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无礼的产妇护理和2个月的产后抑郁症:一个基于人口的研究

Marianne Jacques¹, Anne Alice Chantry^1,2, Sarah Tebeka^3,4

¹Université Paris Cité, Inserm U1153, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetric, Perinatal, Paediatric Life Course Epidemiology Research Team (OPPaLE), Paris, France.

BJOG : an international journal of obstetrics and gynaecology

|November 30, 2025

概括

经历不尊重的产妇护理与患产后抑郁症 (PPD) 症状的风险更高有关. 改善尊重护理可能有助于降低母亲PPD的发病率.

科学领域:

生殖健康生殖健康
孕产妇心理健康孕产妇心理健康
公共卫生公共卫生

背景情况:

产后抑郁症 (PPD) 是影响母亲福祉的一个重大问题.
在产妇护理期间的不尊重对待可能会对妇女的经历和心理健康结果产生负面影响.

研究的目的:

调查经历不尊重产妇护理和产后抑郁症症状的发展之间的联系.
在一个大规模的基于人口的样本中量化与不尊重护理相关的PPD风险.

主要方法:

一项全国性的,以人口为基础的,横截面研究,利用了法国2021年Enquête Nationale Périnatale (ENP) 调查的数据.
在7189名妇女中,对不尊重产妇护理和2个月的产后抑郁症状 (爱丁堡产后抑郁量表得分≥13) 的回顾性评估.
用Poisson回归分析对混因素进行了调整,并对消耗进行了加权,以估计相关性.

主要成果:

近四分之一 (24.9%) 的女性报告说,她们经历了不尊重的产妇护理.
经历了不尊重护理的女性在2个月后明显更有可能出现产后抑郁症症状 (调整后相对风险[aRR]1.37;95% CI 1.20-1.56).
在整个研究人群中,2个月后PPD症状的患病率为16.6%.

结论:

缺乏尊重的孕产妇护理普遍存在,并且独立地与产后抑郁症症状的风险增加有关.
提高孕产妇护理的尊重是减少产后抑郁症负担的潜在可修改目标.
解决不尊重护理对于改善母亲的心理健康和整体分娩经验至关重要.

关键词:

孩子的出生,就是分娩.没有尊重和虐待.心理健康 [MeSH] 心理健康虐待虐待虐待患者权利 [MeSH]产后抑郁症 (MeSH) 是一种产后抑郁症.医疗保健的质量 [MeSH]有尊重的孕产妇护理.

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