Risk factors for postpartum posttraumatic stress disorder after emergency admission

作     者：Fengxia Du Jun Zha Yan Li Lichao Fang Shuyu Xia Youjia Yu Fengxia Du;Jun Zha;Yan Li;Lichao Fang;Shuyu Xia;Youjia Yu

作者机构：Department of ObstetricsSuzhou Xiangcheng People’s HospitalSuzhou 215131China Department of Anesthesiologythe Second Affiliated Hospital of Wannan Medical CollegeWuhu 241000China Department of AnesthesiologySuzhou Xiangcheng People’s HospitalSuzhou 215131China Department of Emergency and Intensive Care UnitSuzhou Xiangcheng People’s HospitalSuzhou 215131China 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2024年第15卷第2期

页      面：121-125页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

基　　金：Science and Technology Development Plan Project of Suzhou(SKJYD2021035) Science and Technology Development Plan Project of Suzhou(SKJYD2022078) The Key Project Research Fund of the Second Affiliated Hospital of Wannan Medical College(YK2023Z04) 

主　　题：Risk factors Posttraumatic stress disorder Emergency Delivery 

摘      要：BACKGROUND:Postpartum posttraumatic stress disorder(PTSD)can occur in women who give birth after emergency *** identification of risk factors for this condition is crucial for developing effective preventive *** retrospective study aimed to explore the incidence and risk factors for postpartum PTSD in women who give birth after emergency ***:Medical records of women who gave birth after emergency admission were collected between March 2021 and April *** patients’general conditions and perinatal clinical indicators were *** puerperae were divided into PTSD group and control group based on symptom occurrence at six weeks *** logistic regression analysis was performed to identify risk ***:A total of 276 puerperae were included,with a PTSD incidence of 20.3% at six weeks *** logistic regression analysis identified emergency cesarean section(odds ratio[OR]=2.102;95%confidence interval[CI]:1.114-3.966,P=0.022),admission to the emergency department after midnight(12:00 AM)(OR=2.245;95%CI:1.170-4.305,P0.001),and cervical dilation(OR=3.203;95%CI:1.670–6.141,P=0.039)as independent risk factors for postpartum *** pump use(OR=0.500;95%CI:0.259–0.966,P=0.015)was found to be a protective factor against postpartum ***:Emergency cesarean section,admission to the emergency department after midnight,and cervical dilation were identified as independent risk factors for postpartum PTSD,while analgesic pump use was a protective *** findings provide insights for developing more effective preventive measures for women who give birth after emergency admission.