Jha Paridhi, Larsson Margareta, Christensson Kyllike, Svanberg Agneta Skoog
Department of Women's and Children's Health, Uppsala University, Sweden.
Department of Women's and Children's Health, Karolinska Institutet, Sweden.
Women Birth. 2018 Apr;31(2):e122-e133. doi: 10.1016/j.wombi.2017.07.003. Epub 2017 Jul 27.
Prevalence rates of Fear of Birth and postnatal depressive symptoms have not been explored in Chhattisgarh, India.
To validate Hindi Wijma Delivery Experience Questionnaire and to study the prevalence of Fear of Birth and depressive symptoms among postnatal women.
A cross-sectional survey at seventeen public health facilities in two districts of Chhattisgarh, India among postnatal women who gave birth vaginally or through C-section to a live neonate. Participants were recruited through consecutive sampling based on health facility records of daily births. Data were collected through one-to-one interviews using the Wijma Delivery Experience Questionnaire Version B and the Edinburgh Postnatal Depression Scale. Non-parametric associations and linear regression data analyses were performed.
The Hindi Wijma Delivery Experience Questionnaire Version B had reliable psychometric properties. The prevalence of Fear of Birth and depressive symptoms among postnatal women were 13.1% and 17.1%, respectively, and their presence had a strong association (p<0.001). Regression analyses revealed that, among women having vaginal births: coming for institutional births due to health professionals' advice, giving birth in a district hospital and having postnatal depressive symptoms were associated with presence of FoB; while depressive symptoms were associated with having FoB, perineal suturing without pain relief, and giving birth to a low birth-weight neonate in a district hospital.
The prevalence of Fear of Birth and depressive symptoms is influenced by pain management during childbirth and care processes between women and providers. These care practices should be improved for better mental health outcomes among postnatal women.
印度恰蒂斯加尔邦尚未对分娩恐惧和产后抑郁症状的患病率进行研究。
验证印地语版维伊玛分娩体验问卷，并研究产后女性中分娩恐惧和抑郁症状的患病率。
在印度恰蒂斯加尔邦两个地区的17个公共卫生机构对经阴道分娩或剖宫产分娩活产新生儿的产后女性进行横断面调查。根据每日出生的卫生机构记录，通过连续抽样招募参与者。使用维伊玛分娩体验问卷B版和爱丁堡产后抑郁量表通过一对一访谈收集数据。进行非参数关联和线性回归数据分析。
印地语版维伊玛分娩体验问卷B版具有可靠的心理测量学特性。产后女性中分娩恐惧和抑郁症状的患病率分别为13.1%和17.1%，且二者存在强关联（p<0.001）。回归分析显示，在经阴道分娩的女性中：因医护人员建议前来机构分娩、在地区医院分娩以及有产后抑郁症状与分娩恐惧的存在相关；而抑郁症状与分娩恐惧、会阴缝合时无疼痛缓解以及在地区医院分娩出低体重新生儿相关。
分娩恐惧和抑郁症状的患病率受分娩期间的疼痛管理以及女性与医护人员之间的护理过程影响。应改善这些护理措施，以提高产后女性的心理健康水平。
