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Created on : 16 Dec 2003
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Predisposing psychological factors for posttraumatic stress reactions after emergency cesarean section. Acta Obstetricia et Gynecologica Scandinavia. 1998 Mar;77(3):351-2.

Author(s) :

Ryding EL, Wijma K, Wijma B.

Year of publication :

1998

URL(s) :

http://elsalena.ryding.net/eng.html

Résumé (français)  :

Abstract (English)  :

Stress-response syndromes have been reported after childbirth as well as after other obstetric and gynaecological procedures. In a study of 24 women after emergency cesarean section, no complete posttraumatic stress disorder (PTSD) according to DSM III-R could be diagnosed. However, one third of the women suffered from serious posttraumatic intrusive stress reactions (PTISR), fulfilling criteria A and B of PTSD. These women had experienced the delivery as traumatic, and were disturbed by intrusive thoughts, images and memories. …

In a study by Menage (1993), three variables were related to the occurence of PTSD after obstetric and gynaecological procedures: Experiencing physical pain, a perceived unsympathetic attitude from the staff, and lack of consent by the patient for the procedure. These findings are in accordance with those of the present study. Women, who have a negative impression of hospital staff, seem to be most vulnerable to posttraumatic stress reactions after an emergency cesarean section as well as after other traumatic experiences as obstetric/gynaecological patients. Women with previous negative experiences as a patient require special attention in order to obtain a good relationship with the delivery staff. If the obstetric patient perceives staff members as caring and respectful, this may minimise posttraumatic stress reactions.

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Keywords :

➡ c-section/caesarean ; traumatism ; post-traumatic stress ; psychology

Author of this record :

Cécile Loup — 16 Dec 2003
➡ latest update : Alison Passieux — 02 Dec 2007