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Poster Session 4

Category: Perinatal Mental Health

Poster Session 4

(1019) Posttraumatic stress disorder two months after induced vaginal delivery: a multicenter prospective study

Thursday, February 12, 2026

3:30 PM - 5:00 PM

Submitting Author and Presenting Author(s)

Alizee Froeliger, MD, MPH (she/her/hers)

Attending Physician
Department of Obstetrics and Gynecology, Bordeaux University Hospital
Department of Obstetrics and Gynecology, Bordeaux University Hospital, France., Aquitaine, France

Coauthor(s)

CD

Catherine Deneux-Tharaux, MD, PhD

Université Paris Cité Institut Santé Des Femmes, Centre for Research in Epidemiology and Statistics (CRESS) U1153, Obstetrical Perinatal and Pediatric Epidemiology Research Team (Epopé), INSERM, INRAE, Paris, France.
Paris, Ile-de-France, France
Lola Loussert, MD, MPH (she/her/hers)

OPPaLE team, Centre for Research in Epidemiology and Statistics (CRESS) U1153, INSERM
Department of Obstetrics and Gynecology, Toulouse University Hospital, France., Languedoc-Roussillon, France
AS

Anne Laure Sutter-Dallay, MD, PhD

Department of Perinatal Psychiatry, Charles Perrens Hospital, Bordeaux University Hospital
Department of Perinatal Psychiatry, Charles Perrens Hospital, Bordeaux University Hospital, France, Aquitaine, France
Hugo Madar, MD, PhD (he/him/his)

Doctor of Medicine in Obstetrics and Gynecology – Maternal Fetal Medicine
Bordeaux University Hospital
Bordeaux Universitary Hospital, Aquitaine, France
Loïc Sentilhes, FRCOG, MD, PhD (he/him/his)

Professor in Obstetrics and Gynecology – Maternal Fetal Medicine
Bordeaux University Hospital
Bordeaux Universitary Hospital, Aquitaine, France

Objective:

To assess PTSD prevalence and identify associated characteristics two months after induced vaginal delivery of singletons at or near term.

Study Design:
Ancillary cohort study of the TRAAP randomized trial conducted in 15 French university hospitals (2015–2016). Women included had labor induction followed by singleton vaginal delivery after 35 gestational weeks. Labor and delivery characteristics were prospectively collected. PTSD profile at two months was assessed using two self-administered questionnaires: IES-R-based profile (score >95th percentile) or TES-based profile (presence of all three symptom criteria: B, C, and D). Prevalence was corrected for nonresponse using inverse probability weighting. Associations with potential risk factors were examined using multivariate logistic regression.

Results:

Of 3891 women in the TRAAP trial, 794 (20.4%) had labor induced. Among them, 560 (70.5%) completed questionnaires and constituted the study population. The corrected PTSD profile prevalence at two months was 10.6% (95%CI, 8.1–13.7). An increased risk of PTSD profile was associated with women born in Africa (North Africa aOR 2.6; 95%CI, 1.1–6.8 and sub-Saharan Africa aOR 3.3; 95%CI, 1.1–11.1 compared to women born in Europe), with psychiatric history (aOR 3.0; 95%CI, 1.1–8.9), as well as obstetric factors such as cervical ripening (aOR 1.9; 95%CI, 1.1–3.6), fetal indication for induction (aOR 2.6; 95%CI, 1.2–5.4), and postpartum hemorrhage ≥1000 mL (aOR 4.9; 95%CI, 1.8–13.2). After adjustment, bad memories of delivery at day 2 postpartum also remained associated with increased PTSD risk (aOR 3.5; 95%CI, 1.5–10.2).

Conclusion:
Two months after induced vaginal delivery at or near term, about 10% of women presented symptoms of PTSD. Apart from the psychosocial risk factors, subgroups at higher risk included women who had cervical ripening, induction of labor for fetal indication, postpartum hemorrhage or bad memories of delivery in the immediate postpartum.