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Post traumatic stress disorder post childbirth versus postnatal depression: a guide for midwives

Bromley, Philippa; Hollins Martin, Caroline J.; Patterson, Jenny

Authors

Philippa Bromley



Abstract

Post Traumatic Stress Disorder-Post Childbirth (PTSD-PC) is a powerful pathophysiological reaction that occurs in response to experiencing a traumatic birth and affects between1-6% of women. Regardless of its trigger, PTSD-PC causes significant impairment to women’s social interactions, capacity to work, and daily life. A key symptom of PTSD-PC is re-experiencing the birth in the form of nightmares, flashbacks, continual replay, intrusive thoughts, and images. When these symptoms persist beyond ‘one month’ (DSM-V definition), a diagnosis of PTSD-PC should be considered. In full awareness that there are additional mental health problems that a childbearing woman could encounter, we have elected to focus on two of the more commonly experienced diagnoses; specifically PTSD and Post Natal Depression (PND). It is important for midwives to be able to differentiate between PTSD-PC and Post Natal Depression (PND), because diagnoses and treatments differ. Generally PND is treated with antidepressants and Cognitive Behavioural Therapy (CBT), whilst PTSD is treated with Eye Movement Desensitisation and Reprocessing (EMDR) therapy or Emotional Freedom Technique (EFT). Also, there is potential for a women to develop a dual diagnosis, with partner and family affected also. Clarity surrounding the differences between PND and PTSD are key to accessing appropriate diagnosis, referral, and treatment.

Journal Article Type Article
Acceptance Date Jun 5, 2017
Online Publication Date Aug 2, 2017
Publication Date Aug 2, 2017
Deposit Date Aug 15, 2017
Publicly Available Date Feb 3, 2018
Journal British Journal of Midwifery
Print ISSN 0969-4900
Electronic ISSN 2052-4307
Publisher Mark Allen Healthcare
Peer Reviewed Peer Reviewed
Volume 25
Issue 8
Pages 484-490
DOI https://doi.org/10.12968/bjom.2017.25.8.484
Keywords Childbirth, Mental health, Midwives, Postnatal depression, Post-traumatic stress disorder
Public URL http://researchrepository.napier.ac.uk/Output/976436
Contract Date Aug 15, 2017

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Recognising the differences between Post Traumatic Stress Disorder-Post Childbirth (PTSD-PC) and Post Natal Depression (PND): a guide for midwives (165 Kb)
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