The Involvement of Neonatal Intensive Care Unit and Other Perinatal Factors in Postpartum PTSD After Cesarean Section

• Published in: Journal of Mother and Child 2023-06, Vol.27 (1), p.158-167
• Main Authors: Orovou, Eirini, Eskitzis, Panagiotis, Mrvoljak-Theodoropoulou, Irina, Tzitiridou-Chatzopoulou, Maria, Arampatzi, Christiana, Rigas, Nikolaos, Palaska, Ermioni, Dagla, Maria, Iliadou, Maria, Antoniou, Evangelia
• Format: Article
• Language: English
• Subjects: birth trauma; cesarean section; Cesarean Section - adverse effects; Cesarean Section - psychology; Child; Female; hospitalised neonate; Humans; Infant, Newborn; Intensive Care Units, Neonatal; Neonatal intensive care unit; NICU; Original; Postpartum Period; postpartum PTSD; Pregnancy; Premature Birth; Stress Disorders, Post-Traumatic - diagnosis; Stress Disorders, Post-Traumatic - epidemiology; Stress Disorders, Post-Traumatic - etiology; traumatic birth experience
• ISSN: 2719-535X; 2719-6488; 2719-535X
• DOI: 10.34763/jmotherandchild.20232701.d-23-00056

The experience of a neonate hospitalised in the Neonatal Intensive Care Unit (NICU) is an understandably traumatic experience for the parents, especially, for the mothers of neonates. This mental distress resulting from preterm birth and/or NICU hospitalisation can be understood as post-traumatic symptomatology, according to the Diagnostic and Statistical Manual-5 version. The aim of this study is to investigate the impact of the admission of a neonate to the NICU (from any reason) on the development of postpartum post-traumatic stress disorder (PTSD) in a sample of women after cesarean sections. A total of 469 women who gave birth with cesarean section from July 2019 to June 2020 participated in this study, from the original sample of 490 women who consented to participate. Data were obtained from the researcher's socio-demographic questionnaire, the past traumatic Life Events Checklist, the perinatal stressor Criterion A, and the Post-Traumatic Stress Checklist from the Diagnostic and Statistical Manual-5 version. A percentage of 46.64% of sample experienced postpartum PTSD. Factors associated with PTSD were placenta previa type4, abruption, bleeding (β = .07, p = .049), premature contractions (β = .08, p = .039), heavy medical history or previous gynecological history and preeclampsia (β = .08, p = .034), abnormal heart rate, premature rupture of membrane, premature contractions, infections (β = .14, p = .004), life of child in danger (β = .12, p = .025), complications involving child (β = .15, p = .002), complications involving both (child and mother) (β = .12, p = .011), traumatic cesarean section (β = .041, p < .001) and prematurity (β = .12, p = .022). Additional measures must be taken for mothers of children who have been admitted to the NICU with psychological support interventions and reassessment of their mental state.