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Master Thesis

Impact psychotraumatique des césariennes « code rouge » et facteurs de risque impliqués dans le trouble de stress post-traumatique des parturientes

Abstract : Background: Posttraumatic stress disorder (PTSD) is declared in 3 to 6% of postpartum women (PP) and up to 18.5% in cases of complications of pregnancy or childbirth. The objective of this study is to assess the prevalence of PTSD after a red code caesarean section and to identify the risk factors among the prenatal vulnerability factors, the birth alert factors and the maintenance factors in PP. Method: A phone or computerized questionnaire including an Questionnaire de stress immédiat and the Posttraumatic Stress Disorder Checklist for DSM-5 was offered to patients who had a red code caesarean section between 05/12/2015 and 02/28/2021 at the University South Hospital of Reunion Island. Results: Among the 555 caesarean sections selected, 329 parturients responded. The prevalence of PTSD was 20.1% and was stable over time. The 2 risk factors found were the negative experience of childbirth and the proven traumatic experience. Prenatal vunerability factors were not found to be statistically significant. Almost 3 in 4 women had not been informed of the risk of caesarean section and more than 1 in 2 women did not have an explanation in PP. Conclusion: Red code caesarean sections cause PTSD in 1 in 5 women. This lasting disorder can last up to 6 years after childbirth. This indicates the seriousness of this disorder and the need to prevent it. The risk of developing it is 4 times greater in the event of a traumatic experience proven in the Questionnaire de stress immédiat. Offering this questionnaire in the maternity could be an important element of secondary prevention. The role of health personnel remains essential.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03472466
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Submitted on : Thursday, December 9, 2021 - 1:03:41 PM
Last modification on : Saturday, December 11, 2021 - 3:32:44 AM

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  • HAL Id : dumas-03472466, version 1

Citation

Emmanuelle Bodin. Impact psychotraumatique des césariennes « code rouge » et facteurs de risque impliqués dans le trouble de stress post-traumatique des parturientes. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03472466⟩

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