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Related Experiment Videos

Posttraumatic stress reactions after emergency cesarean section

E L Ryding1, B Wijma, K Wijma

  • 1Department of Obstetrics, Central Hospital, Helsingborg, Sweden.

Acta Obstetricia Et Gynecologica Scandinavica
|November 14, 1997
PubMed
Summary

Emergency cesarean sections are often experienced as traumatic. While full posttraumatic stress disorder (PTSD) was not diagnosed, many women reported significant posttraumatic stress reactions after delivery.

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Area of Science:

  • Obstetrics and Gynecology
  • Trauma Psychology
  • Perinatal Mental Health

Background:

  • Emergency Cesarean Section (ECS) is a common obstetric procedure.
  • Investigating the psychological impact of ECS is crucial for maternal well-being.
  • Understanding trauma and posttraumatic stress reactions following ECS is essential.

Purpose of the Study:

  • To determine if women perceive emergency cesarean section as a traumatic event.
  • To assess the prevalence of posttraumatic stress reactions and posttraumatic stress disorder (PTSD) one to two months after ECS.

Main Methods:

  • Interviewed 25 women post-emergency cesarean section.
  • Conducted interviews at two time points: shortly after delivery and one to two months postpartum.
  • Assessed subjective experiences of trauma and symptoms of PTSD.

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Main Results:

  • 76% of women (19/25) considered their ECS delivery traumatic.
  • No women met the full diagnostic criteria for PTSD at one to two months postpartum.
  • 13 women experienced various posttraumatic stress reactions, with 33% (8/25) exhibiting serious intrusive stress reactions.

Conclusions:

  • Emergency cesarean section is frequently perceived as a mental trauma by women.
  • While full PTSD is uncommon, significant posttraumatic stress reactions, particularly intrusive stress, are prevalent.
  • The concept of traumatic stress is highly relevant for understanding the psychological sequelae of ECS.