three groups of women who had vaginal births at a tertiary care hospital, a birthing center, and those transferred from the birthing centre to the tertiary care hospital were compared. Participants were followed twice during pregnancy (12–14 and 32–34 weeks gestation) and twice after childbirth (1–3 and 7–9 weeks postpartum).Resultssymptoms of PPD and PTSD did not significantly differ between birth groups; however, measures of subjective childbirth experience and obstetric factors did. Moderation analyses indicated a significant interaction between pain and birth group, such that higher ratings of pain among women who were transferred was associated with greater symptoms of postpartum PTSD.Conclusion and implications for practicewomen who are transferred appear to have a unique experience that may put them at greater risk for postpartum psychological distress. It may be beneficial for care providers to help prepare women for pain management and potential unexpected complications, particularly if it is their first childbirth. |
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| Keywords: | Postpartum depression PTSD Labour Childbirth experience Pain |
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