Séjourné N, De la Hammaide M, Moncassin A, O'Reilly A, Chabrol H
Centre d'études et de recherches en psychopathologie et psychologie de la santé, université de Toulouse, UT2J, 31058 Toulouse, France.
Centre d'études et de recherches en psychopathologie et psychologie de la santé, université de Toulouse, UT2J, 31058 Toulouse, France.
Gynecol Obstet Fertil Senol. 2018 Sep;46(9):658-663. doi: 10.1016/j.gofs.2018.06.002. Epub 2018 Jun 19.
This study aims to determine the incidence of pain in childbirth and postpartum on depressive and post-traumatic symptomatology 6weeks after delivery.
One hundred and nine women who gave birth in maternity hospitals of type 2$participated in the study. Two to four days after delivery they have completed five self-administered questionnaires to assess pain of childbirth (QDSA), dramatization of pain (PCS-CF), satisfaction of childbirth (CEQ), peri-traumatic distress (IDP) and depressive symptoms (EPDS) and visual analogue scales to measure immediate postnatal pain. Six weeks after birth they have again completed questionnaires to measure pain (QDSA and visual analogue scales) and depressive symptoms (EPDS) and a scale measuring posttraumatic symptomatology (IES-R).
The pain of childbirth and immediate postpartum was associated with depressive (r=0.27 and r=0.31 respectively) and traumatic symptomatology (r=0.30 and r=0.34 respectively) in postpartum. Regression analysis, however, revealed that only the depressive symptomatology and the affective dimension of postpartum pain at six weeks post-partum was related to post-traumatic stress.
The results of this study highlight the importance to support the pain of childbirth but also the pain occurring in the postpartum period.
本研究旨在确定分娩时及产后疼痛对产后6周时抑郁症状和创伤后症状的影响。
109名在二级妇产医院分娩的女性参与了本研究。分娩后2至4天，她们完成了五份自评问卷，以评估分娩疼痛（QDSA）、疼痛程度（PCS-CF）、分娩满意度（CEQ）、创伤周围困扰（IDP）和抑郁症状（EPDS），并通过视觉模拟量表测量产后即刻疼痛。产后6周时，她们再次完成问卷以测量疼痛（QDSA和视觉模拟量表）、抑郁症状（EPDS）以及一份测量创伤后症状的量表（IES-R）。
分娩时及产后即刻的疼痛与产后的抑郁症状（分别为r = 0.27和r = 0.31）和创伤后症状（分别为r = 0.30和r = 0.34）相关。然而，回归分析显示，只有产后6周时的抑郁症状和产后疼痛的情感维度与创伤后应激有关。
本研究结果强调了缓解分娩疼痛以及产后疼痛的重要性。
