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[创伤性分娩:识别与预防]

[Traumatic Birth: Recognition and Prevention].

作者信息

Weidner Kerstin, Garthus-Niegel Susan, Junge-Hoffmeister Juliane

机构信息

Klinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl Gustav Carus Dresden, Dresden.

出版信息

Z Geburtshilfe Neonatol. 2018 Oct;222(5):189-196. doi: 10.1055/a-0641-6584. Epub 2018 Jul 9.

Abstract

A history of sexual as well as physical or emotional abuse may represent a high-risk factor for difficult pregnancies and birth processes, potentially yielding the development of postpartum posttraumatic stress disorder as well as impaired mother-child attachment. However, birth itself may also be experienced as primarily traumatic, i. e., without having had prior trauma experiences. Difficult and traumatic births may affect midwives and obstetricians, too. This article provides an overview of the prevalence and risk factors of traumatic childbirth as well as the course, consequences, and intervention possibilities.

摘要

性虐待以及身体或情感虐待史可能是导致妊娠和分娩过程困难的高风险因素,有可能引发产后创伤后应激障碍以及母婴依恋关系受损。然而,分娩本身也可能主要被体验为创伤性的,即没有先前的创伤经历。难产和创伤性分娩也可能影响助产士和产科医生。本文概述了创伤性分娩的患病率和风险因素,以及其过程、后果和干预可能性。

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