Halperin Ofra, Sarid Orly, Cwikel Julie
The Max Stern Academic College Emek-Yezreel, Emek-Yezreel 19300, Israel.
The Center for Women׳s Health Studies and Promotion and the Spitzer Department of Social Work, Ben Gurion University of the Negev, POB 653, Beer Sheva 84105, Israel.
Midwifery. 2015 Jun;31(6):625-32. doi: 10.1016/j.midw.2015.02.011. Epub 2015 Mar 11.
childbirth is a positive experience for most women yet some women express distress after birth. Traumatic experience can sometimes cause post-traumatic stress disorder (PTSD) in relation to childbirth. Prevalence of traumatic birth experience and PTSD after childbirth differs between cultures.
to examine the subjective recall of childbirth experiences and PTSD symptoms of Israeli Jewish and Arab women; to examine comparatively the prevalence of PTSD symptoms six to eight weeks after childbirth and to establish the factors that predict PTSD symptoms.
a prospective study was conducted in a region characterised by wide variations in ethnocultural groups. The study was comprised of two time points: Time 1 (T1) interviews were conducted at the bedside of the women in the maternity ward of each hospital 24-48 hours after childbirth. Time 2 (T2), all 171 women participating in T1 were interviewed by phone six to eight weeks after childbirth.
34 women (19.9%) reported their labour as traumatic 24-48 hours after birth (T1), and six to eight weeks later (T2) 67 women (39.2%) assessed their experience as traumatic. More Arab women (69.6%) than Jewish women (56.5%) had a positive memory of childbirth, but this difference only approached statistical significance (p=.09). Results showed rather low frequencies of PTSD symptoms, and no ethnic difference. PTSD symptoms were significantly and positively predicted by subjective recollection of childbirth experience (Time 2). PTSD symptoms were higher for women who did not have a vaginal birth, and more women with PTSD symptoms were not breast feeding.
we found more similarities than differences between Arab and Jewish women׳s experience of their births and no differences between them on the prevalence of PTSD symptoms after birth. The results suggest that non-vaginal birth (instrumental or caesarean section) and negative recollection of the childbirth experience are important factors related to the development of PTSD symptoms after birth, and that women with PTSD symptoms are less likely to breast feed.
分娩对大多数女性来说是一次积极的经历，但有些女性在产后会表现出痛苦。创伤性经历有时会导致与分娩相关的创伤后应激障碍（PTSD）。不同文化中创伤性分娩经历和产后PTSD的患病率有所不同。
研究以色列犹太和阿拉伯女性对分娩经历的主观回忆及PTSD症状；比较产后六至八周PTSD症状的患病率，并确定预测PTSD症状的因素。
在一个民族文化群体差异很大的地区进行了一项前瞻性研究。该研究包括两个时间点：时间1（T1），在每家医院产科病房的产妇床边，于产后24 - 48小时进行访谈。时间2（T2），对所有参与T1的171名女性在产后六至八周进行电话访谈。
34名女性（19.9%）在产后24 - 48小时（T1）报告其分娩过程具有创伤性，六至八周后（T2），67名女性（39.2%）认为自己的经历具有创伤性。对分娩有积极回忆的阿拉伯女性（69.6%）多于犹太女性（56.5%），但这种差异仅接近统计学意义（p = 0.09）。结果显示PTSD症状的发生率相当低，且无种族差异。分娩经历的主观回忆（时间2）对PTSD症状有显著的正向预测作用。未进行阴道分娩的女性PTSD症状更严重，且更多有PTSD症状的女性未进行母乳喂养。
我们发现阿拉伯和犹太女性的分娩经历更多的是相似之处，产后PTSD症状的患病率并无差异。结果表明，非阴道分娩（器械助产或剖宫产）和对分娩经历的负面回忆是与产后PTSD症状发展相关的重要因素，且有PTSD症状的女性进行母乳喂养的可能性较小。
