Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage.

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License: CC BY 4.0
Serval ID
serval:BIB_B585B6DD845E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage.
Journal
Scientific reports
Author(s)
Bernasconi M., Eggel-Hort B., Horsch A., Vial Y., Denys A., Quibel T., Baud D.
ISSN
2045-2322 (Electronic)
ISSN-L
2045-2322
Publication state
Published
Issued date
07/07/2021
Peer-reviewed
Oui
Volume
11
Number
1
Pages
13990
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
This study intend to compare the long-term psychological impact (depression, post-traumatic stress disorder) on both partners between patients that underwent uterine artery embolization (UAE) for post-partum hemorrhage (PPH) and uneventful deliveries. Women who experienced severe PPH treated by UAE in our institution between 2003 and 2013 were identified in our obstetrical database. These cases were matched to controls with uneventful deliveries. Matching criteria were maternal age, parity, ethnicity, year of delivery, birthweight, gestational age and mode of delivery. Patients and their partners completed validated questionnaires measuring post-traumatic stress (TSQ), as well as depression symptoms (MINI). A total of 63 cases of PPH and 189 matched controls (1:3) participated in a study exploring gynecological and obstetrical outcomes. With a mean of 8 years post-index delivery, patients after PPH showed increased risk of depression (p = 0.015) and post-traumatic stress disorder (22.2% versus 4.8%, p < 0.005) compared to controls. PPH remains strongly associated with post-traumatic stress disorder, even after adjustment for depression (adjusted odds ratio 5.1; 95% confidence intervals 1.5-17.5). Similarly, partners of patients with PPH showed a propensity to depression (p = 0.029) and post-traumatic stress disorder (11.5% versus 1.5%, p = 0.019). In conclusion, both women and their partners are at increased risk of long-term psychological adverse outcomes after PPH. Couples may benefit from psychological support.
Keywords
Multidisciplinary
Pubmed
Web of science
Open Access
Yes
Create date
27/07/2021 14:08
Last modification date
21/08/2021 6:36
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