Authors: Camille Deforges; Vania Sandoz; Yvonnick Noël; Valérie Avignon; David Desseauve; Julie Bourdin; Yvan Vial; Susan Ayers; Emily A. Holmes; Manuella Epiney; Antje Horsch · Research
Can Playing Tetris Help Prevent Trauma After Emergency C-Sections?
A simple 15-minute visual game intervention may help reduce trauma symptoms in women who experience emergency cesarean sections.
Source: Deforges, C., Sandoz, V., Noël, Y., Avignon, V., Desseauve, D., Bourdin, J., ... & Horsch, A. (2023). Single-session visuospatial task procedure to prevent childbirth-related posttraumatic stress disorder: a multicentre double-blind randomised controlled trial. Molecular Psychiatry, 28, 3842-3850. https://doi.org/10.1038/s41380-023-02275-w
What you need to know
- Around 18.5% of women who have emergency C-sections develop trauma symptoms
- A simple 15-minute intervention involving playing Tetris within 6 hours after birth may help prevent trauma symptoms
- The intervention was effective in reducing trauma symptoms up to 6 months after birth
The Challenge of Birth Trauma
Giving birth is typically viewed as a joyful experience, but for many women, particularly those who undergo emergency cesarean sections, it can be traumatic. When a planned vaginal delivery suddenly becomes an emergency C-section, women may feel frightened, helpless, and concerned for their own lives or their baby’s life. This experience can lead to posttraumatic stress disorder (PTSD) symptoms that affect not just the mother, but the entire family - impacting breastfeeding, child development, and relationships.
A Simple but Promising Solution
The researchers tested an innovative approach: having women play Tetris, a visual-spatial computer game, within 6 hours after their emergency C-section. This wasn’t just about distraction - the intervention was carefully timed during a critical window when trauma memories are still being processed and consolidated in the brain. The theory is that engaging in a visual task during this period can interfere with how traumatic images get stored in memory, potentially preventing flashbacks and other PTSD symptoms from developing.
The Study Design
This was a rigorous clinical trial conducted across multiple hospitals. Women who had emergency C-sections and reported feeling traumatized by the experience were randomly assigned to either play Tetris for 15 minutes or keep a simple activity log (the control group). Importantly, neither the participants nor the researchers knew which group women were assigned to, eliminating potential bias.
The Results
The findings were encouraging. Women who played Tetris reported fewer PTSD symptoms both at 6 weeks and 6 months after giving birth compared to those who didn’t receive the intervention. This was particularly true for symptoms like:
- Intrusive memories and flashbacks
- Negative thoughts and mood
- Feeling on edge or easily startled
What’s especially notable is that the benefits actually increased over time - at 6 months, the differences between groups were even more pronounced than at 6 weeks.
What This Means for You
If you’re planning to give birth or work with expectant mothers, here are the key takeaways:
- Emergency C-sections can be traumatic, and it’s important to acknowledge this
- There are ways to potentially prevent trauma symptoms from developing
- Simple interventions during the first few hours after birth may make a significant difference
- Visual games like Tetris could be an accessible tool for trauma prevention
For healthcare providers, this research suggests that implementing a brief screening for perceived trauma followed by this simple intervention could be valuable addition to post-cesarean care.
Conclusions
- A single 15-minute session of playing Tetris shortly after an emergency C-section may help prevent trauma symptoms
- The intervention is simple, cost-effective, and could be easily implemented in hospital settings
- This approach could potentially be expanded to help prevent trauma symptoms in other medical emergencies