Traumatic Impact of Mothers Who Experienced a Severe Postpartum Hemorrhage

Alouini S, Renon N, Fauconnier A, Huchon C and Valery A

Department of Gynecology and Obstetrics, Regional Hospital Center of Orleans, France Department of Gynecology and Obstetrics, Psychology Unit, Regional Hospital Center of Orleans, France Department of Gynecology and Obstetrics, CHI Poissy-St-Germain, Poissy; Research unit EA 7285 "Risk and Safety in Clinical Medicine for Women and Perinatal Health", University of Versailles Saint-Quentin in Yvelines, France Department of Medical Informatics and Statistics, Regional Hospital Center of Orleans, France

^*Correspondance to: Souhail Alouini 

 PDF  Full Text DOI: 10.25107/2474-1647.3675

Abstract

Objective: There is no strong evidence concerning the traumatic effect of severe Postpartum Hemorrhage (PPH) on mothers and the bound with their newborns. We investigated the impact of PPH on mothers and newborns with a mixed prospective study. Patients who experienced severe postpartum hemorrhage >2000 ml were compared to a Control Group (CG). Women from both groups underwent an interview and answered a revised Horowitz scale event questionnaire during the postnatal period. Post-Traumatic Stress Disorder (PTSD) mean scores were compared using the Paired Wilcoxon Signed rank test. Fisher's exact test was used for count data. Quantitative and qualitative analyses of the semi-directive interviews were performed. Results: Thirty patients were evaluated (15 in each group). The mean PTSD scores were 23.7 ± 14.8 in the PPH group and 1.7 ± 1.4 in the CG (p<0.001). All patients in the PPH group expressed a fear of dying versus no patients in the CG (p<0.0001). The relationship between the mother and child was disharmonious and complicated in 10 of 15 (66%) patients in the PPH group versus 0 in the CG (p=0.0002).

Keywords

Postpartum hemorrhage; Post-traumatic stress disorder; Fear of dying

Cite the article

Souhail A, Nathalie R, Arnaud F, Cyrille H, Antoine V. Traumatic Impact of Mothers Who Experienced a Severe Postpartum Hemorrhage. Clin Surg. 2023; 8: 3675..