Risk factors associated with post-traumatic stress symptoms following childbirth in Turkey

Basit Öğe Kaydı
dc.authorid0000-0003-3327-8204
dc.authorid0000-0002-6153-2460
dc.contributor.authorIsbir, Gozde Gokce
dc.contributor.authorInci, Figen
dc.contributor.authorBektas, Murat
dc.contributor.authorYildiz, Pelin Dikmen
dc.contributor.authorAyers, Susan
dc.date.accessioned2019-08-01T13:38:39Z
dc.date.available2019-08-01T13:38:39Z
dc.date.issued2016
dc.departmentNiğde ÖHÜ
dc.description.abstractObjective: this study examined factors associated with symptoms of post-traumatic stress (PTS) following childbirth in women with normal, low-risk pregnancies in Nigde, Turkey. Design: a prospective longitudinal design where women completed questionnaire measures at 20+ weeks' gestation and 6-8 weeks after birth. Setting: eligible pregnant women were recruited from nine family healthcare centres in Nigde between September 2013 and July 2014. Participants: a total of 242 women completed questionnaires at both time points. Measures: PTS symptoms were measured using the Impact of Event Scale-Revised (IES-R) 6-8 weeks after birth. Potential protective or risk factors of childbirth self-efficacy, fear of childbirth, adaptation to pregnancy/motherhood, and perceived social support were measured in pregnancy and after birth. Perceived support and control during birth was measured after birth. Demographic and obstetric information was collected in pregnancy using standard self-report questions. Findings: PTS symptoms were associated with being multiparous, having a planned pregnancy, poor psychological adaptation to pregnancy, higher outcome expectancy but lower efficacy expectancy during pregnancy, urinary catheterization during labour, less support and perceived control in birth, less satisfaction with hospital care, poor psychological adaptation to motherhood and increased fear of birth post partum. Regression analyses showed the strongest correlates of PTS symptoms were high outcome and low efficacy expectancies in pregnancy, urinary catheterization in labour, poor psychological adaptation to motherhood and increased fear of birth post partum. This model accounted for 29% of the variance in PTS symptoms. Conclusions: this study suggests women in this province in Turkey report PTS symptoms after birth and this is associated with childbirth self-efficacy in pregnancy, birth factors, and poor adaptation to motherhood and increased fear of birth post partum. Implications for practice: maternity care services in Turkey need to recognise the potential impact of birth experiences on women's mental health and adaptation after birth. The importance of self-efficacy in pregnancy suggests antenatal education or support may protect women against developing post partum PTS, but this needs to be examined further. (C) 2016 Elsevier Ltd. All rights reserved.
dc.identifier.doi10.1016/j.midw.2016.07.016
dc.identifier.endpage103
dc.identifier.issn0266-6138
dc.identifier.issn1532-3099
dc.identifier.pmid27571774
dc.identifier.scopus2-s2.0-84983509030
dc.identifier.scopusqualityQ1
dc.identifier.startpage96
dc.identifier.urihttps://dx.doi.org/10.1016/j.midw.2016.07.016
dc.identifier.urihttps://hdl.handle.net/11480/3567
dc.identifier.volume41
dc.identifier.wosWOS:000385927800013
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor[0-Belirlenecek]
dc.language.isoen
dc.publisherELSEVIER SCI LTD
dc.relation.ispartofMIDWIFERY
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectChildbirth
dc.subjectPregnancy
dc.subjectPost-traumatic stress disorder
dc.subjectMental health
dc.subjectPost partum
dc.titleRisk factors associated with post-traumatic stress symptoms following childbirth in Turkey
dc.typeArticle

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