SynthesisBMC psychology2025
Prevalence and correlates of postpartum PTSD following emergency cesarean sections: implications for perinatal mental health care: a systematic review and meta-analysis.
Synthesis in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Assessment of self-management empowerment program on sense of coherence, self-efficacy and postpartum anxiety in cesarean mothers randomized trial.Scientific reports · 2026Trial
- Psychometric development and validation of the paternal breastfeeding support scale in Chinese mothers: a methodological cross-sectional study.Frontiers in public health · 2026Article
- A Nomogram Predicting the Risk of Anxiety in Third-Trimester pregnancy in Pregnant Women with CTDs.Journal of multidisciplinary healthcare · 2026Article
- Structured psychological nursing and postpartum psychological outcomes in primiparous women: a retrospective temporal cohort study.Frontiers in psychiatry · 2026Article
- Maternal and perinatal factors associated with childbirth-related post-traumatic stress symptoms: a cross-sectional study.Frontiers in psychology · 2026Article
- The preventive effect of emergency psychological intervention on post-traumatic stress disorder (PTSD) in patients with acute spinal cord injury: a retrospective cohort study.BMC emergency medicine · 2025Article
- Association of Maternal Sociodemographic, Anthropometric, and Lifestyle Factors with Childhood Anthropometric Measures and Anxiety Symptoms: A Nationally Representative Cross-Sectional Study of Preschool-Aged Children in Greece.Diseases (Basel, Switzerland) · 2025Article
- Birth Outcomes in the Hispanic Population in the United States: Trends, Variation, and Determinants (2011-2021).International journal of environmental research and public health · 2025Article
- Recent obstetrical and gynaecological care experiences and their sociodemographic and mental health correlates: A latent class analysis.Women's health (London, England)Article
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4 authors.
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Abstract
backgroundThe increasing awareness of the emotional consequences of emergency cesarean deliveries (C-sections) highlights their substantial role in fostering postpartum post-traumatic stress disorder (PTSD). This systematic review and meta-analysis aim to evaluate the prevalence and determinants of PTSD following emergency C-sections, as well as the implications of these events on maternal mental health and welfare.
methodsUndertaking extensive searches of Scopus, PubMed, PsycINFO, and Google Scholar, we have incorporated studies published from 2013 onwards that examined the occurrence of PTSD following emergency C-sections. Our primary focus was on the prevalence of PTSD at 6 weeks and up to 12 months postpartum. To evaluate the quality of these studies, we employed the Newcastle-Ottawa Scale (NOS) and the CEBM Critical Appraisal Tools.
findingsWe included a total of 10 studies with 4,995 participants. The prevalence of PTSD following emergency C-sections ranged from 2.2 to 41.2%, compared to 0-20% in elective cesarean sections. A meta-analysis revealed a significant rise in the number of people with PTSD in the emergency C-section group compared to the elective C-section group six weeks after giving birth (OR = 2.74; 95% CI = 1.13 to 6.64; p = 0.03) and six weeks to 12 months later (OR = 3.68; 95% CI = 2.63 to 5.15; p < 0.00001). The emergency C-section group also had a higher PTSD prevalence compared to vaginal birth six weeks to 12 months after birth (OR 3.16; 95% CI 1.51 to 6.60; p = 0.02). Risk factors included poor social support, maternal and neonatal complications, and prior psychiatric history.
conclusionsEmergency C-sections are significantly associated with an increased risk of postpartum PTSD, necessitating targeted psychological support and interventions. Future research should aim for standardized diagnostic criteria and explore the long-term psychological outcomes of emergency C-sections.
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