Evidence map›Paper›PMID 40941473›Full record

ArticleHealthcare (Basel, Switzerland)2025

Factors Associated with Post-Traumatic Stress Disorder in Women Treated for Miscarriage in the Emergency Department of a Peruvian National Hospital.

Sofia Laura L Zafra-Pachas, Miguel A Arce-Huamani

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Sofia Laura L Zafra-PachasFacultad de Ciencias de la Salud, Universidad Privada Norbert Wiener, Lima 15046, Peru.ORCID 0009-0004-8629-3496
Miguel A Arce-HuamaniVicerrectorado de Investigación, Universidad Privada Norbert Wiener, Lima 15046, Peru.ORCID 0000-0003-3185-4861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesMiscarriage (spontaneous abortion) can precipitate post-traumatic stress disorder (PTSD). In Peru, post-loss mental healthcare is limited. We aimed to identify factors associated with PTSD symptoms persisting ≥ 3 months among women who experienced miscarriage and were treated in the emergency department (ED) of a national hospital in Lima, 2021-2023.

methodsWe conducted a cross-sectional analytical study of 214 women with spontaneous abortion seen in the ED (January 2021-December 2023). PTSD symptoms were measured with the PTSD Checklist for DSM-5 (PCL-5), anchored to the miscarriage index; sociodemographic and gyneco-obstetric variables were obtained with a validated questionnaire. Multivariable Poisson regression with robust variance estimated the adjusted prevalence ratios (aPRs).

resultsProbable PTSD (PCL-5 ≥ 33) was present in 52.8% of participants. Independent correlates included previous miscarriage (aPR 1.75; 95% CI 1.35-2.25), ≥2 pre-gestational medical visits (aPR 1.66; 95% CI 1.21-2.27), and one (aPR 1.36; 95% CI 1.00-1.84) or multiple comorbidities (aPR 1.61; 95% CI 1.12-2.30). No other sociodemographic or obstetric variables were significantly associated.

conclusionsMore than half of women assessed ≥ 3 months after miscarriage screened positive for probable PTSD. Previous pregnancy loss increased pre-gestational healthcare contact, and medical comorbidities were associated with higher prevalence. Integrating routine mental health screening and trauma-informed support within ED and reproductive health services could improve detection and care for this population. To our knowledge, this is the first ED-based study in Peru to examine factors associated with post-loss probable PTSD (PCL-5 ≥ 33) after miscarriage.

Indexed as

mental healthpost-traumatic stress disorderSDG 3: Good Health and Well-Beingspontaneous abortionwomen health services

Identifiers

PMID40941473
PMCPMC12428539

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