ПОСТТРАВМАТИЧЕСКОЕ СТРЕССОВОЕ РАССТРОЙСТВО, СВЯЗАННОЕ С БЕРЕМЕННОСТЬЮ И РОДАМИ: ДЕФИНИЦИИ, СОВРЕМЕННЫЕ ПРЕДСТАВЛЕНИЯ, ПАТОФИЗИОЛОГИЧЕСКИЕ МЕХАНИЗМЫ, ФАКТОРЫ РИСКА, ДИАГНОСТИКА

E.V. Kozhadey; A.G. Vasilyev

doi:10.56871/RBR.2023.84.68.009

E.V. Kozhadey Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100 https://orcid.org/0009-0005-7552-8533
A.G. Vasilyev Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100

DOI: https://doi.org/10.56871/RBR.2023.84.68.009

Keywords: post-traumatic stress disorder, postpartum post-traumatic stress disorder, perinatal loss, postpartum period, traumatic birth

Abstract

The review focuses on post-traumatic stress disorder associated with pregnancy and childbirth. In the literature, there is the concept of post-traumatic stress disorder associated with pregnancy and childbirth, which describes mental disorders in parents during the period from the beginning of pregnancy to 12 months after childbirth. In contrast to the classical concept of post-traumatic stress disorder, this term is used in most cases in relation to the mother, less often in relation to the father of the child, in the presence of traumatic events associated with pregnancy and childbirth, starting from the beginning of pregnancy and up to 1 year after childbirth. The uniqueness of this term is emphasized from the perspective of mental disorders in parents associated with traumatic events during pregnancy, childbirth and the subsequent fate and prognosis for a premature child and/or a child with pathology. Data is provided on the complexities of terminology used to describe traumatic events from the beginning of pregnancy to 12 months after childbirth. Information is presented on the prevalence of stressful conditions during the period associated with pregnancy and childbirth in parents, risk factors are described in detail, including obstetric, socio-economic, pathophysiological, and psychiatric. The stressful conditions of parents whose children are in the intensive care unit are described separately, with a description of the parents’ reactions to different outcomes of the child’s hospitalization. Options for the prevention of stressful conditions in parents are highlighted, and recommendations are provided for identifying patients suffering from post-traumatic stress disorder associated with pregnancy and childbirth, and for the interaction of maternity workers with this group of patients.

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POST-TRAUMATIC STRESS DISORDER ASSOCIATED WITH PREGNANCY AND CHILDBIRTH: DEFINITIONS, MODERN CONCEPTS, PATHOPHYSIOLOGICAL MECHANISMS, RISK FACTORS, DIAGNOSIS

Abstract

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