Protecting mothers against posttraumatic stress symptoms related to childbirth: What's the role of formal and informal support?

IF 2.6 3区医学 Q1 NURSING Midwifery Pub Date : 2024-11-16 DOI:10.1016/j.midw.2024.104236

Ana Beato , Stephanie Alves , Burcu Kömürcü Akik , Sara Albuquerque

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Abstract

Background and objectives

The risk and protective factors of posttraumatic stress symptoms related to childbirth (CB-PTSD) have been recently investigated. Although the general support received by the mothers is considered to play a positive role, the precise function of each type of support is still misunderstood. This study aimed to ascertain whether forms of informal and formal support better predict CB-PTSD symptoms and whether adverse delivery experiences and prior psychological issues moderated this relationship.

Methods

526 mothers of infants (< 24 months) completed an online survey containing the Modified Perinatal Post-Traumatic Stress Disorder Questionnaire, the Depression, Anxiety, and Stress Scale-21, and items that evaluated various sources of support.

Results

Findings showed that satisfaction with support received from friends and during hospital stay contributed negatively to CB-PTSD symptoms, regardless of other forms of formal and informal support. Overall, the conditional effects revealed that less satisfaction with distinct forms of formal support was associated with more CB-PTSD symptoms among mothers with a high or moderate history of psychological problems. Adverse delivery experiences moderated the relationships between satisfaction with support during childbirth and hospital stay and CB-PTSD symptoms through a similar pattern.

Conclusions

The findings highlight the importance of specific forms of support and contextual factors in preventing CB-PTSD.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.