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Risk of psychological distress following severe obstetric complications in Benin: the role of economics, physical health and spousal abuse

Fottrell, E; Kanhonou, L; Goufodji, S; Behague, DP; Marshall, T; Patel, V; Filippi, V; (2010) Risk of psychological distress following severe obstetric complications in Benin: the role of economics, physical health and spousal abuse. BRIT J PSYCHIAT , 196 (1) 18 - 25. 10.1192/bjp.bp.108.062489.

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Abstract

BackgroundLittle is known about the impact of life-threatening obstetric complications ('near miss') on women's mental health in low- and middle-income countries.AimsTo examine the relationships between near miss and postpartum psychological distress in the Republic of Benin.Method One-year prospective cohort using epidemiological and ethnographic techniques in a population of women delivering at health facilities.Results In total 694 women contributed to the study. Except when associated with perinatal death, near-miss events were not associated with greater risk of psychological distress in the 12 months postpartum compared with uncomplicated childbirth. Much of the direct effect of near miss with perinatal death on increased risk of psychological distress was shown to be mediated through wider consequences of traumatic childbirth.ConclusionsA live baby protects near-miss women from increased vulnerability by giving a positive element in their lives that helps them cope and reduces their risk of psychological distress. Near-miss women with perinatal death should be targeted early postpartum to prevent or treat the development of depressive symptoms.

Type: Article
Title: Risk of psychological distress following severe obstetric complications in Benin: the role of economics, physical health and spousal abuse
DOI: 10.1192/bjp.bp.108.062489
Keywords: RANDOMIZED CONTROLLED-TRIAL, BURKINA-FASO, NEAR-MISS, POSTNATAL DEPRESSION, DEVELOPING-COUNTRIES, MENTAL-HEALTH, LOW-INCOME, MOTHERS, PREVALENCE, PREGNANCY
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
URI: http://discovery.ucl.ac.uk/id/eprint/1314726
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