胎儿外科手术对围产期焦虑和抑郁症的影响

胎儿外科手术对围产期焦虑和抑郁症的影响

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Olivia Liseth¹, Jessica Weng¹, Mauro Schenone²

¹Alix School of Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN (Mses Liseth and Weng).

American journal of obstetrics & gynecology MFM

|December 7, 2023

概括

胎儿手术患者患产后抑郁症和焦虑症的比例很高,许多病例在典型的6周检查后恶化或出现. 这凸显了超出标准产后期的延长心理健康支持的需要.

科学领域:

围产阶段精神病学围产阶段精神病学
孕产妇和胎儿医学孕产妇和胎儿医学
手术产科医生手术产科医生

背景情况:

围产期精神疾病,包括抑郁症和焦虑症,构成了相当大的负担.
胎儿手术患者面临着独特的压力因素,如不确定的预后和早产风险,可能增加心理健康风险.

研究的目的:

确定胎儿手术患者产后抑郁症和焦虑症的发生率和病程.
在这个人群中确定心理健康诊断的时间和模式.

主要方法:

在2016年11月至2021年11月期间分娩的119名胎儿手术患者的回顾性医疗记录审查.
人口,手术,产科和精神病诊断的抽象化.
描述性的统计分析.描述性的统计分析.

主要成果:

28.6%的患者有先前存在的抑郁/焦虑; 27.1%的没有病史的患者在分娩后出现了新的诊断.
58.8%的患有先前存在的疾病的患者在分娩后经历了恶化.
20.2%的人在6周的产后访问后经历了新的或恶化的抑郁症/焦虑症,这表明发病时间延迟.

结论:

胎儿手术患者患产后抑郁症和焦虑症的发病率很高,通常在产后6周后恶化或延迟发病.
纵向支持性干预对于管理这一群体的心理健康至关重要.
需要进一步的研究来理解和实施有效的长期支持策略.

关键词:

恶化的恶化.胎儿外科手术胎儿手术孕产妇的心理健康产后焦虑症产后焦虑症产后抑郁症产后抑郁症产后情绪和焦虑障碍产后情绪和焦虑障碍产前护理产前护理压力就是压力,压力就是压力.

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