创伤性分娩后产后创伤性压力障碍的预测因素:终身创伤,暴力和应对策略的影响 - - 一项前性研究
Eirini Orovou1, Antigoni Sarantaki2, Vaidas Jotautis3
1Department of Midwifery, University of Western Macedonia, 50200 Ptolemaida, Greece.
像紧急剖腹产这样的高风险分娩会导致创伤性分娩经历,增加产后创伤后应激障碍 (P-PTSD) 的风险. 对家庭暴力和焦虑的查对母亲的心理健康至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 出生可能是创伤性的,导致产后创伤后应激障碍 (P-PTSD).
- 紧急剖腹产和手术性阴道分娩与增加的心理痛苦有关.
- 诸如创伤史,家庭暴力和焦虑等因素增加了对P-PTSD的脆弱性.
研究的目的:
- 调查高风险分娩的妇女中P-PTSD的患病率和预测因素.
- 在紧急剖腹产或手术性阴道分娩后,确定与发展P-PTSD相关的特定风险因素.
主要方法:
- 希腊雅典113名产后妇女的前性队列研究.
- 数据是在分娩后2天,6周和3个月收集的.
- 多变量逻辑回归用于识别P-PTSD预测因子.
主要成果:
- 14.2%的妇女在产后6周达到PTSD标准.
- 后创伤后应激障碍与焦虑,应对不良以及家庭暴力有很强的联系.
- 创伤性分娩增加了PTSD风险14.7倍;怀孕期间的家庭暴力是关键预测因素.
结论:
- 创伤后应激障碍是高风险分娩的低估后果.
- 在怀孕期间,对家庭暴力和创伤史的查至关重要.
- 围产期焦虑评估和创伤信息支持对于母亲的福祉至关重要.
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