Morland Leslie, Goebert Deborah, Onoye Jane, Frattarelli Leighann, Derauf Chris, Herbst Mark, Matsu Courtenay, Friedman Matthew
Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Manoa. leslie.morland@va
Psychosomatics. 2007 Jul-Aug;48(4):304-8. doi: 10.1176/appi.psy.48.4.304.
Posttraumatic stress disorder (PTSD) is pervasive among women of childbearing age. The cascade of behavioral health and neuroendocrine changes commonly associated with PTSD may adversely affect perinatal health. The authors examined the relationship between PTSD and perinatal health in a sample of 101 women seeking prenatal care on the island of Oahu, Hawaii. Trauma, PTSD, and psychological and behavioral health were assessed during prenatal care. Pregnancy health, labor and delivery information, and birth outcomes were abstracted from medical records post-partum. Findings suggest that women with PTSD entering pregnancy are at increased risk for engaging in high-risk health behaviors, such as smoking, alcohol consumption, substance use, poor prenatal care, and excessive weight gain. Authors discuss clinical and research implications.
创伤后应激障碍（PTSD）在育龄女性中普遍存在。与创伤后应激障碍通常相关的一系列行为健康和神经内分泌变化可能会对围产期健康产生不利影响。作者在夏威夷瓦胡岛的101名寻求产前护理的女性样本中，研究了创伤后应激障碍与围产期健康之间的关系。在产前护理期间评估创伤、创伤后应激障碍以及心理和行为健康。产后从医疗记录中提取妊娠健康、分娩信息和出生结局。研究结果表明，怀孕时患有创伤后应激障碍的女性从事高风险健康行为的风险增加，如吸烟、饮酒、药物使用、产前护理不佳和体重过度增加。作者讨论了临床和研究意义。
