Article ; Online: Posttraumatic Stress Disorder, Military Sexual Trauma, and Birth Experiences at the Veterans Health Administration.
Women's health issues : official publication of the Jacobs Institute of Women's Health
2023 Volume 34, Issue 3, Page(s) 303–308
Abstract: Background: Women are a growing portion of the U.S. veteran population, and every year the Veterans Health Administration (VHA) serves an increasing number of women seeking obstetrics services. Women veterans experience elevated rates of anxiety, ... ...
Abstract | Background: Women are a growing portion of the U.S. veteran population, and every year the Veterans Health Administration (VHA) serves an increasing number of women seeking obstetrics services. Women veterans experience elevated rates of anxiety, depression, posttraumatic stress disorder (PTSD), and traumatic events, including military sexual trauma, as compared with women in the general population. It is possible that mental health disorders may be associated with birth experiences. Objectives: We investigated the link between anxiety, depression, PTSD, and military sexual trauma (MST; i.e., rape and sexual harassment) with perceived birth experience (i.e., Negative or Neutral vs. Positive). Methods: Participants included 1,005 veterans who had recently given birth and were enrolled in the multisite, mixed methods study known as the Center for Maternal and Infant Outcomes Research in Translation study (COMFORT). Using χ Results: Findings indicated that participants who endorsed PTSD (39.5%), MST-rape (32.1%), or MST-harassment (51.4%; all p < .05) were significantly more likely to report a Negative/Neutral birth experience (14.7%) versus a Positive birth experience (85.3%). Anxiety and depression were not associated with birth experience. Conclusions: Veterans with PTSD and/or who experienced MST were more likely to report a negative or neutral birth experience. Thus, screening for PTSD and MST during obstetrics services as well as providing trauma-informed obstetrics care during pregnancy, labor, birth, and recovery may be important among veterans seeking obstetric services. |
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MeSH term(s) | Humans ; Female ; Stress Disorders, Post-Traumatic/psychology ; Stress Disorders, Post-Traumatic/epidemiology ; United States/epidemiology ; Adult ; Veterans/psychology ; Veterans/statistics & numerical data ; United States Department of Veterans Affairs ; Anxiety/epidemiology ; Pregnancy ; Sexual Trauma/psychology ; Depression/epidemiology ; Depression/psychology ; Parturition/psychology ; Military Personnel/psychology ; Military Personnel/statistics & numerical data ; Sexual Harassment/psychology ; Sexual Harassment/statistics & numerical data ; Middle Aged ; Veterans Health ; Rape/psychology ; Rape/statistics & numerical data ; Surveys and Questionnaires ; Military Sexual Trauma |
Language | English |
Publishing date | 2023-12-19 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1085396-0 |
ISSN | 1878-4321 ; 1049-3867 |
ISSN (online) | 1878-4321 |
ISSN | 1049-3867 |
DOI | 10.1016/j.whi.2023.11.006 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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