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Article

The Relation between Neonatal Intensive Care Units and Postpartum Post-Traumatic Stress Disorder after Cesarean Section

by
Eirini Orovou
1,2,*,
Panagiotis Eskitzis
2,
Irina Mrvoljak-Theodoropoulou
3,
Maria Tzitiridou-Hatzopoulou
2,
Maria Dagla
1,
Christiana Arampatzi
2,
Maria Iliadou
1 and
Evangelia Antoniou
1
1
Department of Midwifery, University of West Attica, Agioy Spyridonos 28, 12243 Egaleo, Greece
2
Department of Midwifery, University of Western Macedonia, Keptse, 50200 Ptolemaida, Greece
3
Department of Psychology, National and Kapodistrian University of Athens, 15772 Athens, Greece
*
Author to whom correspondence should be addressed.
Healthcare 2023, 11(13), 1877; https://doi.org/10.3390/healthcare11131877
Submission received: 28 May 2023 / Revised: 20 June 2023 / Accepted: 26 June 2023 / Published: 28 June 2023
(This article belongs to the Special Issue Midwifery Care: Improvement of Maternal and Newborn Health)
Versions Notes

Abstract

Background: The experience of a neonate hospitalized in the NICU is an understandably traumatic experience for parents, especially for the mothers of neonates. This mental distress resulting from preterm birth and/or NICU hospitalization can be understood as post-traumatic symptomatology, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5 version). The aim of this study is to investigate the impact of the admission of a neonate to the NICU (forany reason) on the development of postpartum PTSD in a sample of women after cesarean section.Methods: A total of 469 women who gave birth with cesarean section from July 2019 to June 2020 participated in this study out of the original sample of 490 women who consented to participate. Data were obtained from the researcher’s socio-demographic questionnaire and the post-traumatic stress checklist (PCL-5) from the Diagnostic and Statistical Manual of Mental Disorders DCM-5 version. Results: In total,11.7% of the sample experienced postpartum PTSD. There is a strong relationship between the inclusion of a neonate to the NICU due to perinatal stress, breathing difficulties, infections, and IUGR with postpartum PTSD (37.7%) in relation to the perinatal stress Criterion A (fear for the life of the neonate), the first criterion of postpartum PTSD. Conclusions: Additional measures must be taken for mothers of children who have been admitted to the neonatal intensive care unit with psychological support interventions and a reassessment of their mental state.
Keywords: neonatal intensive care unit; NICU; postpartum PTSD; birth trauma; cesarean section; hospitalized neonate; traumatic birth experience neonatal intensive care unit; NICU; postpartum PTSD; birth trauma; cesarean section; hospitalized neonate; traumatic birth experience

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MDPI and ACS Style

Orovou, E.; Eskitzis, P.; Mrvoljak-Theodoropoulou, I.; Tzitiridou-Hatzopoulou, M.; Dagla, M.; Arampatzi, C.; Iliadou, M.; Antoniou, E. The Relation between Neonatal Intensive Care Units and Postpartum Post-Traumatic Stress Disorder after Cesarean Section. Healthcare 2023, 11, 1877. https://doi.org/10.3390/healthcare11131877

AMA Style

Orovou E, Eskitzis P, Mrvoljak-Theodoropoulou I, Tzitiridou-Hatzopoulou M, Dagla M, Arampatzi C, Iliadou M, Antoniou E. The Relation between Neonatal Intensive Care Units and Postpartum Post-Traumatic Stress Disorder after Cesarean Section. Healthcare. 2023; 11(13):1877. https://doi.org/10.3390/healthcare11131877

Chicago/Turabian Style

Orovou, Eirini, Panagiotis Eskitzis, Irina Mrvoljak-Theodoropoulou, Maria Tzitiridou-Hatzopoulou, Maria Dagla, Christiana Arampatzi, Maria Iliadou, and Evangelia Antoniou. 2023. "The Relation between Neonatal Intensive Care Units and Postpartum Post-Traumatic Stress Disorder after Cesarean Section" Healthcare 11, no. 13: 1877. https://doi.org/10.3390/healthcare11131877

APA Style

Orovou, E., Eskitzis, P., Mrvoljak-Theodoropoulou, I., Tzitiridou-Hatzopoulou, M., Dagla, M., Arampatzi, C., Iliadou, M., & Antoniou, E. (2023). The Relation between Neonatal Intensive Care Units and Postpartum Post-Traumatic Stress Disorder after Cesarean Section. Healthcare, 11(13), 1877. https://doi.org/10.3390/healthcare11131877

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