Jonathan E Handelzalts, Sigal Levy, Haim Krissi, Yoav Peled
{"title":"Epidural analgesia associations with depression, PTSD, and bonding at 2 months postpartum.","authors":"Jonathan E Handelzalts, Sigal Levy, Haim Krissi, Yoav Peled","doi":"10.1080/0167482X.2022.2081146","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2081146","url":null,"abstract":"<p><p>The research aim was to study the possible effect of epidural analgesia, as well as other possible demographic/obstetric variables and subjective birth experience on postpartum depression, PTSD, and impaired bonding. This was a longitudinal study of 254 women who gave birth at the maternity wards of a large tertiary health center and responded to questionnaires at T1 (Childbirth Experience Questionnaire and level of fatigue question; in person, 1-4 days postpartum) and at T2 (Postnatal Depression Scale, Postpartum Bonding Questionnaire, and the City Birth Trauma Scale; online-two months postpartum). Obstetric and demographic data were taken from medical files. Having a previous psychiatric diagnosis and higher levels of fatigue significantly predicted worse outcomes in all measures (level of fatigue was not associated with the City Birth Trauma birth-related symptoms factor). Having higher education, being primiparous, worse birth experience, and longer second stage of birth predicted worse outcomes in some measures. Although epidural administration had no effect on any of the outcome variables, special attention should be devoted to women who had long second-stage births and/or suffering from postpartum fatigue to prevent postpartum psychopathology. In addition, demographic variables, such as primiparity, education, and prior psychopathology diagnosis should be considered to treat women and prevent postpartum psychopathology.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"488-494"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10491342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sofia Hallström, Hanna Grundström, Anna Malmquist, Matilda Eklind, Katri Nieminen
{"title":"Fear of childbirth and mental health among lesbian, bisexual, transgender and queer people: a cross-sectional study.","authors":"Sofia Hallström, Hanna Grundström, Anna Malmquist, Matilda Eklind, Katri Nieminen","doi":"10.1080/0167482X.2022.2089555","DOIUrl":"10.1080/0167482X.2022.2089555","url":null,"abstract":"<p><p><b>Background:</b> Most studies of fear of childbirth (FOC) are conducted on heterosexual cisgender pregnant populations of birth-giving parents. Among lesbian and bisexual women, as well as transgender and queer people (LBTQ), minority stress can add an extra layer to FOC. Gender binary and cisnormative assumptions leave it to the patient to educate and navigate healthcare providers, which can increase mental health problems.<b>Objective:</b> The aim of this study is to compare FOC and mental illness among expecting birth-giving parents and their partners in an LBTQ population.<b>Materials and methods:</b> This cross-sectional study recruited 80 self-identified pregnant LBTQ persons and their 54 non-pregnant partners at a LBTQ specialized antenatal clinic in a large Swedish city of over one million inhabitants. The survey included socio-demographic characteristics, sexual and gender orientation, obstetric history, previous mental health, previous trauma exposure and measures of FOC and mental health.<b>Results:</b> Levels of FOC were significantly higher for the pregnant participants (median W-DEQ 67.5) than for partners (median W-DEQ 60.0). The proportion of severe FOC was higher for pregnant participants (20.3%) than for partners (9.4%), although this difference was not statistically significant. Mental illness was significantly associated with FOC.<b>Conclusion:</b> The results add valuable information to our understanding of the specific needs of pregnant LBTQ people and their partners and may help us to develop healthcare in the future.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"526-531"},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10798614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Debbie M Smith, Suzanne Thomas, Louise Stephens, Tracey A Mills, Christine Hughes, Joanna Beaumont, Alexander E P Heazell
{"title":"Women's experiences of a pregnancy whilst attending a specialist antenatal service for pregnancies after stillbirth or neonatal death: a qualitative interview study.","authors":"Debbie M Smith, Suzanne Thomas, Louise Stephens, Tracey A Mills, Christine Hughes, Joanna Beaumont, Alexander E P Heazell","doi":"10.1080/0167482X.2022.2098712","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2098712","url":null,"abstract":"<p><p><b>Aim:</b> Pregnancy after the death of a baby is associated with numerous, varied psychological challenges for pregnant women. This study aimed to explore women's experiences of pregnancy whilst attending a specialist antenatal service for pregnancies after a perinatal death.<b>Methods:</b> Semi-structured interviews with twenty women in a subsequent pregnancy after a perinatal death were conducted and analyzed taking an inductive thematic analysis approach.<b>Results:</b> All women expressed a heightened \"awareness of risk\". Two subthemes demonstrated how increased awareness of risk affected their experience and their desire regarding antenatal and postnatal support. Women talked about stillbirth being a \"quiet, unspoken subject\" causing them internal conflict as they had an awareness of pregnancy complications that other people did not. Navigating subsequent pregnancies relied on them \"expecting the worst and hoping for the best\" in terms of pregnancy outcomes. Women viewed specialist antenatal care in pregnancy after perinatal loss favorably, as it enabled them to receive tailored care that met their needs stemming from their increased awareness of and personal expectations of risk.<b>Conclusion:</b> Women's experiences can be used to develop models of care but further studies are required to determine to identify which components are most valued.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"557-562"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hysterectomy, a time to change the terminology.","authors":"Einav Kadour-Peero, Michael H Dahan","doi":"10.1080/0167482X.2022.2084377","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2084377","url":null,"abstract":"What is the etymology of the word \"hysterectomy\"? “Hyster” in the Greek and Latin languages (with the resultant hysterikos and hystericus, respectively) means “of the womb” [1]. However, another etymologic derivative of “hyster” is hysteria with hysterikos and hystericus being terms that referred to neurotic conditions being from the womb and as such being a disease of women [1]. In ancient times Egyptians and Greeks believed that the “hysterical disorder” was caused because the womb was moving throughout a woman’s body [2]. In the fifth century, BCE Hippocrates coined the word “hysteria” [1]. Whereas the uterus has been historically equated with womanhood, motherhood, and female sexuality, \"Hysteria\" has negative connotations of emotional instability, lack of control, and other behavioral symptoms [2]. Thus, the ancient Greeks and Romans left us with an association between undesirable emotions and the uterus. To highlight the relevance of this association, historically, physicians recommended a hysterectomy as a potential cure for hysteria [2]. It should also be noted that until 1980, hysteria was a formally recognized psychological disorder that could be found in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) [3].","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"601-602"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10433194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of COVID-19 pandemic on depression and hopelessness in infertile women.","authors":"Athar Rasekh Jahromi, Elham Daroneh, Safieh Jamali, Afsaneh Ranjbar, Vahid Rahmanian","doi":"10.1080/0167482X.2022.2082279","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2082279","url":null,"abstract":"<p><strong>Introduction: </strong>COVID-19 has negative and sometimes irreversible effects on infertile women. This study aimed to investigate hopelessness and depression in infertile women whose treatment has been delayed due to COVID-19.</p><p><strong>Methods: </strong>This case-control study was conducted online on 172 infertile women. The case group included infertile women under treatment whose treatment was delayed during the COVID-19 pandemic, and the control group was selected from infertile women who were not under infertile treatment. This study was conducted between April and December 2021 in Jahrom, Iran. Beck hopelessness standard questionnaire (BHS) and Beck Depression Inventory (BDI) were used to collect data, and <i>p</i> < 0.05 was considered significant.</p><p><strong>Results: </strong>The mean score of hopelessness in women in the case group was 9.48 ± 1.80 compared to the control group 8.66 ± 1.34 (OR = 1.39 95% CI = 1.13-1.71), and its areas (OR = 1.33 95% CI = 1.003-2.43), Emotions and expectations score (OR = 1.59 95% CI = 1.07-2.37), Motivation loss score (OR = 2.02 95% CI = 1.49-2.73), Hope score, and depression in women in the case group was 40.33 ± 10.87to 36.72 ± 11.40 compared to the control (OR = 1.17 95% CI = 1.11-1.23). All these variables showed an increase in the case group compared to the control group (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The results showed that infertile women whose treatment was delayed were more frustrated and depressed than women in the control group. COVID-19 epidemic and discontinuation of infertile treatments in infertile women seem to have negative psychological effects. Therefore, the psychological effects of this epidemic on infertile women should not be ignored, so planners should put social and family support at the top of the program.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"495-501"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10437498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seda Ates, Serdar Aydın, Pinar Ozcan, Rabia Zehra Bakar, Caglar Cetin
{"title":"Sleep, depression, anxiety and fatigue in women with premature ovarian insufficiency.","authors":"Seda Ates, Serdar Aydın, Pinar Ozcan, Rabia Zehra Bakar, Caglar Cetin","doi":"10.1080/0167482X.2022.2069008","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2069008","url":null,"abstract":"<p><strong>Purpose: </strong>To assess sleep disturbances, levels of anxiety, depression and fatigue in women with premature ovarian insufficiency (POI).</p><p><strong>Materials and methods: </strong>The study included 62 women with POI and 62 age-matched controls. Women in both groups completed questionnaires. Pittsburgh Sleep Quality Index, Insomnia severity index, Epworth Sleepiness Scale, Hospital Anxiety and Depression Scale and Fatigue Severity Scale were used.</p><p><strong>Results: </strong>We found poor sleep quality, higher levels of insomnia in women with POI than in controls. Depression was much more prevalent and severe in POI women. Total anxiety score, the severity of anxiety and fatigue did not differ significantly between the groups. According to the multivariable logistic regression analysis, being married and having POI were associated with worse quality of sleep, and having more children was associated with an increase in depression levels in the whole cohort. Backward analysis showed that when POI status was taken as a reference, married women were at 6.5 fold increased risk of poor sleep quality.</p><p><strong>Conclusions: </strong>Women with premature ovarian failure are more likely to suffer from poor sleep quality, insomnia and depression than healthy women.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"482-487"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10491319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda Levinson, Brittain Mahaffey, Marci Lobel, Heidi Preis
{"title":"Development and psychometric properties of the Pandemic-Related Postpartum Stress Scale (PREPS-PP).","authors":"Amanda Levinson, Brittain Mahaffey, Marci Lobel, Heidi Preis","doi":"10.1080/0167482X.2021.2013798","DOIUrl":"10.1080/0167482X.2021.2013798","url":null,"abstract":"<p><strong>Purpose: </strong>Postpartum experiences have been adversely affected by the burdens of the COVID-19 pandemic. However, there are no well-tested measures of pandemic-specific postpartum stress. We developed a modified, postpartum version of the Pandemic-Related Pregnancy Stress Scale (PREPS) and examined the psychometric properties of this novel measure.</p><p><strong>Methods: </strong>Online questionnaires were administered at 3-4 month intervals throughout pregnancy and postpartum to women pregnant at the start of the pandemic. This study reports psychometric properties of the Pandemic-Related Postpartum Stress Scale (PREPS-PP) among women who were administered this instrument at either of two postpartum timepoints.</p><p><strong>Results: </strong>At both timepoints (<i>n</i> = 1301 and <i>n</i> = 1009), CFAs revealed good model fit of the same three-factor structure identified for the prenatal PREPS (Preparedness Stress, Infection Stress, and Positive Appraisal). All PREPS-PP subscales demonstrated good reliability (<i>α</i>'s .78-87). Higher levels of Preparedness Stress and Infection Stress were associated with greater health and financial burdens and psychological distress.</p><p><strong>Conclusions: </strong>The PREPS-PP is a reliable and valid measure of postpartum stress related to the COVID-19 pandemic. It is a valuable tool for future research into how pandemic-related postpartum stress may affect families in the short- and long-term.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"426-432"},"PeriodicalIF":2.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9243190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oksoo Kim, Sue Kim, Hae Ok Jeon, Ahrin Kim, Chiyoung Cha, Bohye Kim
{"title":"Depressive symptoms and menstrual distress according to the menstrual phase in nurses: the Korea Nurses' Health Study.","authors":"Oksoo Kim, Sue Kim, Hae Ok Jeon, Ahrin Kim, Chiyoung Cha, Bohye Kim","doi":"10.1080/0167482X.2022.2095999","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2095999","url":null,"abstract":"Abstract Objective This study aimed to identify the level of menstrual distress among nurses during the premenstrual and menstrual phases and to investigate associations between depressive symptoms and menstrual distress. Methods This was a cross-sectional study conducted using data from the Korea Nurses’ Health Study. We used data from December 2018 to September 2019. A total of 6878 nurses was selected for final analysis. Data on demographic characteristics, women’s health-related variables, shift work, sleep quality, depressive symptoms and menstrual distress were collected. Descriptive statistics, and hierarchical multiple regression analysis were used. Results Depressive symptoms were significantly correlated with menstrual distress in both premenstrual and menstrual phases (premenstrual phase B = 1.60, 95% CI = 1.49–1.71; menstrual phase B = 1.65, 95% CI = 1.54–1.76) after controlling for demographic characteristics, women’s health-related variables, shift work and sleep quality. Conclusion The results of this study indicate the importance of tailored care for menstrual distress based on the menstrual phase and the significance of depressive symptoms in the management of menstrual distress.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"541-549"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10437528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of COVID-19 restrictions and other perinatal factors on women's sense of control during childbirth: a prospective cohort study.","authors":"Karina Chaibekava, Amber Scheenen, Adrie Lettink, Luc Smits, Josje Langenveld, Rafli van de Laar, Babette Peeters, Sanne Joosten, Marie-Louise Verstappen, Marianne Nieuwenhuijze, Hubertina Scheepers","doi":"10.1080/0167482X.2022.2052846","DOIUrl":"https://doi.org/10.1080/0167482X.2022.2052846","url":null,"abstract":"<p><strong>Background: </strong>Restrictions around childbirth, introduced during the COVID-19 pandemic in 2020, could decrease maternal feelings of control during birth. The aim of this study was to compare the sense of control of women who gave birth during the COVID-19 pandemic with women who gave birth before COVID-19. The secondary objective was to identify other factors independently associated with women's sense of control during birth.</p><p><strong>Methods: </strong>A prospective cohort study, in a sub-cohort of 504 women from a larger cohort (Continuous Care Trial (CCT), <i>n</i> = 992), was conducted. Sense of control was measured by the Labor Agentry Scale (LAS). Perinatal factors independently associated with women's sense of control during birth were identified using multiple linear regression.</p><p><strong>Results: </strong>Giving birth during the COVID-19 pandemic did not influence women's sense of control during birth. Factors statistically significantly related to women's sense of control were Dutch ethnic background (<i>β</i> 4.787, 95%-CI 1.319 to 8.254), antenatal worry (<i>β</i> - 4.049, 95%-CI -7.516 to -.581), antenatal anxiety (<i>β</i> - 4.677, 95%-CI -7.751 to 1.603) and analgesics during birth (<i>β</i> - 3.672, 95%-CI -6.269 to -1.075).</p><p><strong>Conclusions: </strong>Despite the introduction of restrictions, birth during the COVID-19 pandemic was not associated with a decrease of women's sense of control.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"464-473"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10798584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Osama Y Alshogran, Fatema M Z Mahmoud, Mohammad J Alkhatatbeh
{"title":"Predictors of age at menopause and psychiatric symptoms among postmenopausal females in Jordan.","authors":"Osama Y Alshogran, Fatema M Z Mahmoud, Mohammad J Alkhatatbeh","doi":"10.1080/0167482X.2021.1984425","DOIUrl":"https://doi.org/10.1080/0167482X.2021.1984425","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the impact of various factors on age at natural menopause as well as psychiatric symptoms including anxiety and depression among postmenopausal women in Jordan.</p><p><strong>Methods: </strong>A cross-sectional study was conducted and included females with natural menopause (<i>n</i> = 450). A structured interview-based questionnaire was used to collect data about subjects' sociodemographics, health, reproductive and environmental factors. Hospital anxiety and depression scale (HADS) was used to assess psychiatric symptoms. Factors associated with age at natural menopause, depression, or anxiety were identified.</p><p><strong>Results: </strong>The mean age at natural menopause was 49.5 ± 4.8 years. Mothers' age at menopause, the regularity of cycles, age at last pregnancy and diabetes were significant positive predictors of age at menopause (<i>p</i> < 0.05). The mean anxiety and depressive scores were 6.52 ± 4.26 and 6.77 ± 3.44 respectively. Age, high school education, being nonsmoker and breastfeeding history were inversely associated with anxiety but only cycle length and multiparous were positively associated with anxiety (<i>p</i> < 0.05). While education and being nonsmoker were negatively associated with depression, hypertension was a positive predictor.</p><p><strong>Conclusions: </strong>The results reveal several environmental, health, and reproductive predictors of age at menopause or psychiatric symptoms among postmenopausal women in Jordan.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 4","pages":"385-392"},"PeriodicalIF":3.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10423359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}