在先前的胎儿异常后,孕妇的痛苦:一项纵向队列研究
Aurora Oftedal1, Anne Kaasen2, Taran Karlsen3
1Division of Public Health and Prevention, Department of Child Health and Development, Norwegian Institute of Public Health, Oslo, Norway.
BJOG : an international journal of obstetrics and gynaecology
|September 4, 2025
概括
有胎儿异常诊断的妇女在怀孕期间会出现更高的抑郁和压力. 这种心理健康影响甚至在随后的健康怀孕中持续存在, 这强调了持续支持的需要.
科学领域:
- 围产期心理健康
- 生殖医学
- 医学诊断对心理的影响
背景情况:
- 有胎儿异常诊断的病史会在怀孕期间对女性的心理健康产生重大影响.
- 了解长期心理影响对于提供足够的支持至关重要.
研究的目的:
- 评估有胎儿异常诊断史的孕妇的心理健康状况.
- 为了比较有胎儿异常史的女性与没有胎儿异常史的女性之间的心理健康结果.
- 在先前的胎儿异常诊断后检查健康孕妇的痛苦水平.
主要方法:
- 涉及有 (n=75) 和没有 (n=111) 胎儿异常史的孕妇的前性观察研究.
- 在四个时间点 (怀孕18-36周) 使用爱丁堡产后抑郁量表 (EPDS) 和事件影响量表 (IES).
- 分组分析 (n=28) 将健康孕妇的心理健康与胎儿异常诊断的孕妇进行比较.
主要成果:
- 患有胎儿异常诊断的妇女在整个怀孕期间报告了高度的抑郁和创伤性压力,即使在健康的怀孕中也是如此.
- 在怀孕初期, 痛苦程度的差异最为明显.
- 与健康怀孕相比,怀孕期间患有胎儿异常的妇女的痛苦明显增加.
结论:
- 有胎儿异常诊断的病史与怀孕期间持续存在的心理健康问题有关.
- 产前护理应考虑先前诊断和损失的心理影响,即使在随后的健康怀孕中.
- 针对性心理健康支持对于有胎儿异常史的妇女至关重要.
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