对分娩的恐惧和精神疾病降低了后续分娩的可能性:基于登记册的回顾性队列研究
Elina Silvan1,2, Terhi Saisto3, Tia Mäkelä3
1Kanta-Häme Central Hospital, Hämeenlinna, Finland. elina.silvan@helsinki.fi.
Reproductive health
|January 23, 2025
概括
对分娩的恐惧 (FOC) 和精神疾病显著降低了芬兰第二次分娩的可能性. 剖腹产也降低了生孩子的机会,特别是对于有FOC或精神疾病的妇女来说.
科学领域:
- 生殖健康 生殖健康
- 围产阶段精神病学 围产阶段精神病学
- 公共卫生 公共卫生
背景情况:
- 全球出生率的下降反映了芬兰的趋势.
- 关于生育恐惧 (FOC) 和精神疾病对多元性影响的研究有限.
- 了解这些因素对于应对出生率下降至关重要.
研究的目的:
- 评估FOC对初胎妇女第二次分娩的可能性的影响.
- 评估精神疾病对后续出生率的影响.
- 要确定第一个分娩方式是否会影响第二次分娩的概率.
主要方法:
- 利用了芬兰医疗出生登记,医院出院登记和人口普查数据的数据.
- 在变量比较中使用t测试和chi平方测试.
- 应用考克斯回归分析来计算危险比率 (HR) 和95%置信区间 (CI).
主要成果:
- 患有FOC的女性第二次分娩的可能性降低了22% (aHR为0.78).
- 怀孕前/怀孕期间的精神疾病使第二次出生的可能性降低了28% (aHR 0.72).
- 首次出生后的精神病诊断将第二次出生的可能性降低了51% (aHR 0.49). 剖腹产也降低了第二次出生的可能性.
结论:
- 对分娩的恐惧和精神疾病与较低的第二胎出生率有显著的关联.
- 剖腹产产与后续分娩的可能性降低有关,特别是与FOC或精神疾病相关.
- 调查结果强调需要心理健康支持和明智的分娩选择,以潜在地影响计划生育决策.
相关概念视频
01:27Panic Disorder
30
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
30
01:24Disorders of the Female Reproductive System
318
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
318
01:09Preparedness and Phobias
91
Human fear responses to certain stimuli, such as darkness, heights, deep water, and blood, can often arise despite the absence of direct negative experiences. This phenomenon is rooted in evolutionary psychology, which posits that humans have developed a predisposition to fear stimuli that historically posed significant survival threats. This predisposition, known as preparedness, suggests that early humans who developed a fear of potentially dangerous entities, such as venomous snakes and...
91
01:29Psychological and Sociocultural Causes of Schizophrenia
50
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
50
01:28Obsessive-Compulsive Disorder
34
Obsessive-compulsive disorder (OCD) is a mental health condition characterized by recurrent obsessions, compulsions, or both, which consume significant time and interfere with daily functioning. Obsessions involve persistent, intrusive, and unwanted thoughts, images, or urges that evoke anxiety. Common examples include irrational fears of contamination or harm. Compulsions are repetitive behaviors or mental acts performed to reduce the anxiety caused by obsessions. For instance, individuals...
34
01:28Social Anxiety Disorder
22
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
22