Komplike gebelik sonrası artan psikolojik travma ve azalan çocuk isteği arzusu

In terms of re-experience and avoidance inPTSD was significantly higher in the study group, however no signifi-cant difference was found for hyper-arousal.Conclusion: Fear regarding new pregnancy is high and planningmore children is decreased after high-risk pregnancies and PTSDsymptom scores were higher after high-risk pregnancies.(J Turkish-German Gynecol Assoc 2013; 14: 11-4)

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Information about fertility desire and psychological se-quelae after high-risk pregnancies are scarce in the literature.

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Key Findings & Data:Numbers of planned children before and after the last deliv-ery were evaluated in both groups.Results: Fear about a new pregnancy was found to be significantlyhigher in the study group compared with the controls.

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Conclusion & Impact:In terms of re-experience and avoidance inPTSD was significantly higher in the study group, however no signifi-cant difference was found for hyper-arousal.Conclusion: Fear regarding new pregnancy is high and planningmore children is decreased after high-risk pregnancies and PTSDsymptom scores were higher after high-risk pregnancies.(J Turkish-German Gynecol Assoc 2013; 14: 11-4)

🔬Design:Survey & Empirical Study

📍Scope:2013 Verileri

⚙️Variables:Domain Parameters

Abstract

Objective: Information about fertility desire and psychological se-quelae after high-risk pregnancies are scarce in the literature. Theaim of the present study is to investigate the psychological effects ofhigh-risk pregnancies.Material and Methods: The patients who had a history of severepreeclampsia, eclampsia or major hemorrhage during the peripar-tum period were enrolled as the study group and compared with thecontrol subjects with respect to fear about new pregnancy, anxiety/depression and post-traumatic stress disorder (PTSD) scores. Thestudy was carried out by submitting a questionnaire form to the par-ticipants. Numbers of planned children before and after the last deliv-ery were evaluated in both groups.Results: Fear about a new pregnancy was found to be significantlyhigher in the study group compared with the controls. There were nostatistically significant difference between the two groups in terms ofanxiety and depression. In terms of re-experience and avoidance inPTSD was significantly higher in the study group, however no signifi-cant difference was found for hyper-arousal.Conclusion: Fear regarding new pregnancy is high and planningmore children is decreased after high-risk pregnancies and PTSDsymptom scores were higher after high-risk pregnancies.(J Turkish-German Gynecol Assoc 2013; 14: 11-4)

Özet

Amaç: Yüksek riskli gebelik sonrasında tekrar çocuk sahibi olma iste- ği ve psikolojik sekel riski literatürde yeteri kadar mevcut değildir. Bu çalışmanın amacı yüksek riskli gebelik sonrasında psikolojik etkileri incelemektir. Gereç ve Yöntemler: Peripartum dönemde şiddetli preeklampsi, eklampsi veya doğuma bağlı majör kanama öyküsü olan hastalar; gebelik korkusu, travma sonrası stres bozukluğu (TSSB) ve anksiyete /depresyon skorları bakımından kontrol grubu ile karşılaştırıldı. Ça- lışmaya katılan hastalara birebir yüz yüze anket yöntemi ile formlar dolduruldu. Son doğum öncesi ve sonrası planlanan çocuk sayısı her iki grupta değerlendirildi. Bulgular: Hasta grubunda tekrar gebe kalma korkusu kontrol gru- buna göre önemli bir şekilde yüksek izlendi. Anksiyete ve depresyon skorları açısından iki grup arasında istatistiksel anlamlı fark izlenmedi. Hasta grubunda kontrol grubuna göre TSSB açısından; yeniden yaşam ve kaçınma belirtileri istatistiksel anlamlı yüksek iken, uyarılmışlık açı- sından fark gözlenmedi. Sonuçlar: Komplike gebelik yaşamış hastalarda yeni bir gebeliğe kar- şı korku yüksek olmakta ve sonuç olarak planlanan çocuk sayısında azalmaya neden olmaktadır. Komplike gebelik sonrası hastalar TSSB semptomları gelişmesi yönünden risk altındadırlar. (J Turkish-German Gynecol Assoc 2013; 14: 11-4)

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Cite This Article

EVSEN, M. S., TURGUT, A., SAK, M. E., ENDER, H. S., BEZ, Y., GÜL, T., ÖZLER, A., TAN, P. (2022). Komplike gebelik sonrası artan psikolojik travma ve azalan çocuk isteği arzusu. Journal of the Turkish-German Gynecological Association, Cilt: 14 - Sayı: 1, 11–14. https://ajindex.com/articles/567638

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References (7)

Coppens M, James D. Organization of prenatal care and iden- tification of risk. In: High-risk Pregnancy Management Options, James DK, Steer PJ, Weiner CP, Gonik B. eds. Second edition. W.B. Saunders. 1999; 11-22.
Baskett TF, MB, OConnell CM. Maternal critical care in obstetrics. J Obstet Gynaecol Can 2009; 31: 218-21.
Okafor UV, Efetie ER. Critical care obstetrics in a developing coun- try. J Turkish-German Gynecol Assoc 2008; 9: 9-13.
Yıldırım G, Güngördük K, Aslan H, Gül A, Bayraktar M, Ceylan Y. Comparison of perinatal and maternal outcomes of severe pre- eclampsia, eclampsia, and HELLP syndrome. J Turkish-German Gynecol Assoc 2011; 12: 90-6. [CrossRef] Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet 2006; 367: 1066-74. [CrossRef] Aitken RC. Measurement of feelings using visual analogue scales. Proc R Soc Med 1969; 62: 989-93.
Zigmon AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scand 1983; 67: 361-70. [CrossRef] Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of hos- pital anxiety and depression scale: an updated literature review. J Psychosomatic Res 2002; 52: 69-77. [CrossRef] Martin CR, Tweed AE, Metcalfe MS. A psychometric evaluation of the hspital anxiety and depression scale in patients diagnosed with end-stage renal disease. Br J Clin Psychol 2004; 43: 51-64. [CrossRef] Aydemir O, Guvenir T, Kuey L, Kultur S. Validity an reliability of Turkish version of Hospital Anxiety and Depression Scale. Turk Psikiyatri Derg 1997; 8: 280-7.
Weathers FW, Keane TM, Davidson JRT. Clinician administered PTSD scale: A review of the first ten years of research. Depr Anxiety 2001; 13: 132-56. [CrossRef] Kocabasoglu N, Corapcioglu Ozdemir A, Yargic I, Geyran P. The validity and reliability of Turkish PTSD Checklist-Civilian Version (PCL-C). New Symposium 2005; 43: 126-34.
Nizard J, Barrinque L, Frydman R, Fernandez H. Fertility and preg- nancy outcomes following hypogastric artery ligation for severe post-partum haemorrhage. Hum Reprod 2003; 18: 844-48. [CrossRef] Berkane N, Moutafoff-Borie C. Impact of previous uterine artery emboli- zation on fertility. Curr Opin Obstet Gynecol 2010; 22: 242-47. [CrossRef] Sentilhes L, Trichot C, Resch B, Sergent F, Roman H, Marpeau L, et al. Fertility and pregnancy outcomes following uterine devascularization for severe postpartum haemorrhage. Hum Reprod 2008; 23: 1087-92. [CrossRef] Stone HL. Post-traumatic stre