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Open Access 01-08-2019 | Original Article

The association between the degree of nausea in pregnancy and subsequent posttraumatic stress

Authors: Helena Kames Kjeldgaard, Åse Vikanes, Jūratė Šaltytė Benth, Carolin Junge, Susan Garthus-Niegel, Malin Eberhard-Gran

Published in: Archives of Women's Mental Health | Issue 4/2019

Abstract

Hyperemesis gravidarum (HG) is a pregnancy condition characterised by severe nausea and vomiting during early pregnancy. The experience of HG is for many women a traumatic event. Few studies have investigated a possible association between HG and birth-related posttraumatic stress. The objective of the current study was to assess whether HG increases the risk of birth-related posttraumatic stress symptoms (PTSS). This was a population-based pregnancy cohort study using data from the Akershus Birth Cohort Study (ABC study). A linear mixed model was used to estimate the association between the degree of nausea (no nausea (n = 574), mild nausea (n = 813), severe nausea (n = 522) and HG (hospitalised due to nausea, n = 20)) and PTSS score at 8 weeks and 2 years after birth. At 8 weeks postpartum, women with HG had higher PTSS scores compared to women with no nausea (p = 0.008), women with mild nausea (p = 0.019) and women with severe nausea (p = 0.027). After 2 years, women with HG had higher PTSS scores compared to women with no nausea (p = 0.038). Women with HG had higher PTSS scores following childbirth compared to women with less pronounced symptoms or no nausea at all. After 2 years, women with HG still had higher PTSS scores compared to women with no nausea. Although the overall differences in PTSS scores were small, the results may still be of clinical relevance.

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Title: The association between the degree of nausea in pregnancy and subsequent posttraumatic stress
Authors: Helena Kames Kjeldgaard
Åse Vikanes
Jūratė Šaltytė Benth
Carolin Junge
Susan Garthus-Niegel
Malin Eberhard-Gran
Publication date: 01-08-2019
Publisher: Springer Vienna
Published in: Archives of Women's Mental Health / Issue 4/2019
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-018-0909-z

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The association between the degree of nausea in pregnancy and subsequent posttraumatic stress

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