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Post-traumatic stress disorder following emergency peripartum hysterectomy

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

Our objective was to explore if women who experience emergency peripartum hysterectomy (EPH), a type of severe maternal morbidity, are more likely to screen positive for post-traumatic stress disorder (PTSD) compared to women who did not experience EPH.

Methods

Using a retrospective cohort design, women were sampled through online communities. Participants completed online screens for PTSD. Additionally, women provided sociodemographic, obstetric, psychiatric, and psychosocial information. We conducted bivariate and logistic regression analyses, then Monte Carlo simulation and propensity score matching to calculate the risk of screening positive for PTSD after EPH.

Results

74 exposed women (experienced EPH) and 335 non-exposed women (did not experience EPH) completed the survey. EPH survivors were nearly two times more likely to screen positive for PTSD (aOR: 1.90; 95 % CI: 1.57, 2.30), and nearly 2.5 times more likely to screen positive for PTSD at 6 months postpartum compared to women who were not EPH survivors (aOR: 2.46; 95 % CI: 1.92, 3.16).

Conclusion

The association of EPH and PTSD was statistically significant, indicating a need for further research, and the potential need for support services for these women following childbirth.

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Acknowledgments

Many thanks to Jeanne Moore, MSW, who served as the study social worker, and Drs. Charles Mahan, Ellen Daley and P. Amina Alio, who aided in study development.

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Authors and Affiliations

  1. Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA

    Cara Z. de la Cruz & Martha Coulter

  2. Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA

    Kathleen O’Rourke, Alfred K. Mbah & Hamisu M. Salihu

  3. Baylor College of Medicine, 3701 Kirby Drive, Houston, TX, 77098, USA

    Hamisu M. Salihu

Authors
  1. Cara Z. de la Cruz
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  2. Martha Coulter
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  5. Hamisu M. Salihu
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Corresponding author

Correspondence to Cara Z. de la Cruz.

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de la Cruz, C.Z., Coulter, M., O’Rourke, K. et al. Post-traumatic stress disorder following emergency peripartum hysterectomy. Arch Gynecol Obstet 294, 681–688 (2016). https://doi.org/10.1007/s00404-016-4008-y

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  • DOI: https://doi.org/10.1007/s00404-016-4008-y

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