dc.date.accessioned | 2015-02-27T13:26:41Z | |
dc.date.available | 2015-02-27T13:26:41Z | |
dc.date.created | 2014-01-21T14:56:40Z | |
dc.date.issued | 2013 | |
dc.identifier.citation | Gravensteen, Ida Kathrine HELGADOTTIR, LINDA BJØRK Jacobsen, Eva-Marie Rådestad, Ingela Sandset, Per Morten Ekeberg, Øivind . Women's experiences in relation to stillbirth and risk factors for long-term post-traumatic stress symptoms: a retrospective study. BMJ Open. 2013, 3(10) | |
dc.identifier.uri | http://hdl.handle.net/10852/42621 | |
dc.description.abstract | Objectives: (1) To investigate the experiences of women with a previous stillbirth and their appraisal of the care they received at the hospital. (2) To assess the long-term level of post-traumatic stress symptoms (PTSS) in this group and identify risk factors for this outcome.
Design: A retrospective study.
Setting: Two university hospitals.
Participants: The study population comprised 379 women with a verified diagnosis of stillbirth (=23 gestational weeks or birth weight =500 g) in a singleton or twin pregnancy 5–18 years previously. 101 women completed a comprehensive questionnaire in two parts.
Primary and secondary outcome measures: The women's experiences and appraisal of the care provided by healthcare professionals before, during and after stillbirth. PTSS at follow-up was assessed using the Impact of Event Scale (IES).
Results: The great majority saw (98%) and held (82%) their baby. Most women felt that healthcare professionals were supportive during the delivery (85.6%) and showed respect towards their baby (94.9%). The majority (91.1%) had received some form of short-term follow-up. One-third showed clinically significant long-term PTSS (IES?=?20). Independent risk factors were younger age (OR 6.60, 95% CI 1.99 to 21.83), induced abortion prior to stillbirth (OR 5.78, 95% CI 1.56 to 21.38) and higher parity (OR 3.46, 95% CI 1.19 to 10.07) at the time of stillbirth. Having held the baby (OR 0.17, 95% CI 0.05 to 0.56) was associated with less PTSS.
Conclusions: The great majority saw and held their baby and were satisfied with the support from healthcare professionals. One in three women presented with a clinically significant level of PTSS 5–18 years after stillbirth. Having held the baby was protective, whereas prior induced abortion was a risk factor for a high level of PTSS. | en_US |
dc.language | EN | |
dc.language.iso | en | en_US |
dc.publisher | BMJ Publishing Group | |
dc.relation.ispartof | Gravensteen, Ida Kathrine (2017) Stillbirth: Women´s long-term quality of life, mental health and the subsequent pregnancy. Doctoral thesis. http://urn.nb.no/URN:NBN:no-58465 | |
dc.relation.uri | http://urn.nb.no/URN:NBN:no-58465 | |
dc.rights | Attribution-NonCommercial 3.0 Unported | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/3.0/ | |
dc.title | Women's experiences in relation to stillbirth and risk factors for long-term post-traumatic stress symptoms: a retrospective study | en_US |
dc.type | Journal article | en_US |
dc.creator.author | Gravensteen, Ida Kathrine | |
dc.creator.author | Helgadóttir, Linda Björk | |
dc.creator.author | Jacobsen, Eva-Marie | |
dc.creator.author | Rådestad, Ingela | |
dc.creator.author | Sandset, Per Morten | |
dc.creator.author | Ekeberg, Øivind | |
cristin.unitcode | 185,51,14,10 | |
cristin.unitname | Atferdsvitenskap: Biopsykososial atferdsforskning | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1096532 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMJ Open&rft.volume=3&rft.spage=&rft.date=2013 | |
dc.identifier.jtitle | BMJ Open | |
dc.identifier.volume | 3 | |
dc.identifier.pagecount | 10 | |
dc.identifier.doi | http://dx.doi.org/10.1136/bmjopen-2013-003323 | |
dc.identifier.urn | URN:NBN:no-47027 | |
dc.type.document | Tidsskriftartikkel | en_US |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 2044-6055 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/42621/2/BMJ%2BOpen-2013-Gravensteen--1.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | e003323 | |