{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:49:15Z","timestamp":1792136955021,"version":"4.4.0"},"reference-count":0,"publisher":"Knowledge Enterprise Journals","issue":"8","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MRAJ"],"abstract":"<jats:p>Background: Mental health conditions are now the leading cause of maternal mortality in the United States, prompting calls for universal postpartum anxiety and post-traumatic stress disorder (PTSD) screening. However, standardized guidelines for screening implementation remain deficient. This cross-sectional study evaluated the prevalence of inpatient postpartum anxiety and PTSD while exploring associated risk factors. Objectives: Over a three-week period, we prospectively assessed adult postpartum patients following all delivery modes (vaginal and cesarean, live and stillbirth) at a single academic institution. Screening was performed within 36 hours of delivery using validated State-Trait Anxiety Inventory (STAI; cut off &gt;=80) and PTSD Checklist for DSM-5 (PCL-5; cut off &gt;=28) questionnaires. Data collection included demographic, obstetric, medical and neonatal variables, with assessments conducted in-person or via telephone for any spoken language. Study design: Cross-sectional study Results: Among 275 eligible patients, 263 (95.6%) completed the screening measures. The prevalences of positive postpartum anxiety and PTSD screening were 12.5% and 4.9% respectively, with 3.8% of patients screening positive for both conditions. Worse STAI scores were associated with ASA &gt;=3, Apgar scores &lt;7 and pre-term birth. Worse PCL-5 scores were associated with spontaneous vaginal delivery, primiparity, ASA &gt;=3, blood transfusion, NICU admission, Apgar score &lt;7, pre-eclampsia and pre-term birth. Factors after adjustment associated with positive anxiety screening were a psychiatric history or medication use. No factors after adjustment were associated with positive PTSD screening. Conclusions: Positive screening for inpatient postpartum anxiety and PTSD occurred in 12.5% and 4.9%, respectively. Positive anxiety screening was independently associated with psychiatric history or medication use. Targeted screening for PTSD may be more appropriate, particularly among patients with pre-existing psychiatric conditions or complicated pregnancies. Future research should focus on determining optimal screening parameters and timing strategies, and intervention guidelines to better support high-risk obstetric populations.<\/jats:p>","DOI":"10.18103\/mra.2026.0452","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T05:07:32Z","timestamp":1785215252000},"source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of inpatient postpartum anxiety and post-traumatic stress symptoms: a cross-sectional study"],"prefix":"10.18103","volume":"14","author":[{"given":"Pervez","family":"Sultan","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Lucia Sotillo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermina","family":"Michel","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sana","family":"Shah","sequence":"additional","affiliation":[{"name":"University of California, Irvine School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Smith","sequence":"additional","affiliation":[{"name":"California Pacific Medical Center (CPMC), San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Ciechanowicz","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Perioperative Medicine, University College London Hospital, London, England, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z","family":"Bekemeyer","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleesha","family":"Jasmin Jethwa","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Joshua Ostacher","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences. Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Lee Kaysen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences. Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Mari Panelli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology, Maternal Fetal Medicine. Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pervez","family":"Sultan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7483","published-online":{"date-parts":[[2026,8,31]]},"container-title":["Medical Research Archives"],"original-title":[],"link":[{"URL":"https:\/\/esmed.org\/MRA\/mra\/article\/download\/7836\/99193550526","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esmed.org\/MRA\/mra\/article\/download\/7836\/99193550526","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:18:07Z","timestamp":1792135087000},"score":1,"resource":{"primary":{"URL":"https:\/\/esmed.org\/MRA\/mra\/article\/view\/7836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,9,1]]}},"URL":"https:\/\/doi.org\/10.18103\/mra.2026.0452","relation":{},"ISSN":["2375-1924","2375-1916"],"issn-type":[{"value":"2375-1924","type":"electronic"},{"value":"2375-1916","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,31]]}}}