创伤后应激障碍在怀孕第二个三个月后医疗终止怀孕
O Anselem1, A J Vivanti2, H Bouchghoul3
1Maternité Port-Royal, FHU PremIMPACT, Hôpital Cochin, AP-HP.Centre-Université de Paris, AP-HP, Paris, France.
American journal of obstetrics and gynecology
|February 22, 2026
概括
近一半接受医疗指示的第二季度终止怀孕 (TOP) 的妇女有患创伤后应激障碍 (PTSD) 的风险. 超过三分之一的人可能会经历严重的创伤后应激障碍,这凸显了TOP后普遍心理查的必要性.
科学领域:
- 围产期心理健康问题
- 心理创伤研究 心理创伤研究
- 生殖健康结果的结果.
背景情况:
- 在第二个三个月中终止怀孕 (TOP) 可以在心理上令人痛苦.
- 创伤后应激障碍 (PTSD) 是一个潜在的不良结果.
- 识别风险因素对于有针对性的干预至关重要.
研究的目的:
- 评估第二个三个月后PTSD的患病率TOP.
- 为了确定与严重的PTSD相关的孕产妇和产科因素.
- 为TOP后的心理支持策略提供信息.
主要方法:
- 一项随机对照试验的二次分析,该试验涉及347名经历第二季度TOP的妇女.
- 创伤后应激障碍症状的评估使用事件影响规模修订 (IES-R) 1-4个月后TOP.
- 使用混合模型进行统计分析,以确定严重PTSD的危险因素 (IES-R评分≥37).
主要成果:
- 在247名IES-R数据的妇女中,44.9%有PTSD风险 (得分≥33) 和35.8%有严重PTSD风险 (得分≥37).
- 没有发现母亲/产科因素 (平价,妊娠年龄,分娩时间,疼痛,并发症) 和严重的PTSD之间有显著的关联.
- 在考虑缺失的数据和完整的案例分析后,结果保持一致.
结论:
- 很大一部分女性经历PTSD或严重的PTSD症状第二个三个月后TOP.
- 缺乏可识别的风险因素表明,人们普遍需要心理评估.
- 建议进行系统查,以支持女性在TOP后的心理健康.
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