Childhood sexual abuse as a predictor of birth-related posttraumatic stress and postpartum posttraumatic stress |
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| Authors: | Rachel Lev-Wiesel Shir Daphna-Tekoah Mordechai Hallak |
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| Institution: | 1. School of Social Work, University of Haifa, Hacarmel, Haifa 31905, Israel;2. Graduate School of Creative Arts Therapies, University of Haifa, Hacarmel, Haifa 31905, Israel;3. Jack J. and Charlotte B. Spitzer Department of Social Work, Ben-Gurion University of the Negev, Beer Sheva, Israel;4. Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel;1. Department of Psychiatry, University of Michigan, USA;2. Department of Psychiatry, University of New Mexico, USA;1. Institute and Policlinic of Occupational and Social Medicine, TU Dresden, Faculty of Medicine, Fetscherstr. 74, 01307 Dresden, Germany;2. Department of Psychosomatics and Health Behavior, Norwegian Institute of Public Health, Oslo, Norway;3. Centre for Maternal and Child Health, School of Health Sciences, City University London, London, UK;4. Department of Childhood, Development, and Cultural Diversity, Norwegian Institute of Public Health, Oslo, Norway;5. Department of Psychology, University of Oslo, Norway;6. HØKH, Research Centre, Akershus University Hospital, Norway;1. The Max Stern Academic College Emek-Yezreel, Emek-Yezreel 19300, Israel;2. The Center for Women?s Health Studies and Promotion and the Spitzer Department of Social Work, Ben Gurion University of the Negev, POB 653, Beer Sheva 84105, Israel;1. School of Applied Psychology & Griffith Health Institute, Griffith University, Mt Gravatt, Qld 4122, Australia;2. School of Nursing and Midwifery & Maternity and Family Unit, Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, Logan, Qld 4131, Australia;1. Karel de Grote University College – Healthcare Department, Van Schoonbekestraat 143, 2018 Antwerp, Belgium;2. Nursing Departments of Mother & Child, Surgery and Polyvalent Care, ZNA Jan Palfijn, Lange Bremstraat 70, 2170 Merksem, Belgium;3. University of Antwerp, Antwerp University Hospital UZA, Wilrijkstraat 10, 2650 Edegem, Antwerp, Belgium;4. Faculty of Psychology and Educational Sciences, KU Leuven, Tiensestraat 102, 3000 Leuven, Belgium;5. Centre of Research and Innovation in Care, Antwerp University, Universiteitsplein 1, 2610 Wilrijk, Belgium |
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| Abstract: | ObjectiveTo investigate the extent to which childbirth may function as a retraumatization of childhood sexual abuse, and may exacerbate postpartum posttraumatic stress reactions.MethodsData was obtained from a convenience sample of 837 women in mid-pregnancy, at 2 and 6 months following childbirth. Three groups were drawn from this sample: women who experienced childhood sexual abuse (CSA), women survivors of trauma other than CSA, and women who reported no-trauma experiences.ResultsPTSD subcategories of intrusion and arousal were increased in the CSA group following childbirth, although the overall PTSD score did not increase following childbirth in any of the groups CSA survivors scored higher at all data collection time points.ConclusionsCSA is a traumatic event that has greater negative long-term effects than other traumas in the population of pregnant women.Practice implicationsIdentifying women who are survivors of CSA early in their pregnancy and establishing a risk assessment may significantly reduce delivery complications and consequently mitigate postpartum PTS outcomes. |
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