title: Emotional impact of severe post-partum haemorrhage on women and their partners: an observational, case-matched, prospective, single-centre pilot study.
abstract: OBJECTIVE
  This observational, matched-control, prospective, single-centre study sought to estimate the emotional impact of post-partum haemorrhage (PPH) on women and their partners, including its influences on post-traumatic stress disorder (PTSD), postpartum depression and the mother/child relationship.
  
  
  METHODS
  All consecutive women who were admitted for PPH from December 2010 through December 2011 and their partners were screened for eligibility. Emotional impact was assessed using three self-reported questionnaires (Impact of Event Scale-Revised to assess PTSD, Edinburgh Post Natal Depression Scale to assess post-natal depression and Mother-Infant Bonding Scale to assess the relationship between mother and child). Each PPH patient was matched with a control woman for whom the delivery was not complicated by PPH.
  
  
  RESULTS
  The results showed (a) that women with PPH and their partners were more likely to report symptoms related to PTSD compared with controls, (b) that women with PPH were less likely to suffer from postnatal depression and (c) that there was no difference in the mother/child relationship between women with PPH and controls.
  
  
  CONCLUSIONS
  PPH is associated with a high incidence of PTSD-related symptoms in both women and their partners. PTSD in the context of PPH is likely an under-recognised phenomenon by health care professionals.
authors: Department of Obstetrics and Gynaecology, Hôpital Lariboisière AP-HP, 2 rue Ambroise Paré, 75010 Paris, France. Electronic address: aude.ricbourg@lrb.aphp.fr.
authors: Aude
authors: A
authors: Ricbourg
authors: Department of Anaesthesiology and Intensive Care Medicine, Hôpital Lariboisière AP-HP, 2 rue Ambroise Paré, 75010 Paris, France.
authors: Christelle
authors: C
authors: Gosme
authors: Department of Anaesthesiology and Intensive Care Medicine, Hôpital Lariboisière AP-HP, 2 rue Ambroise Paré, 75010 Paris, France; University Paris Diderot, Paris, France; UMR-942, INSERM, Paris, France.
authors: Etienne
authors: E
authors: Gayat
authors: Department of Anaesthesiology and Intensive Care Medicine, Hôpital Lariboisière AP-HP, 2 rue Ambroise Paré, 75010 Paris, France.
authors: Chloé
authors: C
authors: Ventre
authors: Department of Obstetrics and Gynaecology, Hôpital Lariboisière AP-HP, 2 rue Ambroise Paré, 75010 Paris, France; University Paris Diderot, Paris, France.
authors: Emmanuel
authors: E
authors: Barranger
authors: Department of Anaesthesiology and Intensive Care Medicine, Hôpital Lariboisière AP-HP, 2 rue Ambroise Paré, 75010 Paris, France; University Paris Diderot, Paris, France; UMR-942, INSERM, Paris, France.
authors: Alexandre
authors: A
authors: Mebazaa
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D019052:Depression, Postpartum / Q000453:epidemiology*; D004644:Emotions; D005260:Female; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D008297:Male; D009034:Mother-Child Relations / Q000523:psychology*; D010865:Pilot Projects; D006473:Postpartum Hemorrhage / Q000523:psychology*; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index; D018454:Spouses / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*
keywords: Post-partum haemorrhage; Post-traumatic stress disorder; Postnatal depression