怀孕第二季度终止后的心理后果:一项纵向研究
Yousif Dawood1,2,3, Jana M de Vries2,3, Elisabeth van Leeuwen2,3
1Department of Medical Biology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Acta obstetricia et gynecologica Scandinavica
|July 9, 2024
概括
由于胎儿异常而在第二个三个月中终止怀孕对女性的影响比男性更大,但随着时间的推移,两者都会得到改善. 将胎儿遗骸捐赠给科学并没有对心理健康产生负面影响.
科学领域:
- 围产期心理健康问题
- 生殖健康 生殖健康
- 终止妊娠的心理影响
背景情况:
- 由于胎儿异常而导致的第二个三个月的终止怀孕具有显著的情感重量.
- 关于伴侣心理结果和胎儿捐赠的影响的研究有限.
- 了解这些因素对于提供适当的支持至关重要.
研究的目的:
- 调查第二个三个月中终止怀孕对妇女及其伴侣的心理影响.
- 确定影响心理结果的因素,包括胎儿捐赠.
- 评估悲伤,创伤后压力,产后抑郁和生活质量.
主要方法:
- 阿姆斯特丹UMC的纵向队列研究.
- 涉及的女性和伴侣在妊娠23周6天之前进行了终止.
- 在终止期间,在终止后6周和4个月内进行了验证的问卷调查.
主要成果:
- 女性比男性更容易经历心理困扰,两者随着时间的推移都得到了改善.
- 终止术后4个月,27.4%的女性和9.1%的男性表现出病态悲伤.
- 以前的精神病史预测了较差的结果;胎儿捐赠与减少复杂的悲伤有关.
结论:
- 对胎儿异常的第二个三个月终止可能会引起心理困扰,特别是在女性身上,但随着时间的推移会有所改善.
- 患有精神疾病史的个人更容易受到伤害.
- 为科学捐赠的胎儿并没有对心理健康产生负面影响.
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