Acute posttraumatic stress, emergency and scheduled cesarean section: cross sectional study in morocco

Author: 
Yassari Mohsine., Mouhadi Khalid., Hicham Bousbaa., Aarab Chadya., Aalouane Rachid and Rammouz Ismail

A significant fraction of women is experiencing the birth of their child as a negative event. Cases might develop post-traumatic stress disorder (PTSD).
The purpose of this study was to compare the prevalence of the acute PTS in patients that underwent emergency Caesarean surgery and patients that underwent a scheduled Caesarean surgery. Beside, the satisfaction of healthcare personnel satisfaction was assessed.
This observational study included patients that underwent Caesarean surgery and scheduled Caesarean surgery. Acute stress assessment questionnaire was responded to by patients between the 2nd and the 5th day of postpartum. The recruitment of patients was done in the obstetric public hospital in Meknes (Morocco). The diagnosis of the acute stress was based on Stanford Acute Stress Reaction Questionnaire SASRQ.
100 patients were included in this study. The socio-demographic characteristics were statistically similar in both patients groups except higher age of the unexposed group (p= 0.03). However, these characteristics do not impact the stress onset of patients.
Besides, there was no significant difference regarding the existence of acute stress between the emergency Caesarean group and the scheduled Caesarean one. Finally, there wasn’t any significant difference in care offered to both groups of Caesarean surgery, although it was revealed there was a significant association between the satisfaction of the care personnel and the acute stress.
The emergency aspect of the cesarean section is not a risk factor of acute post-traumatic stress. The quality of management of obstetric staff is more important in preventing acute stress.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.11365.1963
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