title: Childbirth-related post-traumatic stress disorder in couples: a qualitative study.
abstract: OBJECTIVE
  Previous research has established that women can develop childbirth-related post-traumatic stress disorder (PTSD), but the effect of this on a couple's relationship has not been examined. This study aimed to look at the experience and impact of childbirth-related PTSD in women and their partners.
  
  
  METHODS
  This was a qualitative interview study of six couples, where at least one partner had clinically significant symptoms of childbirth-related PTSD.
  
  
  METHODS
  Semi-structured interviews were conducted separately with each partner and interview transcripts subjected to thematic analysis.
  
  
  RESULTS
  Analysis identified four themes with 18 subthemes as follows: (1) birth factors (pain, negative emotions in labour, perceived lack of control, lack of choice or lack of involvement in decision-making, restricted movement or physical restraint, and expectations not being met); (2) quality of care (information provision, staff factors, continuity of care and environment); (3) effects on relationship with partner (impact on physical relationship, communication within the relationship, negative emotions within the relationship, receiving or giving support from partner, coping together as a couple and overall effect on the relationship); and (4) effects on relationship with child (perceptions of the child and parent-baby bond).
  
  
  CONCLUSIONS
  This study suggests that PTSD may have a negative impact on the couple's relationship and the parent-baby bond.
authors.affiliation: University of Sussex, UK.
authors.forename: Karen
authors.initials: K
authors.lastname: Nicholls
authors.forename: Susan
authors.initials: S
authors.lastname: Ayers
mesh_terms: D000328:Adult; D004739:England; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D036801:Parturition / Q000523:psychology*; D011787:Quality of Health Care; D018454:Spouses / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic