What makes labour and birth traumatic? A survey of intrapartum "hotspots"

Harris, R. C. & Ayers, S. (2012). What makes labour and birth traumatic? A survey of intrapartum "hotspots". Psychology & Health, 27(10), pp. 1166-1177. doi: 10.1080/08870446.2011.649755

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Abstract

Evidence suggests between 1% and 6% of women develop post-traumatic stress disorder (PTSD) after childbirth. ‘Hotspots’ are moments of extreme distress during traumatising events that are implicated in symptoms of PTSD. This cross-sectional internet survey of hotspots examined (1) the content of intrapartum hotspots and (2) whether particular events, cognitions or emotions during hotspots are related to PTSD. Women (N = 675) who experienced a difficult or traumatic birth completed a questionnaire composed of a validated measure of PTSD, questions concerning the existence of hotspots, and a newly developed measure of emotions and cognitions during hotspots. The majority of women (67.4%) reported at least one hotspot during birth and 52.9% had re-experiencing symptoms of these hotspots. Women were more likely to have PTSD if hotspots involved fear and lack of control (odds ratio (OR) 1.30, 95% CI 1.17–1.43) or intrapartum dissociation (OR 1.12, 95% CI 1.05–1.19). Risk of PTSD was higher if hotspots concerned interpersonal difficulties (OR 4.34, 95% CI 2.15–8.77) or obstetric complications (OR 3.35, 95% CI 1.64–6.87) compared to complications with the baby.

Item Type: Article
Uncontrolled Keywords: PTSD, birth, labour, fear, dissociation, support
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RG Gynecology and obstetrics
Divisions: School of Health Sciences > Department of Child Health & Children's Nursing
URI: http://openaccess.city.ac.uk/id/eprint/2153

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