Beyond the observed: Postpartum posttraumatic stress symptoms and mother-child bonding in Ghana

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-05-24 DOI:10.1016/j.midw.2025.104470

Sheriffa Mahama , Justina Aba Ackom , Buruwaa Adomako Agyekum , Crossby Osei Tutu , David Kwame Kumador , Justice Owusu-Bempah

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引用次数: 0

Abstract

Background

The birth of a child is considered positive in almost all cultures; however, research suggests that 20–40 % of women find childbirth psychologically traumatic, with some of these women developing posttraumatic stress disorder. Despite its potential illness burden, postpartum posttraumatic stress disorder is not routinely screened for in Ghana and, therefore unlikely to be diagnosed and treated.

Aim

This study investigated the incidence and risk factors of postpartum posttraumatic stress disorder among mothers and its association with the mother-child bond.

Method

Quantitative data were collected from 150 mothers with infants aged 1 – 12 months across five health centres in the Sekondi-Takoradi Metropolis in Ghana.

Findings

The findings show that 119 mothers presented various posttraumatic stress disorder symptoms after childbirth, and the total incidence of full postpartum posttraumatic stress disorder among this sample was 3.3 %. Parity, previous trauma and dissociation were the significant predictors of postpartum posttraumatic stress disorder. The development of posttraumatic stress symptoms after childbirth was found to be significantly associated with mother-child bonding.

Conclusion

Based on the findings, it is recommended that screening for posttraumatic stress disorder symptoms during prenatal and early postnatal periods be done for timely intervention.

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超出观察范围：加纳产后创伤后应激症状和母子关系

在几乎所有的文化中，孩子的出生都被认为是积极的；然而，研究表明，20 - 40%的妇女发现分娩造成了心理创伤，其中一些妇女患上了创伤后应激障碍。尽管有潜在的疾病负担，但产后创伤后应激障碍在加纳没有进行常规筛查，因此不太可能得到诊断和治疗。目的探讨母亲产后创伤后应激障碍的发生率、危险因素及其与母子关系的关系。方法从加纳Sekondi-Takoradi大都市五个保健中心的150名1 - 12个月婴儿的母亲中收集定量数据。结果119例产妇在分娩后出现不同程度的创伤后应激障碍症状，全部产后创伤后应激障碍的发生率为3.3%。胎次、既往创伤和分离是产后创伤后应激障碍的显著预测因子。分娩后创伤后应激症状的发展与母子关系密切相关。结论建议在产前和产后早期筛查创伤后应激障碍症状，以便及时干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.