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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

SO298

Perinatal dissociation during childbirth: risk factors, maternal mental health outcomes, and clinical implications

PERINATAL DISSOCIATION DURING CHILDBIRTH: RISK FACTORS, MATERNAL MENTAL HEALTH OUTCOMES, AND IMPLICATIONS

Perinatal dissociation is a common but underrecognized phenomenon associated with postpartum post-traumatic stress disorder, depression, and impaired mother–infant bonding.

The aim of this study is to examine the risk factors and mental health outcomes of perinatal dissociation, defined as a disruption in the integration of consciousness, perception, and identity during or immediately after childbirth. The method used was a narrative synthesis of the literature focusing on psychosocial risk factors, the subjective birth experience, and postpartum outcomes. The poster reports that 9% to 50% of women describe childbirth as traumatic, that childbirth-related post-traumatic stress disorder (PTSD) affects approximately 3% to 6% of mothers, and that as many as 25% to 30% experience clinically significant post-traumatic symptoms. Pre-existing risk factors included a history of trauma exposure (sexual trauma or violence), a lifetime history of PTSD, trait dissociation, poor maternal mental health, and depression before pregnancy or within the preceding year. Birth-related factors included the subjective perception of childbirth as traumatic, fear and distress during childbirth, high levels of pain, assisted vaginal delivery (particularly forceps delivery), unplanned cesarean delivery, not being informed about procedures, inadequate support from healthcare professionals, medical complications, and prematurity. The conference abstract emphasizes that dissociation is more strongly associated with a woman’s experience of childbirth as traumatic than with objective obstetric events such as cesarean delivery or neonatal intensive care admission. Reported maternal outcomes included an increased risk of childbirth-related PTSD, postpartum depression, a high psychiatric symptom burden, emotional distress, and hostility. Outcomes affecting the infant and family included impaired bonding, emotional detachment from the partner and infant, and difficulties in the transition to parenthood. The poster notes that dissociation may affect the processing and encoding of traumatic memories, but that findings on this issue remain inconsistent across studies. Clinical recommendations include trauma-informed maternity care, birth planning and shared decision-making, grounding and validation of distress during childbirth, and early identification of postpartum PTSD symptoms with referral to perinatal mental health services.

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