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Risk factors of postpartum depression and postpartum posttraumatic disorder after birth in a sample of Slovak women
 
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Department of Midwifery, Jessenius Faculty of Medicine in Martin, Comenius University Bratislava, Martin, Slovakia
 
 
Publication date: 2023-10-24
 
 
Corresponding author
Martina Bašková   

Department of Midwifery, Jessenius Faculty of Medicine in Martin, Comenius University Bratislava, Martin, Slovakia
 
 
Eur J Midwifery 2023;7(Supplement 1):A136
 
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ABSTRACT
Introduction:
Pregnancy, childbirth and the postpartum period represent a unique experience in a woman's life that significantly changes their life and brings a wide range of positive and negative feelings that have an impact on a woman's psychological health.

Aim:
The aim of the study is to analyze selected sociodemographic and perinatal risk factors of postpartum depression and postpartum posttraumatic disorder (PTSD) after childbirth in a sample of women in Slovakia.

Material and Methods:
The research took place in four hospitals in Slovakia. Partial data from the INTERSECT Slovakia project are processed in the study. The City BiTS questionnaire was used to measure PTSD, the Edinburgh Postnatal Depression Scale (EPDS) was used for postpartum depression symptoms, and we also focused on questions related to the subjective perception of childbirth, women's health status, the level of respect and autonomy during childbirth and basic sociodemographic data. We used ANOVA, Chi-square, Student t-test for independent samples and Pearson's correlation analysis for data processing.

Results:
The research group consists of 455 female respondents (average age 30.4 ± 4.8). In our study, an increased risk for the development of postpartum depression (EPDS questionnaire cut-off score ˃12.5) was confirmed in 11.4% of respondents. Women with higher rates of postpartum depression symptoms also had higher scores on the PTSD scale. A higher score of postpartum depression and PTSD after childbirth was demonstrated in primiparous mothers (p=0.01; p=0.003, resp.) as well as in the case of mother´s health complications during pregnancy and childbirth (p=0.01; p=0.001, resp.) or child (p=0.01; p=0.001) and also if women subjectively perceived their birth as traumatic (p=0.001; p=0.001, resp.). In the group of women who perceived the preservation of privacy and intimacy during childbirth, a significantly lower score of PTSD symptoms after childbirth was found, as well as postpartum depression (p=0.002; p=0.001, resp.). Women who perceived a higher level of respect and dignity during childbirth , had significantly lower PTSD symptom scores after childbirth compared to women who perceived a low level of respect and dignity from medical staff (p=0.003). Women who subjectively perceived that they were well prepared for childbirth had a significantly lower score on the postpartum depression scale (p=0.025).

Conclusions:
Focusing on individual risk factors for the development of postpartum depression and PTSD and choosing the right interventions should be key to improving overall health care for women during childbirth as well as preventing the development of individual disorders in the postpartum period.

CONFLICTS OF INTEREST
All authors declare no possible conflicts of interest.
FUNDING
The research was supported by the Scientific Grant Agency of the Ministry of Education, Slovak Republic (VEGA) No. 1/0333/21 Risk factors associated with posttraumatic stress disorder after childbirth.
eISSN:2585-2906
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