助产士主导的手术分娩后情况汇报：一项随机试验的四至六年随访[ISRCTN24648614]
Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614].
作者信息
Small Rhonda, Lumley Judith, Toomey Liesje
机构信息
Mother & Child Health Research, La Trobe University, 251 Faraday Street, Carlton Victoria 3053, Australia.
出版信息
BMC Med. 2006 Mar 1;4:3. doi: 10.1186/1741-7015-4-3.
BACKGROUND
There is little evidence that single-session debriefing is effective in reducing adverse mental health outcomes after trauma. Few trials have included long-term follow-up, but two also suggest possible negative effects of debriefing. We aimed to assess longer-term maternal health outcomes in a trial of midwife-led debriefing following an operative birth, given that findings at six months could not rule out a possible adverse effect of debriefing.
METHODS
Four to six years after participating in a midwife-led trial of debriefing following an operative birth, 1039/1041 women were mailed a questionnaire containing the Edinburgh Postnatal Depression Scale (EPDS) and the SF-36 health status measure.
RESULTS
Responses were obtained from 534 women (51.4%). Responders from the two trial groups remained comparable 4-6 years postpartum. No significant differences on maternal health outcomes were found between the trial groups.
CONCLUSION
In the longer term, maternal health status was neither positively nor adversely affected by the experience of debriefing, despite a hint of adverse effects at six months postpartum. Short debriefing interventions have not proven effective in improving mental health outcomes for women following childbirth.
背景
几乎没有证据表明单次情况汇报能有效减少创伤后不良心理健康后果。很少有试验进行长期随访，但有两项试验也表明情况汇报可能存在负面影响。鉴于六个月时的研究结果无法排除情况汇报可能产生的不利影响，我们旨在通过一项关于助产士主导的剖宫产术后情况汇报试验来评估产妇的长期健康状况。
方法
在参与助产士主导的剖宫产术后情况汇报试验4至6年后，向1041名女性中的1039名邮寄了一份问卷，其中包含爱丁堡产后抑郁量表（EPDS）和SF - 36健康状况测量表。
结果
收到了534名女性（51.4%）的回复。两个试验组的回复者在产后4至6年仍具有可比性。试验组之间在产妇健康结局方面未发现显著差异。
结论
从长期来看，情况汇报经历对产妇健康状况既没有积极影响也没有负面影响，尽管在产后六个月时有出现不利影响的迹象。简短的情况汇报干预措施尚未被证明能有效改善产后女性的心理健康结局。
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