Evidence map›Paper›PMID 41273178›Full record

ArticleResearch in nursing & health2026

PTSD-Like Symptoms Among Postpartum Black Women: The Lasting Impact of High-Risk Pregnancies, Birth Trauma, and Mistreatment During Perinatal Care.

Shewit Weldense Jaynes, Maggie Mangas, Kristin P Tully

Abstract read
In one paragraph

Article in Research in nursing & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Black Women's Accounts of Clinician Interactions in the Context of High-Risk Pregnancies.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shewit Weldense JaynesDuke University School of Nursing, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-7130-3389
Maggie MangasIndependent Scholar, Arlington, Virginia, USA.ORCID https://orcid.org/0009-0004-4557-4961
Kristin P TullyDepartment of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0001-5214-2287

Funding

Gendered Racism Profiles, Resilience, and High-Risk Pregnancies Among Black WomenF31MD018916 · NIMHD · DUKE UNIVERSITY · PI JAYNES, SHEWIT · 2023 to 2024
$95k
NIMHD NIH HHS F31 MD018916This study was supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under Award Number F31MD018916. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We also received funding from the Holditch-Davis PhD Student Research Award at Duke University School of Nursing.
6 · The paper itself

Abstract

Black, Hispanic, and multiracial women in the U.S. experience higher rates of discrimination and mistreatment in perinatal care compared to White women, which can lead to fear, anxiety, and reduced engagement with obstetric healthcare providers. Black women are also more likely to experience high-risk pregnancies and health complications such as gestational diabetes and hypertensive disorders. As a result, Black women face a heightened risk of birth trauma and subsequent posttraumatic stress disorder (PTSD) in the postpartum period. Despite these inequities, little is known about Black birthing individuals' experiences of healthcare interactions. This study explores Black women's accounts of negative experiences of perinatal care in the context of high-risk pregnancy. Fourteen individuals from across the U.S. participated in semi-structured interviews conducted within 6 months postpartum between September 2022 and December 2024. Interview responses were analyzed using directed content analysis, with coding of their emotional distress guided by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) definition of PTSD. Their accounts aligned with the four DSM-5-TR symptom clusters: intrusive symptoms, avoidance, negative alterations in cognition or mood, and alterations in arousal and reactivity. PTSD-like symptoms resulted from pregnancy complications, traumatic birth experiences, mistreatment by clinicians or a combination of these factors. The findings suggest that birth trauma and mistreatment in perinatal care have significant emotional and behavioral impacts on Black women. The study results underscore the urgent need for trauma-informed, antiracist approaches in perinatal care to address these disparities and improve outcomes for Black birthing individuals.

Indexed as

Black or African AmericanPerinatal CarePostpartum PeriodPregnancy, High-RiskStress Disorders, Post-TraumaticAdultFemaleHumansPregnancyQualitative ResearchUnited Statesbirth traumadiscriminationhigh‐risk pregnancypostpartum mental healthPTSD

Identifiers

PMID41273178
PMCPMC13182258

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.