Adewuya A O, Ologun Y A, Ibigbami O S
Department of Mental Health, Obafemi Awolowo University Teaching Hospitals Complex, Wesley Guild Hospital, ILESA, Osun State, Nigeria.
BJOG. 2006 Mar;113(3):284-8. doi: 10.1111/j.1471-0528.2006.00861.x.
To estimate the prevalence of post-traumatic stress disorder (PTSD) after childbirth in a group of postpartum Nigerian women and to examine any associated factors.
A cross-sectional survey.
Postnatal clinics and infant immunisation clinics of the five health centres in Ilesa Township, Nigeria.
A total of 876 women at 6 weeks postpartum.
The postpartum women were assessed for PTSD at 6 weeks. Other data collected were demographic characteristics, details of pregnancy and delivery and neonatal outcome. Additionally, the following measures were used: the MINI International Neuropsychiatric Interview to assess PTSD, the Index of Marital Satisfaction to measure the degree of problem a spouse encounters in the marital relationship, the Medical Outcome Study Social Support Survey to measure social support, the Life Events Scale to measure the life stress covering the preceding 12 months and the Labour Agentry Scale that measures the maternal experiences of control during childbirth.
Prevalence of PTSD in this population of postpartum Nigerian women, and how this prevalence related to other maternal and neonatal characteristics.
The prevalence of PTSD was 5.9%. The factors independently associated with PTSD after childbirth include hospital admission due to pregnancy complications (OR 11.86, 95% CI 6.36-22.10), instrumental delivery (OR 7.94, 95% CI 3.91-16.15), emergency caesarean section (OR 7.31, 95% CI 3.53-15.10), manual removal of placenta (OR 4.96, 95% CI 2.43-10.14) and poor maternal experience of control during childbirth (OR 5.05, 95% CI 2.69-9.48).
The prevalence of PTSD after childbirth in Nigerian women is slightly higher than those found in western culture. An effective model for the prediction of the development of PTSD after childbirth needs to be developed and evaluated, and interventions aimed at reducing the incidence of PTSD after childbirth need further research.
评估一组尼日利亚产后妇女产后创伤后应激障碍（PTSD）的患病率，并检查相关因素。
横断面调查。
尼日利亚伊莱萨镇五个健康中心的产后诊所和婴儿免疫诊所。
共876名产后6周的妇女。
在产后6周对这些产后妇女进行PTSD评估。收集的其他数据包括人口统计学特征、妊娠和分娩细节以及新生儿结局。此外，还使用了以下测量方法：用于评估PTSD的MINI国际神经精神访谈、用于衡量配偶在婚姻关系中遇到问题程度的婚姻满意度指数、用于测量社会支持的医学结局研究社会支持调查、用于测量过去12个月生活压力的生活事件量表以及用于测量产妇分娩时控制体验的分娩代理量表。
该组尼日利亚产后妇女中PTSD的患病率，以及该患病率与其他产妇和新生儿特征的关系。
PTSD的患病率为5.9%。与产后PTSD独立相关的因素包括因妊娠并发症住院（比值比[OR]11.86，95%置信区间[CI]6.36 - 22.10）、器械助产（OR 7.94，95% CI 3.91 - 16.15）、急诊剖宫产（OR 7.31，95% CI 3.53 - 15.10）、人工剥离胎盘（OR 4.96，95% CI 2.43 - 10.14）以及产妇分娩时控制体验差（OR 5.05，95% CI 2.69 - 9.48）。
尼日利亚妇女产后PTSD的患病率略高于西方文化中的患病率。需要开发和评估一种有效的产后PTSD发展预测模型，针对降低产后PTSD发病率的干预措施需要进一步研究。
