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Risk factors for postpartum posttraumatic stress disorder after emergency admission

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BACKGROUND:Postpartum posttraumatic stress disorder(PTSD)can occur in women who give birth after emergency admission.The identification of risk factors for this condition is crucial for developing effective preventive measures.This retrospective study aimed to explore the incidence and risk factors for postpartum PTSD in women who give birth after emergency admission.METHODS:Medical records of women who gave birth after emergency admission were collected between March 2021 and April 2023.The patients'general conditions and perinatal clinical indicators were recorded.The puerperae were divided into PTSD group and control group based on symptom occurrence at six weeks postpartum.Multivariate logistic regression analysis was performed to identify risk factors.RESULTS:A total of 276 puerperae were included,with a PTSD incidence of 20.3%at six weeks postpartum.Multivariate logistic regression analysis identified emergency cesarean section(odds ratio[OR]=2.102;95%confidence interval[CI]:1.114-3.966,P=0.022),admission to the emergency department after midnight(12:00 AM)(OR=2.245;95%CI:1.170-4.305,P<0.001),and cervical dilation(OR=3.203;95%CI:1.670-6.141,P=0.039)as independent risk factors for postpartum PTSD.Analgesia pump use(OR=0.500;95%CI:0.259-0.966,P=0.015)was found to be a protective factor against postpartum PTSD.CONCLUSION:Emergency cesarean section,admission to the emergency department after midnight,and cervical dilation were identified as independent risk factors for postpartum PTSD,while analgesic pump use was a protective factor.These findings provide insights for developing more effective preventive measures for women who give birth after emergency admission.

Risk factorsPosttraumatic stress disorderEmergencyDelivery

Fengxia Du、Jun Zha、Yan Li、Lichao Fang、Shuyu Xia、Youjia Yu

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Department of Obstetrics,Suzhou Xiangcheng Peoples Hospital,Suzhou 215131,China

Department of Anesthesiology,the Second Affiliated Hospital of Wannan Medical College,Wuhu 241000,China

Department of Anesthesiology,Suzhou Xiangcheng People's Hospital,Suzhou 215131,China

Department of Emergency and Intensive Care Unit,Suzhou Xiangcheng People's Hospital,Suzhou 215131,China

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Science and Technology Development Plan Project of SuzhouScience and Technology Development Plan Project of SuzhouKey Project Research Fund of the Second Affiliated Hospital of Wannan Medical College

SKJYD2021035SKJYD2022078YK2023Z04

2024

世界急诊医学杂志(英文)
浙江大学,浙江大学医学院附属第二医院

世界急诊医学杂志(英文)

ISSN:1920-8642
年,卷(期):2024.15(2)
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