Analysis of related factors of postpartum post-traumatic stress disorder / 中华行为医学与脑科学杂志

ABSTRACT

Objective To study the related factors of postpartum posttraumatic stress disorder.Methods Perinatal posttraumatic stress disorder questionnaire-Chinese edition(PPQ-C) was used to measure the symptoms of 1 160 puerpera in maternal and child health hospital of Hubei Province.Chi-square test was used to evaluate the differences of positive and negative symptom group in living area (urban or rural),employment status (employment or unemployment),medical insurance status (with or without medical insurance),parity (primiparity or multiparity),mode of delivery (natural labor or cesarean section).Logistic regression analysis was used to discuss the influencing factors of postpartum PTSD.Results In all 1 160,there were 188 puerpera meet the positive standard postpartum PTSD (16.2％),and the average score of PPQ-C of this 188 puerpera was (25.71 ± 6.22).Women who were unemployed (OR =0.64,95％ CI0.46-0.89,P =0.01),who had no medical insurance (OR=0.60,95％CI0.43-0.82,P＜0.01),who gave birth by cesarean section (OR=1.47,95 ％ CI1.06-2.03,P =0.02) and who had pregnancy complications (OR =1.47,95 ％CI1.06-2.03,P=0.03) were at higher risk of postpartum PTSD.Conclusion Medical insurance status and employment status were important factors affecting postpartum PTSD.Delivery mode and pregnancy complications are important factors affecting the occurrence and development of postpartum PTSD symptoms,and abnormal results of pregnancy examination which related to pregnancy complications are important stressor for postpartum PTSD symptoms.