Analysis of related factors of postpartum post-traumatic stress disorder
10.3760/cma.j.issn.1674-6554.2019.11.013
- VernacularTitle: 产后创伤后应激障碍的相关因素分析
- Author:
Quan GAN
1
;
Dong ZHOU
2
;
Ruoqin CHENG
3
Author Information
1. Maternal Intensive Care Unit, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430070, China
2. Obstetrical department, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430070, China
3. Mental Health Education Center, Wuhan Polytechnic, Wuhan 430074, China
- Publication Type:Journal Article
- Keywords:
Postpartum;
Posttraumatic stress disorder;
Related factors
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(11):1025-1029
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the related factors of postpartum posttraumatic stress disorder.
Methods:Perinatal posttraumatic stress disorder questionnaire-Chinese edition(PPQ-C) was used to measure the symptoms of 1 160 puerpera in maternal and child health hospital of Hubei Province.Chi-square test was used to evaluate the differences of positive and negative symptom group in living area (urban or rural), employment status (employment or unemployment), medical insurance status (with or without medical insurance), parity (primiparity or multiparity), mode of delivery (natural labor or cesarean section). Logistic regression analysis was used to discuss the influencing factors of postpartum PTSD.
Results:In all 1 160, there were 188 puerpera meet the positive standard postpartum PTSD(16.2%), and the average score of PPQ-C of this 188 puerpera was (25.71±6.22). Women who were unemployed(OR=0.64, 95%CI: 0.46-0.89, P=0.01), who had no medical insurance (OR=0.60, 95%CI: 0.43-0.82, P<0.01), who gave birth by cesarean section(OR=1.47, 95%CI: 1.06-2.03, P=0.02) and who had pregnancy complications (OR=1.47, 95%CI: 1.06-2.03, P=0.03) were at higher risk of postpartum PTSD.
Conclusion:Medical insurance status and employment status were important factors affecting postpartum PTSD.Delivery mode and pregnancy complications are important factors affecting the occurrence and development of postpartum PTSD symptoms, and abnormal results of pregnancy examination which related to pregnancy complications are important stressor for postpartum PTSD symptoms.
