Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Case 90 A 40-Year-Old at 24 Weeks’ Gestation Presents with Food and Housing Insecurity
- Case 91 A 30-Year-Old at 25 Weeks’ Gestation Presents after a Fall with Back Pain and Bruising
- Case 92 A 25-Year-Old at 29 Weeks’ Gestation Presents with Opioid Use Disorder and Nausea, Vomiting, and Abdominal Pain
- Case 93 A 35-Year-Old Somali-Speaking Patient at 40 Weeks’ Gestation Presents in Active Labor with Her Husband as Her Interpreter
- Case 94 A 25-Year-Old Presents 1 Week after a Cesarean Delivery with Erratic Behavior
- Case 95 A 30-Year-Old Presents for a First Prenatal Visit with a Previous Emergency Operative Delivery Requesting a Planned Primary Cesarean
- Case 96 A 26-Year-Old Presents Late to Prenatal Care with Her Partner and Has a Flat Affect and Limited English Proficiency
- Case 97 A 25-Year-Old Primigravida with a History of Female Genital Mutilation
- Index
- References
Case 95 - A 30-Year-Old Presents for a First Prenatal Visit with a Previous Emergency Operative Delivery Requesting a Planned Primary Cesarean
from Section 11 - Psychosocial Considerations
Published online by Cambridge University Press: 08 April 2025
Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Case 90 A 40-Year-Old at 24 Weeks’ Gestation Presents with Food and Housing Insecurity
- Case 91 A 30-Year-Old at 25 Weeks’ Gestation Presents after a Fall with Back Pain and Bruising
- Case 92 A 25-Year-Old at 29 Weeks’ Gestation Presents with Opioid Use Disorder and Nausea, Vomiting, and Abdominal Pain
- Case 93 A 35-Year-Old Somali-Speaking Patient at 40 Weeks’ Gestation Presents in Active Labor with Her Husband as Her Interpreter
- Case 94 A 25-Year-Old Presents 1 Week after a Cesarean Delivery with Erratic Behavior
- Case 95 A 30-Year-Old Presents for a First Prenatal Visit with a Previous Emergency Operative Delivery Requesting a Planned Primary Cesarean
- Case 96 A 26-Year-Old Presents Late to Prenatal Care with Her Partner and Has a Flat Affect and Limited English Proficiency
- Case 97 A 25-Year-Old Primigravida with a History of Female Genital Mutilation
- Index
- References
Summary
One in 25 patients experience PTSD following childbirth. Risk factors include unplanned cesarean delivery, operative vaginal delivery, obstetric emergencies such as cord prolapse, neonatal intensive care admission, previous trauma, and severe physical complications. Early recognition of PTSD is imperative. It can have a significant impact on the health of both the birthing parent and the infant. It is associated with difficulty in bonding with the infant, breast-feeding, or engaging in postnatal care. A multidisciplinary approach between obstetricians, psychiatrists, and other mental health providers is recommended for management. Treatment may involve eye movement desensitization and reprocessing, cognitive behavioral therapy, and pharmacotherapy. It is reasonable to perform cesarean delivery for maternal request in patients who are well informed of the risks, benefits, and alternatives.
- Type
- Chapter
- Information
- Pregnancy ComplicationsA Case-Based Approach, pp. 298 - 300Publisher: Cambridge University PressPrint publication year: 2025
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