Adversidade obstétrica e neonatal e sintomas de stress pós-traumático associados ao nascimento do bebé : o papel moderador da coparentalidade
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2024
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A maternidade é um momento desafiante na vida de uma mulher. O parto pode ser vivenciado pela mulher como traumático, o que pode acarretar consequências para a sua saúde física e mental. Nomeadamente, pode levar à emergência de sintomas de stress pós traumático (PTSD) associados ao nascimento do bebé. Estes sintomas podem desenvolver-se devido a fatores de risco e de vulnerabilidade obstétricos e neonatais. O objetivo deste estudo foi analisar a associação entre adversidade obstétrica e neonatal e sintomas de PTSD associados ao nascimento do bebé. Adicionalmente, explorou o papel moderador da coparentalidade nessa associação. A amostra foi constituída por 187 participantes no período pós-parto (6 a 12 semanas). O recrutamento foi feito no Centro Hospitalar Universitário de São João (Porto) e na Maternidade Alfredo da Costa (Lisboa). A adversidade obstétrica e neonatal foi avaliada através do questionário sociodemográfico, os sintomas de PTSD associados ao nascimento do bebé através do City Birth Scale (CBTS) e a coparentalidade através da Escala da Relação Coparental - Versão Reduzida (ERC-VR). Os resultados demonstraram que as mulheres que reportaram mais adversidade obstétrica e neonatal reportaram mais sintomas totais de PTSD associados ao nascimento do bebé. A coparentalidade não teve um papel moderador na associação principal. A intervenção clínica poderá desenvolver-se no âmbito da prevenção, rastreamento, minimização e proteção das mulheres mais vulneráveis e em maior risco de apresentarem sintomas de PTSD associados ao nascimento do bebé. Palavras-chave: adversidade obstétrica e neonatal, coparentalidade, PTSD, fatores de risco, momento perinatal
Motherhood is a challenging time in a woman’s life. Childbirth can be experienced as traumatic, which can have consequences for her physical and mental health. Specifically, it can lead to the emergence of post-traumatic stress disorder (PTSD) symptoms associated with the baby’s birth. These symptoms can develop due to obstetric and neonatal risk and vulnerability factors. The aim of this study was to analyze the association between obstetric and neonatal adversity and PTSD symptoms associated with the baby’s birth. Additionally, it explored the moderating role of co-parenting in this association. The sample consisted of 187 participants in the postpartum period (6 to 12 weeks). Recruitment was done at the Centro Hospitalar Universitário de São João (Porto) and the Maternidade Alfredo da Costa (Lisbon). Obstetric and neonatal adversity was assessed through a sociodemographic questionnaire, PTSD symptoms associated with the baby’s birth through the City Birth Scale (CBTS), and co-parenting through the Coparenting Relationship Scale – Short Version (CRS-SV). The results showed that women who reported more obstetric and neonatal adversity reported more total PTSD symptoms associated with the baby’s birth. Co-parenting did not have a moderating role in the main association. Clinical intervention may develop in the context of prevention, screening, minimization, and protection of women who are more vulnerable and at greater risk of presenting PTSD symptoms associated with the baby’s birth. Keywords: obstetric and neonatal adversity, co-parenting, PTSD, risk factors, perinatal moment.
Motherhood is a challenging time in a woman’s life. Childbirth can be experienced as traumatic, which can have consequences for her physical and mental health. Specifically, it can lead to the emergence of post-traumatic stress disorder (PTSD) symptoms associated with the baby’s birth. These symptoms can develop due to obstetric and neonatal risk and vulnerability factors. The aim of this study was to analyze the association between obstetric and neonatal adversity and PTSD symptoms associated with the baby’s birth. Additionally, it explored the moderating role of co-parenting in this association. The sample consisted of 187 participants in the postpartum period (6 to 12 weeks). Recruitment was done at the Centro Hospitalar Universitário de São João (Porto) and the Maternidade Alfredo da Costa (Lisbon). Obstetric and neonatal adversity was assessed through a sociodemographic questionnaire, PTSD symptoms associated with the baby’s birth through the City Birth Scale (CBTS), and co-parenting through the Coparenting Relationship Scale – Short Version (CRS-SV). The results showed that women who reported more obstetric and neonatal adversity reported more total PTSD symptoms associated with the baby’s birth. Co-parenting did not have a moderating role in the main association. Clinical intervention may develop in the context of prevention, screening, minimization, and protection of women who are more vulnerable and at greater risk of presenting PTSD symptoms associated with the baby’s birth. Keywords: obstetric and neonatal adversity, co-parenting, PTSD, risk factors, perinatal moment.
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PSYCHOLOGY, CLINICAL PSYCHOLOGY, HEALTH PSYCHOLOGY, MATERNITY, BIRTHS, POST-TRAUMATIC STRESS DISORDER, PARENTHOOD, ADVERSITY, RISK FACTORS, MESTRADO EM PSICOLOGIA CLINICA E DA SAÚDE, PSICOLOGIA, PSICOLOGIA CLÍNICA, PSICOLOGIA DA SAÚDE, MATERNIDADE, PARTOS, PERTURBAÇÃO DE STRESS PÓS-TRAUMÁTICO, PARENTALIDADE, ADVERSIDADE, FATORES DE RISCO, Mestrado em Psicologia Clínica e da Saúde