I am researching the psychological effects of birth trauma to women and an emerging theme of 40 interviews appears to be PTSD. However, it would be beneficial to examine the accuracy of this theme.
Foa, Riggs, Dancu, Rothbaum (1993) have developed PTSD Symptom Scale (PSS). Foa is here on RG and the complete PTSD scale is on the net: http://depts.washington.edu/hcsats/PDF/TF-%20CBT/pages/3%20Assessment/Standardized%20Measures/PSS-Adult.pdf
Indeed , there are 2 studies that use the PSS to look at birth trauma and so using this same measure would allow a comparison or even meta-analysis across studies with greater ease. Here's one study:
Journal of Psychosomatic Research
Volume 73, Issue 4, October 2012, Pages 257–263
PTSD following childbirth: A prospective study of incidence and risk factors in
Canadian women
Nancy Verreault
a,b,⁎, Deborah Da Costa a,c, André Marchand b, Kierla Ireland a, Hailey Banack a,c,Maria Dritsa
a, Samir Khalifé da
Objective:
The goals of the present study were to estimate the incidence and course of full and partialPost-Traumatic Stress Disorder (PTSD) following childbirth and to prospectively identify factors associated
with the development of PTSD symptoms at 1 month following childbirth.
Methods:
The sample comprised 308 women, with assessments at four time points: 25–40 weeks gestation,4
–6 weeks postpartum, 3 and 6 months postpartum. Current and prior PTSD were assessed by the StructuredClinical Interview for DSM-IV (SCID-I) and the Modi
Incidence rates of PTSD varied according to time of measurement and instrument used, with higherrates of full and partial PTSD using the MPSS-SR at 1 month postpartum (7.6% and 16.6%, respectively). Multivariate
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Abstract
Background
There is evidence that traumatic birth experiences are associated with psychological impairments. This study aimed to estimate the prevalence of childbirth-related post-traumatic stress symptoms and its obstetric and perinatal risk factors among a sample of Iranian women.
Methods
This was a cross-sectional study carried out in Bushehr, Iran during a 3-months period from July to September 2009. Data were collected from all women attending eleven healthcare centers for postnatal care 6 to 8 weeks after childbirth. Those who had a traumatic delivery were identified and entered into the study. In order to assess childbirth-related post-traumatic stress, the Post-traumatic Symptom Scale-Interview (PSS-I) was administered. Data on demographic, obstetric and perinatal characteristics also were collected. Multivariate logistic regression was performed to examine the association between childbirth-related post-traumatic stress and demographic and obstetric and perinatal variables.
Results
In all, 400 women were initially evaluated. Of these, 218 women (54.5%) had a traumatic delivery and overall, 80 women (20%) were found to be suffering from post-partum post-traumatic stress disorder (PTSD). Multiple logistic regression analysis revealed that post-partum PTSD was associated with educational level, gestational age at delivery, number of prenatal care visits, pregnancy complications, pregnancy intervals, labor duration, and mode of delivery.
Conclusions
The findings indicated that the prevalence of traumatic birth experiences and post-partum PTSD were relatively high among Iranian women. The findings also indicated that obstetric and perinatal variables were independently the most significant contributing factors to women’s post-partum PTSD. It seems that a better perinatal care and supportive childbirth might help to reduce the burden of post-partum PTSD among this population
Thank you so much for this great information - I will also share this with Prof Hans Peter Dietz - the head of this research team re levator ani/ OASIS birth injuries.
Have you looked into the PTSD Checklist Clinical Version (PCL-C)? We used this in a study with older survivors of sexual violence and trauma. This measure has 17 constructs, with response scales for each of them (ranking items from one to five depending on severity of symptoms). I like it because it can be administered in a relatively short period of time, which I imagine would be optimal for women who had recently given birth.
While I understand that I am late to offering this suggestion, I hope that this response may be helpful in your future research on this emerging topic of study.