Dissociative Disorders in Postpartum mothers

Key things to know What the evidence shows
How common is it? Not established diagnosed DD
Is it more common among postpartum mothers? Childbirth/traumatic delivery can involve acute dissociation; not equivalent to chronic DD
Are postpartum mothers at higher risk? Strong contextual association after traumatic childbirth
How much higher is the risk? Peritraumatic dissociation predicted postpartum PTSD symptoms: aOR 2.61 in a 2026 cohort; this is PTSD risk, not DD prevalence
How often can it be missed? Very High
Does it show up differently among postpartum mothers? Strong Yes contextually
How might it look different? Feeling unreal/detached during birth, altered time perception, fragmented memory or emotional numbing can occur after traumatic delivery
What commonly occurs alongside it? PTSD; postpartum depression/anxiety
What can it be confused with? Acute stress/PTSD; postpartum psychosis; depression; neurological conditions
Common screening tool DES-II — Dissociative Experiences Scale-II
Separate screening tool for postpartum mothers PDEQ — Peritraumatic Dissociative Experiences Questionnaire only for acute childbirth/trauma-related dissociation, not chronic DD
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