| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
ORIGINAL RESEARCH |
From the School of Nursing, Department of Psychology, and School of Medicine, The University of Michigan, Ann Arbor, Ann Arbor, Michigan.
Address reprint requests to: Julia S. Seng, CNM, PhD University of Iowa College of Nursing Iowa City, IA 52242-1121 E-mail: julia-seng{at}uiowa.edu
Objective: To assess the associations between specific pregnancy complications and posttraumatic stress disorder based on neurobiologic and behavioral characteristics, using Michigan Medicaid claims data from 1994–1996.
Methods: Two thousand, two hundred nineteen female recipients of Michigan Medicaid who were of childbearing age had posttraumatic stress disorder on the basis of International Classification of Diseases, 9th Revision (ICD-9) codes. Twenty percent (n = 455) of those recipients and 30% of randomly selected comparison women with no mental health diagnostic codes (n = 638; P < .001) had ICD-9 diagnostic codes for pregnancy complications. We used multiple logistic regression to investigate associations between specific pregnancy complications and posttraumatic stress disorder, controlling for demographic and psychosocial variables. Obstetric complications were hypothesized based on high-risk behaviors and neurobiologic alterations in stress axis function in posttraumatic stress disorder.
Results: After controlling for demographic and psychosocial factors, women with posttraumatic stress disorder had higher odds ratios (ORs) for ectopic pregnancy (OR 1.7, 95% confidence interval [CI] 1.1, 2.8), spontaneous abortion (OR 1.9, 95% CI 1.3, 2.9), hyperemesis (OR 3.9, 95% CI 2.0, 7.4), preterm contractions (OR 1.4, 95% CI 1.1, 1.9), and excessive fetal growth (OR 1.5, 95% CI 1.0, 2.2). Hypothesized labor differences were not confirmed and no differences were found for complications not thought to be related to traumatic stress.
Conclusions: Pregnant women with posttraumatic stress disorder might be at higher risk for certain conditions, and assessment and treatment for undiagnosed posttraumatic stress might be warranted for women with those obstetric complications. Prospective studies are needed to confirm present findings and to determine potential biologic mechanisms. Treatment of traumatic stress symptoms might improve pregnancy morbidity and maternal mental health.
This article has been cited by other articles:
|
|
 |
|
  L. A. Morland, G. A. Leskin, C. Rebecca Block, J. C. Campbell, and M. J. Friedman Intimate Partner Violence and Miscarriage: Examination of the Role of Physical and Psychological Abuse and Posttraumatic Stress Disorder J Interpers Violence, May 1, 2008; 23(5): 652 - 669. [Abstract] [PDF]
|
|
|
|
 |
|
 L. Morland, D. Goebert, J. Onoye, L. Frattarelli, C. Derauf, M. Herbst, C. Matsu, and M. Friedman Posttraumatic Stress Disorder and Pregnancy Health: Preliminary Update and Implications Psychosomatics, August 1, 2007; 48(4): 304 - 308. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Seng, S. A. Graham-Bermann, M. K. Clark, A. M. McCarthy, and D. L. Ronis Posttraumatic Stress Disorder and Physical Comorbidity Among Female Children and Adolescents: Results From Service-Use Data Pediatrics, December 1, 2005; 116(6): e767 - e776. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Lamprecht and M. Sack Posttraumatic Stress Disorder Revisited Psychosom Med, March 1, 2002; 64(2): 222 - 237. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
