Gjerdingen Dwenda K, Center Bruce A
Department of Family Practice & Community Health, University of Minnesota Medical School, Minneapolis, USA.
J Am Board Fam Pract. 2003 Jul-Aug;16(4):304-11. doi: 10.3122/jabfm.16.4.304.
The purpose of this study was to evaluate prenatal to postnatal changes in first-time parents' physical and mental health, and to describe social and health predictors of parents' postpartum health.
This prospective study surveyed 261 expectant fathers and mothers during pregnancy and again at 6 months' postpartum regarding their health, partner, and work characteristics. Postpartum changes in health were evaluated by paired t tests, and predictors of postpartum health were determined using multiple regression analyses.
Both fathers and mothers experienced significant postpartum declines in perceived quality of life. In addition, fathers reported an increase in the number of days ill and a decrease in general health and vitality after childbirth. Mothers perceived an increase in vitality despite their diminishing sleep. Parents' postpartum health was associated with mothers' partner satisfaction, fewer illness days, and certain work characteristics, such as total work time and the balance of work between mothers and fathers.
Both mothers and fathers experienced declines in health that persisted at least 6 months after the birth of their first child. Notably, postpartum health was associated with partner satisfaction and work characteristics. This information might be used to develop interventions for improving parents' health during this vulnerable time.
本研究旨在评估初为人父母者从产前到产后的身心健康变化，并描述父母产后健康的社会和健康预测因素。
这项前瞻性研究在孕期对261名准父母进行了调查，并在产后6个月再次就他们的健康、伴侣及工作特征进行了调查。通过配对t检验评估产后健康变化，并使用多元回归分析确定产后健康的预测因素。
父亲和母亲的产后生活质量感知均显著下降。此外，父亲报告称产后生病天数增加，总体健康状况和活力下降。母亲尽管睡眠减少，但仍感觉活力增加。父母的产后健康与母亲对伴侣的满意度、较少的生病天数以及某些工作特征有关，如总工作时间以及父母之间的工作平衡。
父亲和母亲的健康状况在第一个孩子出生后至少6个月内持续下降。值得注意的是，产后健康与伴侣满意度和工作特征有关。这些信息可用于制定干预措施，以在这一脆弱时期改善父母的健康状况。
