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Postpartum PTSD was first described in 1978 [1]. Since then over 60 papers have been published. After excessively painful labours, or those with a disturbing loss of control, fear of stillbirth or complications requiring emergency Caesarean section, some mothers suffer nightmares, and intrusive images and memories (‘flashbacks’), similar to those occurring after other harrowing experiences. They can last for months [2]. Some avoid further pregnancy (secondary tocophobia), and those who become pregnant again may experience a return of symptoms, especially in the last trimester. Rates up to 5.9% of deliveries have been reported [3]. There is some evidence that early counseling reduces these symptoms. Enduring symptoms require specific psychological treatment.

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References[]

  1. Bydlowski M, Raoul-Duval A (1978) Un avatar psychique méconnu de la puerperalité: la névrose traumatique post obstétricale. Perspectives Psychiatriques 4: 321-328.
  2. Söderquist J, Wijma B, Wijma K (2006) The longitudinal course of post-traumatic stress after childbirth. Journal of Psychosomatic Obstetrics and Gynaecology 27: 113-119.
  3. Adewuya A O, Ologun Y A, Ibigbami O S (2006) Post-traumatic stress disorder after childbirth in Nigerian women: prevalence and risk factors. British Journal of Obstetrics and Gynaecology 113: 284-288.
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