Severe Maternal Morbidity: post-traumatic suffering and social support

• Main Authors: Mônica Silva Silveira, Ricardo Queiroz Gurgel, Íkaro Daniel de Carvalho Barreto, Larissa Paes Leme Galvão, Marlizete Maldonado Vargas
• Format: Article
• Language: English
• Published: Associação Brasileira de Enfermagem
• Series: Revista Brasileira de Enfermagem
• Subjects: Morbilidad; Salud Materna; Trastornos por Estrés Postraumático; Apoyo Social; Enfermería Obstétrica
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018001102139&lng=en&tlng=en

ABSTRACT Objective: To assess the relationship of post-traumatic stress symptoms and the perception of social support in women submitted to Severe Maternal Morbidity (SMM). Method: A prospective cohort study, with 549 women from public hospitals. The Impact of Events and Social Support scales were used. Results: Women with SMM were from the State countryside (p=0.046), with low schooling (p=0.039) and did not work (p<0.001). They presented higher consumption of alcoholic beverages (p<0.001), did not perform prenatal (p<0.001), and were older (28.15 ± 28 years). Women with SMM had higher mean values of avoidance behavior (24.32, SD: 4.16), intrusive thinking (18.28, SD: 3.80), lower social support (0.11, SD: 0.001) with large effect size and lower social support satisfaction (0.69; SD: 0.19), with small effect size. Conclusion: SMM is a differential and negative factor for women’s mental health, and social support can favor their coping.