Incidence, correlates and predictors of post-traumatic stress disorder in the pregnancy after stillbirth

Abstract
Background Many women may suffer psychological symptoms after stillbirth and in the subsequent pregnancy. Stillbirth has not been demonstrated previously to be a stressor for post-traumatic stress disorder (PTSD). Aims To assess incidence, correlates and predictors of PTSD during and after the pregnancy following stillbirth. Method A cohort study of pregnant women whose previous pregnancy ended in stillbirth. Results PTSD symptoms were prevalent in the pregnancy following stillbirth. Case-level PTSD was associated with depression, state-anxiety and conception occurring closer to loss. Symptomsgenerally resolved naturally by 1 year postpartum (birth of healthy baby). Conclusions Women are vulnerabe to PTSD in the pregnancy subsequent to stillbirth, particularly when conception occurs soon after the loss.