Posttraumatic stress symptoms following pregnancy complicated by hyperemesis gravidarum

被引:51
作者
Christodoulou-Smith, Joan [4 ]
Gold, Jeffrey I. [4 ,5 ,6 ]
Romero, Roberto [7 ,8 ,9 ,10 ]
Goodwin, Thomas M. [1 ]
MacGibbon, Kimber W. [3 ]
Mullin, Patrick M. [1 ]
Fejzo, Marlena S. [1 ,2 ]
机构
[1] Univ So Calif, Keck Sch Med, Dept Obstet & Gynecol, Los Angeles, CA 90033 USA
[2] Univ Calif Los Angeles, Dept Med, Los Angeles, CA 90024 USA
[3] Hyperemesis Educ & Res Fdn, Leesburg, VA USA
[4] Childrens Hosp Los Angeles, Dept Anesthesiol, Los Angeles, CA 90027 USA
[5] Univ So Calif, Keck Sch Med, Dept Anesthesiol, Los Angeles, CA 90033 USA
[6] Univ So Calif, Keck Sch Med, Dept Pediat, Los Angeles, CA 90033 USA
[7] NIHD, NIH, DHHS, Perinatol Res Branch, Bethesda, MD USA
[8] NIHD, NIH, DHHS, Perinatol Res Branch, Detroit, MI USA
[9] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Dept Hlth & Human Serv, NIH, Bethesda, MD USA
[10] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Dept Hlth & Human Serv, NIH, Detroit, MI USA
关键词
Nausea; pregnancy; posttraumatic stress disorder; WERNICKES ENCEPHALOPATHY; PSYCHOLOGICAL-FACTORS; LARGE COHORT; WOMEN; OUTCOMES;
D O I
10.3109/14767058.2011.582904
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective. Hyperemesis gravidarum (HG) can be accompanied by severe physical and emotional distress. Most studies have focused on the physical and psychological stress associated with this condition during the affected pregnancy. This study explores posttraumatic stress symptoms (PTSS) and negative life outcomes following HG pregnancies. Methods. A total of 610 women (HG - 377 and control - 233) were recruited and completed an online survey. chi-square analyses were used to compare the HG and control groups on various life outcome variables. Results. Eighteen percent of women with HG reported full criteria PTSS (n = 68). Negative life outcomes regarding financial and marital status, career, as well as psychological and physical well-being differed significantly for the HG groups compared to the control group (0.001 < p < 0.05). Conclusions. PTSS is common following HG pregnancies and is associated with negative life outcomes including inability to breastfeed, marital problems, financial problems, and inability of self care.
引用
收藏
页码:1307 / 1311
页数:5
相关论文
共 22 条
  • [1] HYPEREMESIS GRAVIDARUM .I. EVIDENCE OF HEPATIC DYSFUNCTION
    ADAMS, RH
    GORDON, J
    COMBES, B
    [J]. OBSTETRICS AND GYNECOLOGY, 1968, 31 (05) : 659 - &
  • [2] Hyperemesis gravidarium: Epidemiologic findings from a large cohort
    Bailit, JL
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2005, 193 (03) : 811 - 814
  • [3] Outcomes of pregnancies complicated by hyperemesis gravidarum
    Dodds, Linda
    Fell, Deshayne B.
    Joseph, K. S.
    Allen, Victoria M.
    Butler, Blair
    [J]. OBSTETRICS AND GYNECOLOGY, 2006, 107 (02) : 285 - 292
  • [4] Symptoms and Pregnancy Outcomes Associated with Extreme Weight Loss among Women with Hyperemesis Gravidarum
    Fejzo, Marlena S.
    Poursharif, Borzouyeh
    Korst, Lisa M.
    Munch, Shari
    MacGibbon, Kimber W.
    Romero, Roberto
    Goodwin, T. Murphy
    [J]. JOURNAL OF WOMENS HEALTH, 2009, 18 (12) : 1981 - 1987
  • [5] Secular trends in the treatment of hyperemesis gravidarum
    Goodwin, T. Murphy
    Poursharif, Borzouyeh
    Korst, Lisa M.
    MacGibbon, Kimber W.
    Romero, Roberto
    Fejzo, Marlena S.
    [J]. AMERICAN JOURNAL OF PERINATOLOGY, 2008, 25 (03) : 141 - 147
  • [6] Acute renal failure in association with severe hyperemesis gravidarum
    Hill, JB
    Yost, NP
    Wendel, GD
    [J]. OBSTETRICS AND GYNECOLOGY, 2002, 100 (05) : 1119 - 1121
  • [7] KALLEN B, 1987, EUR J OBSTET GYN R B, V26, P291
  • [8] The impact of hyperemesis gravidarum on maternal role assumption
    Meighan, M
    Wood, AF
    [J]. JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING, 2005, 34 (02): : 172 - 179
  • [9] Health-related quality of life in women with nausea and vomiting of pregnancy: the importance of psychosocial context
    Munch, S.
    Korst, L. M.
    Hernandez, G. D.
    Romero, R.
    Goodwin, T. M.
    [J]. JOURNAL OF PERINATOLOGY, 2011, 31 (01) : 10 - 20
  • [10] A qualitative analysis of physician humanism: Women's experiences with hyperemesis gravidarum
    Munch S.
    [J]. Journal of Perinatology, 2000, 20 (8) : 540 - 547