Health Services Research Centre, Akershus University Hospital, Lørenskog, Norway.
BJOG. 2012 Feb;119(3):298-305. doi: 10.1111/j.1471-0528.2011.03188.x. Epub 2011 Nov 15.
To assess the association between mode of delivery and maternal postpartum emotional distress.
A prospective study of women from 30 weeks of gestation to 6 months postpartum.
Pregnant women in Norway during the period 1998-2008.
A total of 55,814 women from the Norwegian Mother and Child Cohort Study.
Emotional distress was reported in a short form of the Hopkins Symptom Checklist-25 (SCL-8) at 30 weeks of gestation and at 6 months postpartum. Information on mode of delivery was obtained from the Medical Birth Registry of Norway.
Changes in SCL-8 score from 30 weeks of gestation to 6 months postpartum and presence of emotional distress at 6 months postpartum.
Women with instrumental vaginal, emergency caesarean or elective caesarean deliveries had similar changes in SCL-8 score between 30 weeks of gestation and 6 months postpartum, as compared with women with unassisted vaginal delivery (adjusted regression coefficient, 0.00, 95% CI -0.01 to 0.01; 0.01, 95% CI 0.00-0.02; and -0.01, 95% CI -0.02 to 0.00, respectively). The corresponding odds ratios (ORs) associated with the presence of emotional distress at 6 months postpartum (SCL-8 ≥ 2.0) were: OR 1.01, 95% CI 0.86-1.18; OR 1.13, 95% CI 0.97-1.32; and OR 0.96, 95% CI 0.79-1.16, respectively. These estimates were adjusted for emotional distress during pregnancy and other potential confounding factors. Emotional distress during pregnancy showed the strongest association with the presence of emotional distress at 6 months postpartum (adjusted OR 14.09, 95% CI 12.77-15.55).
Mode of delivery was not associated with a change in SCL-8 score from 30 weeks of gestation to 6 months postpartum or with the presence of emotional distress postpartum.
评估分娩方式与产妇产后情绪困扰之间的关联。
对 1998 年至 2008 年期间挪威的孕妇进行的前瞻性研究，随访至产后 6 个月。
挪威。
挪威母婴队列研究中的 55814 名妇女。
在妊娠 30 周和产后 6 个月时，采用霍普金斯症状清单-25 （SCL-8）的简短形式报告情绪困扰。分娩方式的信息来自挪威医学出生登记处。
从妊娠 30 周至产后 6 个月 SCL-8 评分的变化以及产后 6 个月时情绪困扰的存在。
与阴道自然分娩的妇女相比，接受器械性阴道分娩、紧急剖宫产或选择性剖宫产的妇女在妊娠 30 周至产后 6 个月期间 SCL-8 评分的变化相似（调整后的回归系数分别为 0.00，95%CI-0.01 至 0.01；0.01，95%CI0.00 至 0.02；-0.01，95%CI-0.02 至 0.00）。产后 6 个月时存在情绪困扰（SCL-8≥2.0）的相应比值比（OR）分别为：OR1.01，95%CI0.86-1.18；OR1.13，95%CI0.97-1.32；OR0.96，95%CI0.79-1.16。这些估计值均经过妊娠期间情绪困扰和其他潜在混杂因素的调整。妊娠期间的情绪困扰与产后 6 个月时存在情绪困扰的相关性最强（调整后的 OR14.09，95%CI12.77-15.55）。
分娩方式与妊娠 30 周至产后 6 个月期间 SCL-8 评分的变化或产后情绪困扰的发生无关。
