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Tokophobia or post-traumatic stress disorder ? about a tunisian case

Published online by Cambridge University Press:  13 August 2021

E. Cherif
Affiliation:
Psychiatry, Outpatient Service, Razi Hospital, Manouba, Tunisia
L.S. Meddouri*
Affiliation:
Psychiatry, Outpatient Service, Razi Hospital, Manouba, Tunisia
A. Hajri
Affiliation:
Psychiatry, Outpatient Service, Razi Hospital, Manouba, Tunisia
A. Maamri
Affiliation:
Psychiatry, Outpatient Service, Razi Hospital, Manouba, Tunisia
H. Zalila
Affiliation:
Outpatients Ward Of Psychiatry, Razi hospital, Manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Pregnancy and delivery are considered to be an important transition stage in a woman’s life. Although this experience is emotionally rich, it varies from one person to another and each woman goes through it in her own way.

Objectives

discuss the psychiatric outcomes after a childbirth with somatic complications.

Methods

case report

Results

Mrs X is a 32 years old woman, she has no particular history of illness until she gave birth to her son. He is now three and a half years old and he is an outpatient at the child and teen psychiatry department in a Tunisian hospital. After her delivery, Mrs X had several physical and psychological complications. She was hospitalized in the cardiology department for cardiomyopathy of Meadows for three weeks among it one week in the medical reanimation ward because she needed respiratory assistance. Furthermore, she suffered of left femoral head’s necrosis for which she was operated, and a total hip prosthesis replacement was done. Psychologically, Mrs X. presented a postpartum depression which resolved in its own after 9 months. Ever Since the childbirth, the patient presents symptoms concording with post-traumatic stress disorder and symptoms that may be linked to a specific phobia (fear of birthchild or tokophobia).

Conclusions

In addition to the usual health care provided to women during pregnancy and after childbirth, looking for mental health disturbances and eventually referring them for psychiatric assessment is important specially for women who have experienced traumatic events during the pregnancy or the delivery

Conflict of interest

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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