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Multicenter Study
. 2010 Jan;196(1):18-25.
doi: 10.1192/bjp.bp.108.062489.

Risk of psychological distress following severe obstetric complications in Benin: the role of economics, physical health and spousal abuse

Edward Fottrell  1 , Lydie Kanhonou, Sourou Goufodji, Dominique P Béhague, Tom Marshall, Vikram Patel, Véronique Filippi
Affiliations
Multicenter Study

Risk of psychological distress following severe obstetric complications in Benin: the role of economics, physical health and spousal abuse

Edward Fottrell et al. Br J Psychiatry. 2010 Jan.

Abstract

Background: Little is known about the impact of life-threatening obstetric complications ('near miss') on women's mental health in low- and middle-income countries.

Aims: To examine the relationships between near miss and postpartum psychological distress in the Republic of Benin.

Method: One-year prospective cohort using epidemiological and ethnographic techniques in a population of women delivering at health facilities.

Results: In total 694 women contributed to the study. Except when associated with perinatal death, near-miss events were not associated with greater risk of psychological distress in the 12 months postpartum compared with uncomplicated childbirth. Much of the direct effect of near miss with perinatal death on increased risk of psychological distress was shown to be mediated through wider consequences of traumatic childbirth.

Conclusions: A live baby protects near-miss women from increased vulnerability by giving a positive element in their lives that helps them cope and reduces their risk of psychological distress. Near-miss women with perinatal death should be targeted early postpartum to prevent or treat the development of depressive symptoms.

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Figures

Fig. 1
Fig. 1
Schematic of eligibility, recruitment and follow-up, by delivery status (normal delivery, near-miss live birth, near-miss perinatal death). PP, postpartum.
See this image and copyright information in PMC

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References

    1. Filippi V, Ronsmans C, Campbell OMR, Graham WJ, Mills A, Borghi J, et al. Maternal health in poor countries: the broader context and call for action. Lancet 2006; 368: 1535–41. - PubMed
    1. Mantel GD, Buchmann E, Rees H, Pattinson RC. Severe acute maternal morbidity: a pilot study of a definition for a near-miss. Br J Obstet Gynaecol 1998; 105: 985–90. - PubMed
    1. Filippi V, Ronsmans C, Gandaho T, Graham W, Alihonou E, Santos P. Women’s reports of severe (near-miss) obstetric complications in Benin. Stud Fam Plann 2000; 31: 309–24. - PubMed
    1. Say L, Pattinson RC, Gülmezoglu AM. WHO systematic review of maternal morbidity and mortality: the prevalence of severe acute maternal morbidity (near miss). Reprod Health 2004; 1: 3. - PMC - PubMed
    1. Filippi V, Ganaba R, Baggaley RF, Marshall T, Storeng KT, Sombié I, et al. Health of women after severe obstetric complications in Burkina Faso: a longitudinal study. Lancet 2007; 370: 1329–37. - PubMed

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