创伤后应激障碍和怀孕后果
Monica A Lutgendorf1, Radhika Tyagi1, Sarah Edwards1
1Department of Gynecologic Surgery and Obstetrics and the Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; the Division of Maternal Fetal Medicine and the Department of Clinical Investigation, Madigan Army Medical Center, Tacoma, and the Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington; the Department of Obstetrics and Gynecology, Baylor College of Medicine, San Antonio, Texas; and the Department of Obstetrics and Gynecology, Naval Medical Center Camp Lejeune, Camp Lejeune, North Carolina.
孕妇的创伤后应激障碍 (PTSD) 与更高的抑郁症和酒精使用率有关,但与妊娠并发症无关. 需要对怀孕期间行为健康影响进行进一步的研究.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 军人卫生保健 军人卫生保健
背景情况:
- 创伤后应激障碍 (PTSD) 是一个重大的问题,特别是在军事人口中.
- 了解它对怀孕结果的影响对于母亲和胎儿的健康至关重要.
研究的目的:
- 确定在军事医疗保健中的孕妇中PTSD的患病率.
- 评估创伤后应激障碍对各种妊娠结果的影响.
主要方法:
- 从2014年到2018年,在军事三级护理中心进行了前性队列研究.
- 参与者接受了PTSD,创伤,战斗暴露,酒精使用和抑郁症的查.
- 怀孕结果包括早产,胎儿生长限制,子宫前,妊娠糖尿病,高血压疾病,门诊访问和NICU入院.
主要成果:
- 在1145名被保留的参与者中,108名被选为PTSD (21名军人,87名平民) 呈阳性.
- 患有PTSD的个体表现出明显更高的抑郁率 (17.84 OR) 和使用酒精的风险 (5.64 OR).
- 两组之间没有观察到妊娠并发症的显著差异.
结论:
- 在怀孕期间的PTSD查与抑郁症和酒精使用风险相关,独立于怀孕结果.
- 抑郁症和酒精使用障碍等并发症可能会造成长期的孕产妇和胎儿健康风险.
- 进一步调查行为健康障碍对怀孕的影响是有必要的.
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