与分娩相关的创伤后应激障碍:定义,危险因素,病理生理学,诊断,预防和治疗
Antje Horsch1, Susan Garthus-Niegel2, Susan Ayers3
1Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, Switzerland; Department Woman-mother-child, Lausanne University Hospital, Lausanne.
心理出生创伤和与分娩相关的创伤后应激障碍影响全球数百万人. 早期识别和干预对于预防长期家庭痛苦和改善母亲和父亲的心理健康结果至关重要.
科学领域:
- 围产期心理健康问题
- 创伤研究 创伤研究
- 公共卫生 公共卫生
背景情况:
- 心理出生创伤和与分娩相关的创伤后应激障碍 (PTSD) 每年影响数百万母亲和父亲.
- 创伤性分娩经历是直接原因,高风险群体 (如早产或死产幸存者) 的患病率更高.
- 风险因素包括产前 (例如,母亲的抑郁,恐惧),产周 (例如,手术后的分娩,并发症) 和产后时期.
研究的目的:
- 为了突出心理出生创伤和与分娩相关的PTSD的重大负担.
- 强调需要在产妇服务中改进识别,查和干预.
- 倡导开发和评估全面的预防和治疗策略.
主要方法:
- 审查现有关于分娩相关PTSD患病率,风险因素和影响的证据.
- 对产妇护理中查和治疗方案当前存在的差距进行分析.
- 检查一级,二级和三级预防策略.
主要成果:
- 与分娩相关的创伤后应激障碍是一个主要的公共卫生问题,但仍然未得到充分承认和充分查.
- 在怀孕,分娩和产后阶段确定了特定的风险因素.
- 对受影响家庭的有效查方法和治疗方法存在证据差距.
结论:
- 适当的预防,查和干预可以显著减少分娩个人和家庭的痛苦.
- 迫切需要制定政策,实施服务和培训,以应对心理出生创伤.
- 未来的研究应该专注于多样化的人口,基于夫妇的干预措施和以家庭为中心的护理.
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