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The British Journal of Psychiatry (2001) 178: 556-560
© 2001 The Royal College of Psychiatrists

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

P. TURTON, PhD

P. HUGHES, FRCPsych

Department of Psychiatry, St George's Hospital Medical School, London

C. D. H. EVANS, MRCPsych

Tavistock and Portman NHS Trust, Tavistock Clinic, London

D. FAINMAN, MRCPsych

Department of Psychiatry, University of Stellenbosch, South Africa

Correspondence: Dr P. Turton, Department of Psychiatry, St. George's Hospital Medical School, London SW17 0RE, E-mail: p.turton{at}sghms.ac.uk

Declaration of interest The study was funded by South Thames West R&D, the Simenauer Trust, Tommy's Campaign and the Charles Skey charitable trust. The authors have no personal interest in these organisations.

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. Symptoms generally resolved naturally by 1 year post-partum (birth of healthy baby).

Conclusions Women are vulnerable to PTSD in the pregnancy subsequent to stillbirth, particularly when conception occurs soon after the loss.


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