{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:27:40Z","timestamp":1791494860362,"version":"4.3.4"},"reference-count":45,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Hospital University of Geneva","award":["PRD21-I-20_CGR 71332"],"award-info":[{"award-number":["PRD21-I-20_CGR 71332"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Birth-related post-traumatic stress disorder occurs in 4.7% of mothers. No previous study focusing precisely on the stress factors related to the COVID-19 pandemic regarding this important public mental health issue has been conducted. However, the stress load brought about by the COVID-19 pandemic could have influenced this risk. Methods: We aimed to estimate the prevalence of traumatic childbirth and birth-related PTSD and to analyze the risk and protective factors involved, including the risk factors related to the COVID-19 pandemic. We conducted a prospective cohort study of women who delivered at the University Hospitals of Geneva between 25 January 2021 and 10 March 2022 with an assessment within 3 days of delivery and a clinical interview at one month post-partum. Results: Among the 254 participants included, 35 (21.1%, 95% CI: 15.1\u201328.1%) experienced a traumatic childbirth and 15 (9.1%, 95% CI: 5.2\u201314.6%) developed a birth-related PTSD at one month post-partum according to DSM-5. Known risk factors of birth-related PTSD such as antenatal depression, previous traumatic events, neonatal complications, peritraumatic distress and peritraumatic dissociation were confirmed. Among the factors related to COVID-19, only limited access to prenatal care increased the risk of birth-related PTSD. Conclusions: This study highlights the challenges of early mental health screening during the maternity stay when seeking to provide an early intervention and reduce the risk of developing birth-related PTSD. We found a modest influence of stress factors directly related to the COVID-19 pandemic on this risk.<\/jats:p>","DOI":"10.3390\/ijerph192114246","type":"journal-article","created":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T06:42:17Z","timestamp":1667371337000},"page":"14246","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Traumatic Childbirth and Birth-Related Post-Traumatic Stress Disorder in the Time of the COVID-19 Pandemic: A Prospective Cohort Study"],"prefix":"10.3390","volume":"19","author":[{"given":"Lamyae","family":"Benzakour","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Geneva University Hospitals, University of Geneva, 1205 Geneva, Switzerland"},{"name":"Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ang\u00e8le","family":"Gayet-Ageron","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland"},{"name":"Division of Clinical Epidemiology, Department of Health and Community Medicine, Geneva University Hospitals, University of Geneva, 1206 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Jubin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Geneva University Hospitals, University of Geneva, 1205 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Suardi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Geneva University Hospitals, University of Geneva, 1205 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chlo\u00e9","family":"Pallud","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanny-Blanche","family":"Lombard","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8884-9134","authenticated-orcid":false,"given":"Beatrice","family":"Quagliarini","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Geneva University Hospitals, University of Geneva, 1205 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8163-4536","authenticated-orcid":false,"given":"Manuella","family":"Epiney","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Geneva, 1206 Geneva, Switzerland"},{"name":"Department of the Woman, the Child and the Teenager, Geneva University Hospitals, 1205 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"113599","DOI":"10.1016\/j.psychres.2020.113599","article-title":"Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: A systematic review and meta-analysis","volume":"295","author":"Noorishad","year":"2021","journal-title":"Psychiatry Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"m3876","DOI":"10.1136\/bmj.m3876","article-title":"Partners\u2019 access to scans and birth is a postcode lottery, data show","volume":"371","author":"Iacobucci","year":"2020","journal-title":"BMJ"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"m3483","DOI":"10.1136\/bmj.m3483","article-title":"Care during COVID-19 must be humane and person centred","volume":"370","author":"Coulter","year":"2020","journal-title":"BMJ"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e004575","DOI":"10.1136\/bmjgh-2020-004575","article-title":"A double-edged sword\u2014Telemedicine for maternal care during COVID-19: Findings from a global mixed-methods study of healthcare providers","volume":"6","author":"Galle","year":"2021","journal-title":"BMJ Glob. 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