亲密伴侣暴力和抑郁症查新生儿重症监护病房的孕产妇和婴儿
Sujata Desai1, Karen Stanzo2, Beverley Benskin3
1Department of Neonatology, Pediatrix Medical Group at Baylor University Medical Center, Dallas, Texas.
American journal of perinatology
|February 29, 2024
概括
近20%的新生儿重症监护室的母亲经历过伴侣暴力. 基于证据的分娩后查,而不是入院时,对于识别伴侣暴力和母亲抑郁症至关重要.
科学领域:
- 围产期心理健康问题
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
背景情况:
- 新生儿重症监护室 (NICU) 的入院给母亲带来了独特的压力.
- 伴侣暴力和母亲抑郁症是严重的公共卫生问题.
- 标准的医院接收可能无法充分捕捉这些问题.
研究的目的:
- 为了确定伴侣暴力和抑郁症在新生儿在NICU的母亲之间的流行率.
- 用标准摄入量与验证的查工具来比较自我报告的伴侣暴力和抑郁症.
- 为了确定在NICU母亲中查这些疾病的最佳时间.
主要方法:
- 采用了一种描述性研究设计.
- 母亲使用爱丁堡产后抑郁量表 (EPDS) 和滥用评估屏幕工具 (AAS) 在入院2天内在私人环境中对母亲进行了查.
- 在产后2周和出院时,EPDS被重新使用.
主要成果:
- 大约20%的母亲报告自怀孕以来经历过身体虐待.
- 伴侣虐待在产后48小时显著预测了抑郁症.
- 在过去的一年中,抑郁症和伴侣暴力之间发现了强烈的联系,100%报告过去一年遭受虐待的人在怀孕后经历了虐待.
- 医院入院问题显著低于报告的伴侣暴力和抑郁症.
结论:
- 在例行住院期间收集的信息与私人,基于证据的查结果之间存在重大差异.
- 这些发现挑战了新生儿重症监护室母亲的伴侣暴力和抑郁症入院查的有效性.
- 使用经过验证的仪器进行分娩后查对于准确的评估和改善母亲和婴儿结果至关重要.
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