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盆地功能障碍与产后心理健康的关联:系统性审查

Lisa VanWiel¹, Mackenzie Unke¹, Riley J Samuelson¹

¹Health and Human Physiology, University of Iowa, Iowa City, IA, USA.

Journal of reproductive and infant psychology

|February 15, 2024

概括

盆地功能障碍 (PFD) 与分娩后的心理健康问题有关. 建议对母亲的PFD和心理健康状况进行早期查,以改善结果.

科学领域:

生殖健康生殖健康
心理健康心理健康
妇女健康妇女健康

背景情况:

产后心理健康状况很普遍,影响着母亲和婴儿的福祉.
不良的出生结果,包括骨盆底功能障碍 (PFD),与产后心理健康状况的风险增加有关.
现有的文献突出了PFD和产后心理健康之间的关联,但缺乏针对怀孕和产后的具体合成.

研究的目的:

系统地审查和综合关于骨盆底功能障碍 (PFD) 与产后心理健康状况之间的关联的当前文献.
巩固有关各种类型的PFD及其与分娩后期心理健康结果的联系的证据.

主要方法:

在主要数据库 (PubMed,Embase,CINAHL,Cochrane,Scopus) 进行了系统的文献搜索.
两位独立审查员对研究进行了选和评分,以包括和质量.
包括47项研究,检查了PFD类型,如性功能障碍,失禁和骨盆器官脱落.

主要成果:

大多数包括在内的研究 (47项中的44项) 报告了PFD和不良产后心理健康状况之间的显著关联.
研究的特定PFD类型包括性功能障碍,失禁,周围裂和骨盆器官脱落.
在大多数审查的研究中发现了一致的关联,这表明PFD与分娩后心理健康状况较差之间存在强烈联系.

结论:

一致的证据将骨盆底功能障碍 (PFD) 与不良的产后心理健康状况联系起来.
医疗保健提供者应在产后期间对PFD和心理健康问题进行早期查.
需要进一步的研究,以探索是否治疗PFD可以减轻其与产后心理健康问题的关联.

关键词:

骨盆地功能障碍骨盆地功能障碍孕产妇健康孕产妇健康产后心理健康产后心理健康产后抑郁症产后抑郁症产后心理健康产后心理健康

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