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Sharon Dekel - One of the best experts on this subject based on the ideXlab platform.
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Maternal psychological growth following Childbirth
Archives of Women's Mental Health, 2020Co-Authors: Zohar Berman, Gabriella A. Dishy, Freya Thiel, Sabrina J Chan, Sharon DekelAbstract:Although maternal postpartum mental health has been extensively studied, rather little is known regarding the factors that may facilitate psychological growth following Childbirth. The present study set forth to examine various pre-birth, birth, and post-birth correlates of overall psychological growth and growth domains in postpartum women, assessed within the first months following Childbirth. A sample of 428 women completed self-report measures pertaining to psychological growth, mental health, maternal attachment, and Childbirth characteristics. We found that the majority of women reported psychological growth following Childbirth, with those experiencing stressors in Childbirth reporting the highest levels of appreciation for life. In regression analyses, postpartum factors were significantly associated with overall growth and growth domains, taking into account other factors. The more the Childbirth was perceived as central to the mothers’ identity and the better the maternal attachment was to the child, the higher levels of growth. Growth was also negatively related to endorsement of Childbirth PTSD. Background factors, such as maternal age, education, and prior mental health, were associated with specific growth domains, although the association was small and there was no association with overall growth. Post-birth factors are important in ensuing psychological growth in the first months following birth. Attention to opportunities of growth following Childbirth is warranted in clinical care, in particular following traumatic Childbirth.
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Beyond postpartum depression: posttraumatic stress-depressive response following Childbirth
Archives of Women's Mental Health, 2019Co-Authors: Sharon Dekel, Gabriella A. Dishy, Philip A. MayopoulosAbstract:Although depression following Childbirth is well recognized, much less is known about comorbid postpartum psychiatric conditions. Some women can endorse posttraumatic stress related to the Childbirth experience accompanied by symptoms of depression. The objective of our study was to examine the nature of the comorbidity of symptoms of Childbirth-related posttraumatic stress disorder (PTSD) and postpartum depression. We studied a sample of 685 women who were on average 3 months following Childbirth and collected data about their mental health pertaining to PTSD, depression, general distress, and Childbirth experience. The vast majority of women with elevated Childbirth-related PTSD symptoms also endorsed elevated postpartum depression symptoms. Factor analysis revealed that symptoms of Childbirth-related PTSD and postpartum depression loaded onto one single factor rather than two factors. Stepwise multi-nominal regression analysis revealed that Childbirth stressors, including obstetric complications and peritraumatic distress in birth, predicted the likelihood of developing comorbid Childbirth-related PTSD and postpartum depression, but not depression alone. The findings suggest that beyond postpartum depression, postpartum women suffer from a posttraumatic stress-depressive response in the wake of a traumatic Childbirth experience. Increasing awareness in routine postpartum care about traumatic Childbirth and its associated emotional sequela is warranted.
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Childbirth induced posttraumatic stress syndrome a systematic review of prevalence and risk factors
Frontiers in Psychology, 2017Co-Authors: Sharon Dekel, Caren Stuebe, Gabriella DishyAbstract:Background: Posttraumatic stress related with the Childbirth experience of full-term delivery with health outcomes has been recently documented in a growing body of studies. The magnitude of this condition and the factors that might put a woman at risk for developing Childbirth-related postpartum posttraumatic stress disorder (PP-PTSD) symptoms are not fully understood. Methods: In this systematic review of 36 articles representing quantitative studies of primarily community samples, we set to examine PP-PTSD prevalence rates and associated predictors with a focus on the role of prior PTSD and time since Childbirth. Results: A significant minority of women endorsed PP-PTSD following successful birth. Acute PP-PTSD rates were between 4.6 and 6.3%, and endorsement of clinically significant PP-PTSD symptoms was identified in up to 16.8% of women in community samples of high quality studies. Negative subjective experience of Childbirth emerged as the most important predictor. Endorsement of PTSD before Childbirth contributed to PP-PTSD; nevertheless, women without PTSD also exhibited PP-PTSD, with acute rates at 4.6%, signifying a new PTSD onset in the postpartum period. Conclusion: Although the majority of women cope well, Childbirth for some can be perceived as a highly stressful experience and even result in the development of PP-PTSD symptoms. More research is needed to understand postpartum adaption and Childbirth-related posttraumatic stress outcomes.
L Elving - One of the best experts on this subject based on the ideXlab platform.
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parity as a correlate of adult female urinary incontinence prevalence
Journal of Epidemiology and Community Health, 1992Co-Authors: Anders Foldspang, S Mommsen, G W Lam, L ElvingAbstract:STUDY OBJECTIVE--The aim was to investigate the possible association between parity, as indicated by the number of Childbirths, and prevalence of urinary incontinence in an adult female population sample. DESIGN AND SETTING--A sample of 3114 women aged 30-59 years was selected at random from the population of Aarhus, Denmark, and mailed a self administered questionnaire on urinary incontinence and, among other things, parity. PARTICIPANTS--A total of 2631 questionnaires was returned (85%) with a slight but significant decrease in respondency by age. MAIN RESULTS--The 1987 urinary incontinence period prevalence was 17%. Seventy eight percent were parous, and 24% had had three or more Childbirths. In women aged 30-44 years, the prevalence of urinary incontinence was found to be associated with parity and, in women aged 45 years and more, with three or more Childbirths. In parous women 30-44 years of age, the prevalence of urinary incontinence increased with age at least Childbirth and, in women aged 45 years and over, it increased with increasing parity but decreased with increasing age at first Childbirth. In parous women, no association was found with time since last Childbirth. Among clinical types of urinary incontinence, stress incontinence consistently showed the strongest associations with indicators of parity. In women aged 30-44 years, nearly two thirds of the 1987 prevalence of stress incontinence could be attributed to parity. CONCLUSIONS--These findings support the hypothesis that pregnancy and Childbirth are potent causes of female urinary incontinence, so that they exert considerable impact on the level of population urinary incontinence prevalence. In the individual woman, the effect seems to be cumulative and long lasting but fades with age.
Gabriella Dishy - One of the best experts on this subject based on the ideXlab platform.
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Childbirth induced posttraumatic stress syndrome a systematic review of prevalence and risk factors
Frontiers in Psychology, 2017Co-Authors: Sharon Dekel, Caren Stuebe, Gabriella DishyAbstract:Background: Posttraumatic stress related with the Childbirth experience of full-term delivery with health outcomes has been recently documented in a growing body of studies. The magnitude of this condition and the factors that might put a woman at risk for developing Childbirth-related postpartum posttraumatic stress disorder (PP-PTSD) symptoms are not fully understood. Methods: In this systematic review of 36 articles representing quantitative studies of primarily community samples, we set to examine PP-PTSD prevalence rates and associated predictors with a focus on the role of prior PTSD and time since Childbirth. Results: A significant minority of women endorsed PP-PTSD following successful birth. Acute PP-PTSD rates were between 4.6 and 6.3%, and endorsement of clinically significant PP-PTSD symptoms was identified in up to 16.8% of women in community samples of high quality studies. Negative subjective experience of Childbirth emerged as the most important predictor. Endorsement of PTSD before Childbirth contributed to PP-PTSD; nevertheless, women without PTSD also exhibited PP-PTSD, with acute rates at 4.6%, signifying a new PTSD onset in the postpartum period. Conclusion: Although the majority of women cope well, Childbirth for some can be perceived as a highly stressful experience and even result in the development of PP-PTSD symptoms. More research is needed to understand postpartum adaption and Childbirth-related posttraumatic stress outcomes.
Maarten J M Van Son - One of the best experts on this subject based on the ideXlab platform.
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posttraumatic stress following Childbirth a review
Clinical Psychology Review, 2006Co-Authors: E Olde, Onno Van Der Hart, Rolf J Kleber, Maarten J M Van SonAbstract:To assess the empirical basis of prevalence and risk factors of Childbirth-related posttraumatic stress symptoms and PTSD in mothers, the relevant literature was critically reviewed. A MEDLINE and PSYCHLIT search using the key words bposttraumatic stressQ, bPTSDQ, bChildbirthQ and btraumatic deliveryQ was performed. The generated list of articles was supplemented by a review of their bibliographies. A total of 31 articles was selected. The primary inclusion criterion was report of posttraumatic stress symptoms or PTSD specifically related to Childbirth. Case studies and quantitative studies on regular Childbirth and Childbirth by emergency cesarean section were identified. Consistency among studies was found with regard to development of posttraumatic stress symptoms as a consequence of traumatic delivery. Methodological issues concerning prevalence and risk factors were discussed. Case studies and quantitative studies confirm that Childbirth may be experienced as so emotionally intense that it can lead to the development of posttraumatic stress symptoms or even a PTSD-profile. Among the identified risk factors were a history of psychological problems, trait anxiety, obstetric procedures, negative aspects in staff–mother contact, feelings of loss of control over the situation, and lack of partner support. The conclusion of the current review is twofold. First, traumatic reactions to Childbirth are an important public health issue. Secondly, studying Childbirth offers opportunity to prospectively study the development of posttraumatic stress reactions. D 2005 Elsevier Ltd. All rights reserved.
Debra Creedy - One of the best experts on this subject based on the ideXlab platform.
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a randomized controlled trial of a psycho education intervention by midwives in reducing Childbirth fear in pregnant women
Birth-issues in Perinatal Care, 2014Co-Authors: Jocelyn Toohill, Jennifer Fenwick, Jennifer Ann Gamble, Debra Creedy, Anne Buist, Erika Turkstra, Elsalena RydingAbstract:Background Childbirth fear is associated with increased obstetric interventions and poor emotional and psychological health for women. The purpose of this study is to test an antenatal psycho-education intervention by midwives in reducing women's Childbirth fear. Methods Women (n = 1,410) attending three hospitals in South East Queensland, Australia, were recruited into the BELIEF trial. Participants reporting high fear were randomly allocated to intervention (n = 170) or control (n = 169) groups. All women received a decision-aid booklet on Childbirth choices. The telephone counseling intervention was offered at 24 and 34 weeks of pregnancy. The control group received usual care offered by public maternity services. Primary outcome was reduction in Childbirth fear (WDEQ-A) from second trimester to 36 weeks’ gestation. Secondary outcomes were improved Childbirth self-efficacy, and reduced decisional conflict and depressive symptoms. Demographic, obstetric & psychometric measures were administered at recruitment, and 36 weeks of pregnancy. Results There were significant differences between groups on postintervention scores for fear of birth (p < 0.001) and Childbirth self-efficacy (p = 0.002). Decisional conflict and depressive symptoms reduced but were not significant. Conclusion Psycho-education by trained midwives was effective in reducing high Childbirth fear levels and increasing Childbirth confidence in pregnant women. Improving antenatal emotional well-being may have wider positive social and maternity care implications for optimal Childbirth experiences.
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prevalence of Childbirth fear in an australian sample of pregnant women
BMC Pregnancy and Childbirth, 2014Co-Authors: Jocelyn Toohill, Jennifer Fenwick, Jennifer Ann Gamble, Debra CreedyAbstract:Background Childbirth fear is reported to affect around 20% of women. However reporting on levels of symptom severity vary. Unlike Scandinavian countries, there has been limited focus on Childbirth fear in Australia. The aim of this paper is to determine the prevalence of low, moderate, high and severe levels of Childbirth fear in a large representative sample of pregnant women drawn from a large randomised controlled trial and identify demographic and obstetric characteristics associated with Childbirth fear.
