An array of early psychological therapies in response to traumatic childbirth may buffer PTSD development

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An array of early psychological therapies in response to traumatic childbirth may buffer PTSD development
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Researchers systematically reviewed and quantitatively assessed clinical trials on preventing Childbirth-Related Post-Traumatic Stress Disorder.

By Vijay Kumar MalesuAug 30 2023Reviewed by Lily Ramsey, LLM In a recent study posted to the medRxiv* preprint server, a group of researchers systematically reviewed and quantitatively assessed clinical trials from December 1998 to December 2022 on preventing Childbirth-Related Post-Traumatic Stress Disorder , identifying optimal interventions, timings, and target populations.

Around 5-6% of postpartum women, equating to 240,000 in the U.S. annually, suffer from CB-PTSD, which can severely impact maternal-child bonding and increase infant behavioral and health issues. CB-PTSD has distinctive characteristics that make early intervention plausible. A search was executed across multiple databases, including PubMed and Embase, using specific keywords related to childbirth PTSD and its treatment, and published reviews on CB-PTSD therapies were also consulted.

Study results Out of 33 studies analyzed, 25 were randomized controlled trials , and 8 were non-RCTs. These trials spanned across different prevention stages: three were primary prevention during pregnancy; 19 were secondary preventions post-childbirth but not exceeding one month; and 11 were tertiary preventions after one month post-childbirth, specifically for confirmed or probable CB-PTSD cases.

Trauma-Focused Cognitive Behavioral Therapy demonstrated positive results when delivered during an infant's hospitalization but mixed results for later interventions. Eye Movement Desensitization and Reprocessing yielded positive outcomes for immediate and longer post-childbirth interventions.

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