title: Posttraumatic stress disorder, anxiety and depression following pregnancies conceived through fertility treatments: the effects of medically assisted conception on postpartum well-being.
abstract: OBJECTIVE
  To compare the postpartum prevalence of Posttraumatic Stress Disorder (PTSD), anxiety and depression in women who conceived via medically assisted conception (MAC) and women who conceived naturally.
  
  
  METHODS
  All women (n = 907) who delivered under supervision of four independent midwifery practices and three hospitals in the Netherlands during a 3-month period were asked to complete questionnaires on demographic, logistic, psychosocial and obstetric characteristics two to six months postpartum. In this cross-sectional study PTSD was measured with the Traumatic Event Scale-B; anxiety and depression were measured with the Hospital Anxiety and Depression Scale.
  
  
  RESULTS
  The response rate was 47% (428 participants). No significant differences were found in the prevalence of PTSD (0.0% vs. 1.3%; odds ratio [OR] = 0.0, confidence interval [CI]: 0-infinity), anxiety (28.1% vs. 22.2%; OR = 1.4, CI: 0.6-3.1) and depression (9.4% vs. 14.6%; OR = 0.6, CI: 0.8-2.0) between the 32 women who conceived via MAC and the 396 women who conceived naturally.
  
  
  CONCLUSIONS
  We did not find significant differences in the prevalence of PTSD, anxiety and depression between women who conceived via MAC and women who conceived naturally.
authors.affiliation: Midwifery Academy Amsterdam, Groningen, the Netherlands. catja.warmelink@inholland.nl
authors.forename: J Catja
authors.initials: JC
authors.lastname: Warmelink
authors.forename: Claire A I
authors.initials: CA
authors.lastname: Stramrood
authors.forename: K Marieke
authors.initials: KM
authors.lastname: Paarlberg
authors.forename: Hinke H
authors.initials: HH
authors.lastname: Haisma
authors.forename: A J J M
authors.initials: AJ
authors.lastname: Vingerhoets
authors.forename: Willibrord C M Weijmar
authors.initials: WC
authors.lastname: Schultz
authors.forename: Maria G
authors.initials: MG
authors.lastname: van Pampus
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D019052:Depression, Postpartum / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D009426:Netherlands / Q000453:epidemiology; D011247:Pregnancy; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000523:psychology; D011795:Surveys and Questionnaires