Hildingsson Ingegerd, Tingvall Maria, Rubertsson Christine
Mid Sweden University, Department of Health Science, Sundsvall, Sweden.
Women Birth. 2008 Dec;21(4):141-8. doi: 10.1016/j.wombi.2008.07.003. Epub 2008 Aug 15.
Social support is important during pregnancy and childbirth and the partner is usually the main source of support. Lack of partner support is associated with less emotional well-being and discontinuation of breastfeeding.
The purpose of the study was to investigate the proportion of women dissatisfied with partner support in early pregnancy, and to identify risk factors associated with dissatisfaction through a follow up 2 months and 1 year after childbirth.
A national cohort of 2430 Swedish speaking women recruited in early pregnancy and followed up 2 months and 1 year postpartum. Data were collected by means of three postal questionnaires.
Five percent of women were dissatisfied with partner support in early pregnancy. Women dissatisfied with partner support were more likely to be multiparas, not living with their partner in early pregnancy and to report unfavorable timing of pregnancy. They experienced more physical symptoms, and less emotional well-being in terms of more depressive symptoms, more major worries and a lower sense of coherence. One year after childbirth a higher rate of divorces and disappointment with the partner's participation in childcare and household chores and understanding from partner was found in women being dissatisfied in early pregnancy.
This study shows that it might be possible to identify women who are lacking partner support already in early pregnancy. Women's social network and their support from partner should be investigated by health care providers and women in need of additional support should be refereed to available community resources.
孕期和分娩期间社会支持很重要,伴侣通常是主要的支持来源。缺乏伴侣支持与较差的情绪健康状况以及停止母乳喂养有关。
本研究的目的是调查孕早期对伴侣支持不满意的女性比例,并通过产后2个月和1年的随访确定与不满意相关的风险因素。
一项全国性队列研究,招募了2430名讲瑞典语的孕早期女性,并在产后2个月和1年进行随访。通过三份邮政问卷收集数据。
5%的女性在孕早期对伴侣支持不满意。对伴侣支持不满意的女性更有可能是经产妇,孕早期未与伴侣同住,且报告怀孕时机不佳。她们有更多的身体症状,在情绪健康方面较差,表现为更多的抑郁症状、更多的主要担忧和更低的连贯感。产后一年,孕早期不满意的女性离婚率更高,对伴侣参与育儿和家务以及伴侣理解方面更失望。
本研究表明,有可能在孕早期就识别出缺乏伴侣支持的女性。医疗保健提供者应调查女性的社交网络及其从伴侣那里获得的支持,需要额外支持的女性应被转介到可用的社区资源。