Association of severe postpartum hemorrhage and development of psychological disorders: Results from the prospective and multicentre HELP MOM study
Authors' conclusion
Severe PPH was associated with significant psychosocial morbidity including anxiety, post-traumatic disorder, and depression.
Study context
- Population
- Patients with severe post-partum hemorrhage (PPH) requiring sulprostone236 (72%) answered questionnaires
- Participants
- 332 patients
- Outcome
- Psychological disorders (anxiety and/or post-traumatic disorder and/or depression) after PPH, by HADS, IES-R and EPDS
- Follow-up
- 1, 3, and 6 months after delivery
Methodological detailsobservational, national, multicentre, November 2014 to November 2016
- Observational
- National
- Multicentre
- November 2014 to November 2016
Main finding
As reported in the abstract
Psychological disorder after severe PPH
Severe PPH
68%
161 events
Observational data: associations, not effects.
Further findings
Anxiety, PTSD, post-partum depression (among those with a disorder)
Intra-uterine tamponnement balloon and psychological disorder (risk factor)
| OR (95% CI) | P value | ||
|---|---|---|---|
| Intra-uterine balloonMultivariable analysis | 0.33 (0.15–0.69) | P = 0.004 | |
| Intra-uterine balloonPropensity score matching | 0.34 (0.12–0.94) | P = 0.04 | |
| 0.10.31310Odds ratio (log scale) |
Low hemoglobin during severe PPH management
- Associated with higher risk of psychological disorders
Desire for or pregnancy in the year after severe PPH
- No differences between patients without or with psychological disorders
Original publication
Association of severe postpartum hemorrhage and development of psychological disorders: Results from the prospective and multicentre HELP MOM study. Anaesth Crit Care Pain Med. Published 19 December 2023. doi:10.
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