妊産婦と新生児のICU入院と産後のアウトカム:不安,うつ,母子関係に関する横断的観察研究
Yucel Yetiskin1, Fatma Didem1, Sinaci Selcan1
1Clinic of Perinatology, Department of Obstetrics and Gynecology, Ministry of Health, Gaziantep City Hospital, Gaziantep, Turkey.
Journal of affective disorders
|February 18, 2026
まとめ
母親や新生児の集中治療室入院は,分娩後の不安,うつ,愛着の問題を著しく増加させます. 母親と新生児のICU滞在を組み合わせると,最も深刻な心理的苦痛と最も低い母親と赤ちゃんの絆が示されました.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 新生児集中治療室の新生児集中治療室は,新生児集中治療室の新生児集中治療室の新生児集中治療室です.
- 母親の精神的健康について
背景:
- 産後心理的ストレスは,特に母親や新生児の集中治療室 (ICU) の入院後に顕著です.
- 集中治療室での滞在は,母親の健康状態と,母親と乳児の重要な早期の関係に大きな影響を与えることができます.
研究 の 目的:
- 妊産婦のICU (MICU) と新生児ICU (NICU) の入院が,妊産婦の不安,うつ,母子関係に与える影響を評価する.
- 異なるICU被曝グループと対照群の心理的アウトカムを比較する.
主な方法:
- MICUのみ,NICUのみ,MICU + NICUを組み合わせた,および対照群に分類された207人の母親を対象とした横断的観察研究.
- 心理学的評価には,ベック不安インベントリー (BAI),ベックうつ病インベントリーII (BDI-II),エディンバラ産後うつ病スケール (EPDS),マザーナルアタッチメントインベントリー (MAI) が含まれていた.
- 産後第1週,出院前に収集されたデータ;グループ比較は,クルスカル=ワリステストを使用した.
主要な成果:
- すべてのICUにさらされたグループは,コントロールと比較して,著しく高い不安,うつ,産後うつ病のスコアを示した (p <0.001).
- マザーアタッチメントスコアは,ICUに暴露されたすべてのグループで,対照群 (p < 0.001) と比較して,著しく低下しました.
- MICU + NICUを併用したグループは,最も高い不安とうつ病の割合,最も低い愛着スコア,最も低い母乳育児の割合を報告しました.
結論:
- 母親または新生児のICU入院は,分娩後の重大な心理的苦痛と強く関連しています.
- MICUとNICUを併用した滞在は,母親の精神的健康と母と乳児の絆に追加的な悪影響を及ぼしました.
- 妊産婦の重篤な疾患は,新生児の重篤な疾患の影響を超えて,早期の母子結合を独立して破壊する可能性があります.
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