School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751 NSW, Australia.
School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, 2751 NSW, Australia.
Women Birth. 2018 Oct;31(5):367-379. doi: 10.1016/j.wombi.2017.12.003. Epub 2018 Jan 11.
Post-traumatic stress disorder and post-traumatic stress symptoms following birth occur amongst a small proportion of women but can lead to poor maternal mental health, impairment in mother-infant bonding and relationship stress. This integrative review aims to examine the associated risk factors and women's own experiences of postnatal post-traumatic stress in order to better understand this phenomenon.
Fifty three articles were included and critically reviewed using the relevant Critical Appraisal Skills Program checklists or Strengthening the Reporting of Observational studies in Epidemiology assessment tool.
Risk factors for postnatal post-traumatic stress symptoms and disorder include factors arising before pregnancy, during the antenatal period, in labour and birth and in the postnatal period. Potential protective factors against postnatal post-traumatic stress have been identified in a few studies. The development of postnatal post-traumatic stress can lead to negative outcomes for women, infants and families.
Risk factors for post-traumatic stress symptoms and disorder are potentially identifiable pre-pregnancy and during the antenatal, intrapartum and postnatal periods. Potential protective factors have been identified however they are presently under researched. Predictive models for postnatal post-traumatic stress disorder development have been proposed, however further investigation is required to test such models in a variety of settings.
Postnatal post-traumatic stress symptoms and disorder have been shown to negatively impact the lives of childbearing women. Further investigation into methods and models for identifying women at risk of developing postnatal post-traumatic stress following childbirth is required in order to improve outcomes for this population of women.
产后创伤后应激障碍和创伤后应激症状发生在一小部分女性中，但会导致产妇心理健康不良、母婴结合受损和关系压力。本综合评价旨在研究相关的危险因素和女性自身的产后创伤后应激体验，以便更好地理解这一现象。
纳入了 53 篇文章，并使用相关的批判性评估技能计划清单或加强观察性研究在流行病学评估工具中进行了批判性审查。
产后创伤后应激症状和障碍的危险因素包括妊娠前、产前、分娩中和产后出现的因素。在少数研究中已经确定了一些针对产后创伤后应激的潜在保护因素。产后创伤后应激的发展会对女性、婴儿和家庭产生负面影响。
创伤后应激症状和障碍的危险因素在妊娠前和产前、分娩中和产后期间可能是可识别的。已经确定了一些潜在的保护因素，但目前研究较少。已经提出了产后创伤后应激障碍发展的预测模型，但需要进一步研究在各种环境中测试这些模型。
产后创伤后应激症状和障碍已被证明会对生育女性的生活产生负面影响。需要进一步研究用于识别分娩后发生产后创伤后应激风险的妇女的方法和模型，以便改善这一妇女群体的结局。
