2.50
Hdl Handle:
http://hdl.handle.net/10755/620312
Category:
Full-text
Type:
Poster
Title:
Perinatal PTSD: A Concept Analysis
Author(s):
Vignato, Julie A.
Lead Author STTI Affiliation:
Gamma Gamma
Author Details:
Julie A. Vignato,PhD, RN, RNC-LRN, CNE, jvignato@sandiego.edu
Abstract:
Session presented on Sunday, September 18, 2016: Aim. To report an analysis of the concept of Posttraumatic Stress Disorder (PTSD) in the perinatal population. Background. The prevalence of PTSD in the perinatal period is rising with 9% of the U.S. perinatal population diagnosed with the disorder and an additional 18% being at risk for the condition. Left untreated, adverse maternal child outcomes result in increased morbidity, mortality, and healthcare costs. Design. Concept Analysis. Data Sources. The databases of CINAHL, Medline, PsychInfo, Academic Search Premier, and PsychINFO for articles published between 2004 and 2014, written in English, and using the terms perinatal and PTSD. Method. Walker and Avant?s method of concept analysis was used to explore PTSD in the perinatal period. Results. PTSD in the perinatal period possesses unique attributes, antecedents and outcomes when compared to PTSD in adults and maybe defined as a disorder occurring after a traumatic experience, diagnosed any time before conception to 6 months postpartum, lasting longer than one month, leading to specific negative maternal symptoms, and poor maternal and newborn outcomes. Three antecedents were identified: trauma (specifically perinatal complications and abuse), postpartum depression, and a previous psychiatric history. Perinatal PTSD attributes include the diagnostic time frame from conception until 6 months postpartum of diagnosis, harmful prior or current trauma, and specific diagnostic symptomatology defined in the DSM-5. Consequences are adverse maternal infant outcomes. The application of PTSD in the perinatal period with the Integrated Perinatal Framework is discussed to assist with the concept analysis. Conclusion. Further exploration of PPTSD antecedents and outcomes in ethnically diverse populations is suggested for future research. Nurses are encouraged to increase their awareness of PTSD in the perinatal period to incorporate early maternal assessment and intervention for prevention of adverse maternal infant outcomes in their practice.�Health policy advocacy is needed for healthcare provider reimbursement and mandatory screenings to ensure early treatment of perinatal PTSD.
Keywords:
PTSD; Perinatal; Concept Analysis
Repository Posting Date:
16-Sep-2016
Date of Publication:
16-Sep-2016
Other Identifiers:
LEAD16PST75
Conference Date:
2016
Conference Name:
Leadership Connection 2016
Conference Host:
Sigma Theta Tau International
Conference Location:
Indianapolis, Indiana, USA
Description:
Leadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.typePosteren
dc.titlePerinatal PTSD: A Concept Analysisen
dc.contributor.authorVignato, Julie A.en
dc.contributor.departmentGamma Gammaen
dc.author.detailsJulie A. Vignato,PhD, RN, RNC-LRN, CNE, jvignato@sandiego.eduen
dc.identifier.urihttp://hdl.handle.net/10755/620312-
dc.description.abstractSession presented on Sunday, September 18, 2016: Aim. To report an analysis of the concept of Posttraumatic Stress Disorder (PTSD) in the perinatal population. Background. The prevalence of PTSD in the perinatal period is rising with 9% of the U.S. perinatal population diagnosed with the disorder and an additional 18% being at risk for the condition. Left untreated, adverse maternal child outcomes result in increased morbidity, mortality, and healthcare costs. Design. Concept Analysis. Data Sources. The databases of CINAHL, Medline, PsychInfo, Academic Search Premier, and PsychINFO for articles published between 2004 and 2014, written in English, and using the terms perinatal and PTSD. Method. Walker and Avant?s method of concept analysis was used to explore PTSD in the perinatal period. Results. PTSD in the perinatal period possesses unique attributes, antecedents and outcomes when compared to PTSD in adults and maybe defined as a disorder occurring after a traumatic experience, diagnosed any time before conception to 6 months postpartum, lasting longer than one month, leading to specific negative maternal symptoms, and poor maternal and newborn outcomes. Three antecedents were identified: trauma (specifically perinatal complications and abuse), postpartum depression, and a previous psychiatric history. Perinatal PTSD attributes include the diagnostic time frame from conception until 6 months postpartum of diagnosis, harmful prior or current trauma, and specific diagnostic symptomatology defined in the DSM-5. Consequences are adverse maternal infant outcomes. The application of PTSD in the perinatal period with the Integrated Perinatal Framework is discussed to assist with the concept analysis. Conclusion. Further exploration of PPTSD antecedents and outcomes in ethnically diverse populations is suggested for future research. Nurses are encouraged to increase their awareness of PTSD in the perinatal period to incorporate early maternal assessment and intervention for prevention of adverse maternal infant outcomes in their practice.�Health policy advocacy is needed for healthcare provider reimbursement and mandatory screenings to ensure early treatment of perinatal PTSD.en
dc.subjectPTSDen
dc.subjectPerinatalen
dc.subjectConcept Analysisen
dc.date.available2016-09-16T14:24:11Z-
dc.date.issued2016-09-16-
dc.date.accessioned2016-09-16T14:24:11Z-
dc.conference.date2016en
dc.conference.nameLeadership Connection 2016en
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionLeadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.en
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