Skip to main content
SMFM 2024 Pregnancy Meeting Main banner
Final Program


Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.
Presentation Icons
Additional registration fee required
Additional registration fee required
Faculty have requested this content not be shared on social media
Faculty have requested this content not be shared on social media
CME Credit Offered
CME Credit Offered
Poster Icons
Foundation Awardee
Foundation Awardee
No Social Media
No Social Media
Back
Q&A

Medical/Surgical/Diseases/Complications

Poster Session 4

(1001) Post-traumatic stress disorder two months after a cesarean delivery: a multicenter prospective study

Wednesday, February 14, 2024
1:00 PM – 2:30 PM  
Location: Prince George's Exhibit Hall CDE, Lower Atrium Level
Objective: The prevalence and risk factors of post-traumatic stress disorder (PTSD) after cesarean delivery outside high-risk contexts,  remain unclear. Our objectives were to assess the prevalence and risk factors of PTSD two months after cesarean delivery.

Study Design: Prospective ancillary cohort study of the TRAAP2 trial, conducted in 27 French hospitals in 2018-2020.

Women expected to undergo cesarean delivery before or during labor at 34 or more weeks of gestation

were enrolled.

After randomization, characteristics of the cesarean delivery were prospectively collected. PTSD profile and provisional diagnosis were assessed two months after childbirth by two self-administered questionnaires (IES-R and TES). The corrected prevalence of PTSD was estimated with inverse probability weighting to account for non-respondents. Associations between potential risk factors and PTSD were analyzed by multivariate logistic or linear regression.

Results: Questionnaires were returned by 2,785/4,431 and 2,792/4,431 women for the IES-R and TES, respectively (62.9% and 63.0% response rate). Prevalences of PTSD profile and provisional diagnosis were respectively 9.0% (95%CI 7.8-10.3%) and 1.7% (95%CI 1.2-2.4%). Characteristics associated with a higher risk of PTSD profile were prepregnancy vulnerability factors - young age, high BMI and Africa-born migrant – and obstetric factors related to the context of the cesarean - cesarean delivery after an induced labor (aOR 1.81 95%CI 1.14-2.87), postpartum hemorrhage (aOR 1.61 95%CI 1.04-2.46) and high intensity of pain during the postpartum stay (aOR 1.90 95%CI 1.17-3.11). Women who had immediate skin-to-skin contact with their newborn had a lower risk of PTSD (aOR 0.66 95%CI 0.46-0.98). Women with bad memories of delivery at day 2 postpartum were at increased risk of PTSD (aOR 3.20 95%CI 1.97-5.12). Results were consistent with the IES-R and the TES scales.

Conclusion: Around one of eleven women with cesarean delivery have PTSD profile at two months postpartum. Certain obstetric interventions and management of cesarean may influence the risk of PTSD.