P Turton1, P Hughes, C D Evans, D Fainman. 1. Department of Psychiatry, St George's Hospital Medical School, London. p.turton@sghms.ac.uk
Abstract
BACKGROUND: Many women may suffer psychological symptoms after stillbirth and in the subsequent pregnancy. Stillbirth has not been demonstrated previously to be a stressor for post-traumatic stress disorder (PTSD). AIMS: To assess incidence, correlates and predictors of PTSD during and after the pregnancy following stillbirth. METHOD: A cohort study of pregnant women whose previous pregnancy ended in stillbirth. RESULTS: PTSD symptoms were prevalent in the pregnancy following stillbirth. Case-level PTSD was associated with depression, state-anxiety and conception occurring closer to loss. Symptoms generally resolved naturally by 1 year post-partum (birth of healthy baby). CONCLUSIONS: Women are vulnerable to PTSD in the pregnancy subsequent to stillbirth, particularly when conception occurs soon after the loss.
BACKGROUND: Many women may suffer psychological symptoms after stillbirth and in the subsequent pregnancy. Stillbirth has not been demonstrated previously to be a stressor for post-traumatic stress disorder (PTSD). AIMS: To assess incidence, correlates and predictors of PTSD during and after the pregnancy following stillbirth. METHOD: A cohort study of pregnant women whose previous pregnancy ended in stillbirth. RESULTS:PTSD symptoms were prevalent in the pregnancy following stillbirth. Case-level PTSD was associated with depression, state-anxiety and conception occurring closer to loss. Symptoms generally resolved naturally by 1 year post-partum (birth of healthy baby). CONCLUSIONS:Women are vulnerable to PTSD in the pregnancy subsequent to stillbirth, particularly when conception occurs soon after the loss.
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