The effectiveness of interventions used to treat women with Post-Partum Post-Traumatic Stress Disorder following a Caesarean Section
Item
- Title
- The effectiveness of interventions used to treat women with Post-Partum Post-Traumatic Stress Disorder following a Caesarean Section
- Author(s)
- Swann, E
- Abstract
- Background: Post-Partum Post-Traumatic Stress Disorder (PP-PTSD) is a psychological disorder that occurs as a result of a traumatic birth. Caesarean section is widely referred to as a traumatic birth and in many cases is the cause of some women’s PP-PTSD. Research into the prevalence and risk factors of PP-PTSD are extensively investigated, however studies into the treatments options and their effectiveness are limited. Objective: This study is conducted to collate and synthesis current literature into treatments of PP-PTSD post CS. Providing an overview of treatment options whilst succinctly comparing and contrasting effectiveness to discover which treatment option is currently the most successful and can therefore be a recommend in clinical practice. Design: Structure Literature Review. Methods: A systematic search applying Boolean logic was conducted on 3 databases, to obtain appropriate research published between 2007 and 2018. A total of 196 studies were obtained and then filtered according to the inclusion and exclusion criteria. A total of 9 eligible studies were found and summarised into tables regarding their characteristics and outcomes and then critically evaluated using the Strength of Recommendation Taxonomy (SORT) to determine the study quality. Results: All interventions effectively reduced Post-Traumatic Stress Symptoms (PTSS) after the completion of treatment in postpartum women. However none of the studies obtained ultimate scores with the mode SORT score being 2B, indicating an overall moderate to poor quality of included studies. Discussion: Though all studies resulted in a positive outcome they each contained significant limitations. With the consistency of results made questionable due to the degree of heterogeneity across studies and interpretation made difficult by the variety of outcome assessments used. The study is made vulnerable to examiner and selection bias, and lacked external and internal validity due to the study styles adopted, sample sizes obtained and length of follow ups carried out. Conclusion: Overall the results demonstrate a number of interventions that effectively treat PP-PTSD. With no stand out intervention it may be valuable to investigate patient lead treatment approaches that allow the patient the option to choose an intervention that best suits them. Further well designed research is required to gain a more definitive conclusion that can be implemented in clinical practice.
- presented at
- European School of Osteopathy
- Date Accepted
- 2020
- Date Submitted
- 28.10.2020 18:08:19
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16695
- Inst-Identifier
- 1229
- Keywords
- Caesarean Section, Post-Partum Post-traumatic Stress Disorder, Structured Literature Review, Treatment Methods
- Recommended
- 0
- Item sets
- Thesis
Swann, E, “The effectiveness of interventions used to treat women with Post-Partum Post-Traumatic Stress Disorder following a Caesarean Section”, Osteopathic Research Web, accessed May 4, 2025, https://www.osteopathicresearch.org/s/orw/item/160