Lev-Wiesel Rachel, Chen Roni, Daphna-Tekoah Shir, Hod Moshe
Professor and Head of the Graduate School of Creative Arts Therapies, Faculty of Welfare and Health Studies, Haifa, Israel.
J Womens Health (Larchmt). 2009 Jan-Feb;18(1):119-25. doi: 10.1089/jwh.2008.0774.
This study aimed to examine the association among past traumatic events, high-risk pregnancy, delivery complications, and postpartum posttraumatic stress (PTS) symptoms.
The final convenience sample consisted of 1071 Jewish women at midpregnancy. Data were gathered at three time points (during pregnancy and 1 month and 6 months after childbirth) through self-report questionnaires.
There was a higher percentage of high-risk pregnancy among those who reported a history of traumatic events. Although the total score of PTS symptoms did not correspond with high-risk pregnancy, the intrusion and avoidance subscales did. Furthermore, a history of traumatic events as well as prenatal PTS symptoms, prenatal depression, and the subjective pain and distress during delivery accounted for postpartum PTS symptoms. Prenatal depression was found to account for delivery complications.
Findings indicate that a history of trauma should be considered a risk factor for high-risk pregnancy and for postpartum PTS symptoms.
本研究旨在探讨既往创伤事件、高危妊娠、分娩并发症与产后创伤后应激（PTS）症状之间的关联。
最终的便利样本包括1071名孕中期的犹太女性。通过自我报告问卷在三个时间点（孕期、产后1个月和6个月）收集数据。
报告有创伤事件史的人群中高危妊娠的比例更高。虽然PTS症状总分与高危妊娠不相关，但侵入和回避子量表相关。此外，创伤事件史以及产前PTS症状、产前抑郁和分娩时的主观疼痛与痛苦可解释产后PTS症状。产前抑郁被发现可解释分娩并发症。
研究结果表明，创伤史应被视为高危妊娠和产后PTS症状的一个风险因素。
