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Examining the connection between perceived stress and post-traumatic stress in women who experienced a traumatic childbirth

Sónia Brandão, Rosa Silva, Wilson Abreu, Tânia Brandão, Ana Paula Prata, Olga Riklikiene, Gabija Jarasiunaite-Fedosejeva, Ernesto González Mesa, Gözde Gökçe İsbir, Figen İnci, Burcu Kömürcü-Akik, Kristiina Uriko, Tatiana Governo, Gill Thomson

. 2025 ; 16 (1) : 2085-2093. [pub] 20250306

Language English Country Czech Republic

Persistent link   https://www.medvik.cz/link/bmc25006897

Aim: This study aimed to: (1) explore post-traumatic stress disorder symptoms in relation to sociodemographic, obstetric, and childbirth trauma factors; (2) assess the association between perceived stress levels and post-traumatic stress disorder symptoms; and (3) analyze how the duration of perceived stress affects post-traumatic stress disorder. Design: A cross-sectional study. Methods: Data were collected via an online survey, including demographic and obstetric information, traumatic childbirth events, post-traumatic stress disorder symptoms, and perceived stress levels and duration in the postpartum period. The study was conducted with 202 women who self-identified as having experienced a traumatic childbirth. Results: Post-traumatic stress disorder scores did not differ significantly by most sociodemographic or obstetric factors, but cesarean delivery was linked to higher post-traumatic stress disorder scores compared to vaginal delivery with forceps or vacuum extraction, mediated by increased perceived stress. Perceived stress levels showed a significant positive association with all post-traumatic stress disorder dimensions. Stress duration significantly was related to total post-traumatic stress disorder scores, with longer stress being associated with greater severity of symptoms. Conclusion: Cesarean delivery and prolonged, elevated stress during childbirth are key risk factors for post-traumatic stress disorder symptoms, highlighting the need for targeted postpartum mental health interventions.

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$a Silva, Rosa $u RISE-Health, Nursing School of Porto, Porto, Portugal
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$a Jarasiunaite-Fedosejeva, Gabija $u Department of Psychology, Faculty of Social Sciences, Vytautas Magnus University, Kaunas, Lithuania
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$a González Mesa, Ernesto $u Department of Surgical Specialties, Biochemistry and Immunology, University of Malaga, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina (IBIMA-Plataforma BIONAND), Research Group in Maternal-Fetal Medicine, Epigenetics, Women’s Diseases and Reproductive Health, Spain
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