Ryding Elsa Lena, Read Sanna, Rouhe Hanna, Halmesmäki Erja, Salmela-Aro Katariina, Toivanen Riikka, Tokola Maiju, Saisto Terhi
Department of Women's and Children's Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Stockholm, Sweden.
London School of Economics and Political Science, London, UK.
Birth. 2018 Mar;45(1):88-93. doi: 10.1111/birt.12309. Epub 2017 Sep 11.
Little is known about the psychological status of partners of women with severe fear of childbirth (FOC). In this longitudinal study from Helsinki University Central Hospital, we investigated FOC, depression, and posttraumatic stress in the partners of women with severe FOC, and possible effects of group psychoeducation and mode of birth.
During pregnancy, 250 partners of nulliparous women with severe FOC participated, 93 in the intervention group and 157 in the control group. At 3 months postpartum, 52 partners in the intervention group and 93 in the control group participated. Both the partners and the childbearing women filled in the Wijma Delivery Expectancy/Experience Questionnaire and the Edinburgh Postnatal Depression Scale mid-pregnancy as well as 3 months postpartum, when they also filled in the Traumatic Event Scale.
Partners of women with severe FOC reported less antenatal and postnatal FOC and fewer depressive symptoms than the childbearing women. No partner reached the threshold of severe FOC. No partner reported a possible posttraumatic stress disorder. Group psychoeducation with relaxation was not associated with better or worse psychological well-being of the partners. An emergency cesarean delivery was associated with a more fearful delivery experience in the partners.
Partners of nulliparous women with severe FOC neither seem to suffer from severe FOC nor reported posttraumatic stress symptoms after childbirth. They reported better psychological well-being than the mothers both during pregnancy and after delivery. An unexpected cesarean may be a negative experience even for partners of childbearing women.
对于患有严重分娩恐惧（FOC）的女性伴侣的心理状况，人们了解甚少。在这项来自赫尔辛基大学中心医院的纵向研究中，我们调查了患有严重FOC的女性伴侣的FOC、抑郁和创伤后应激情况，以及团体心理教育和分娩方式可能产生的影响。
在孕期，250名患有严重FOC的未生育女性的伴侣参与了研究，其中93人在干预组，157人在对照组。产后3个月时，干预组有52名伴侣参与，对照组有93名伴侣参与。伴侣和生育女性在孕中期以及产后3个月时均填写了Wijma分娩期望/体验问卷和爱丁堡产后抑郁量表，此时她们还填写了创伤事件量表。
患有严重FOC的女性伴侣报告的产前和产后FOC及抑郁症状少于生育女性。没有伴侣达到严重FOC的阈值。没有伴侣报告可能患有创伤后应激障碍。伴有放松训练的团体心理教育与伴侣更好或更差的心理健康状况无关。急诊剖宫产与伴侣更恐惧的分娩体验相关。
患有严重FOC的未生育女性伴侣似乎既没有遭受严重FOC，也没有在产后报告创伤后应激症状。她们在孕期和产后报告的心理健康状况均优于母亲。即使对于生育女性的伴侣来说，意外剖宫产也可能是一种负面经历。
