Department of Obstetrics and Gynaecology, OLVG, Oosterpark 9, 1091 AC Amsterdam, The Netherlands; Department of Obstetrics and Gynaecology, University of Amsterdam, Amsterdam UMC, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Department of Psychiatry, University of Amsterdam, Amsterdam UMC, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Women Birth. 2020 Jul;33(4):360-366. doi: 10.1016/j.wombi.2019.06.016. Epub 2019 Jul 13.
Partners of women are increasingly present during childbirth and may be exposed to a traumatic experience. Since parents' mental health issues (i.e. posttraumatic stress disorder) have been shown to increase the risk of problems in the child's development, it is important to identify these risk factors. Partners often describe severe postpartum haemorrhage as traumatic.
Whether witnessing severe postpartum haemorrhage is a risk factor for developing posttraumatic stress disorder in partners.
In this prospective cohort study, we compared partners of women with severe postpartum haemorrhage (≥2000 mL) and partners of women with ≤500 mL of blood loss (controls). Four weeks after birth partners were screened for posttraumatic stress disorder symptoms with a self-report questionnaire. Scores ≥11 were followed by a gold standard clinical interview to diagnose posttraumatic stress disorder.
We included 123 severe postpartum haemorrhage partners and 62 control partners. Partners of women with severe postpartum haemorrhage reported higher scores than control partners (median 3.0 (0.0-7.0) vs 2.0 (0.0-4.0), p = 0.04) on symptoms of posttraumatic stress, but no significant difference in probable posttraumatic stress disorder diagnosis according to the self-report questionnaire was found. According to the clinical interview no partners were diagnosed with posttraumatic stress disorder. Severe postpartum haemorrhage was experienced as traumatic by the partners who felt excluded.
None of the partners developed posttraumatic stress disorder, revealing the resilience of young fathers. Because some partners reported severe postpartum haemorrhage as traumatic, we recommend sufficient information and support is provided during childbirth.
越来越多的女性伴侣在分娩期间陪伴在旁，可能会经历创伤性体验。由于父母的心理健康问题（例如创伤后应激障碍）已被证明会增加孩子发育问题的风险，因此识别这些风险因素很重要。伴侣通常会将严重产后出血描述为创伤性事件。
伴侣目睹严重产后出血是否是其发生创伤后应激障碍的危险因素。
在这项前瞻性队列研究中，我们比较了严重产后出血（≥2000 毫升）女性的伴侣和出血量≤500 毫升的女性的伴侣（对照组）。产后 4 周，伴侣通过自我报告问卷筛查创伤后应激障碍症状。得分≥11 分的伴侣进行金标准临床访谈以诊断创伤后应激障碍。
我们纳入了 123 名严重产后出血的伴侣和 62 名对照组伴侣。与对照组相比，严重产后出血女性的伴侣报告了更高的创伤后应激症状得分（中位数 3.0（0.0-7.0）比 2.0（0.0-4.0），p=0.04），但自我报告问卷并未发现创伤后应激障碍诊断的显著差异。根据临床访谈，没有伴侣被诊断为创伤后应激障碍。感到被排斥的伴侣将严重产后出血视为创伤性事件。
没有伴侣出现创伤后应激障碍，这揭示了年轻父亲的适应能力。由于一些伴侣将严重产后出血描述为创伤性事件，因此我们建议在分娩期间提供充分的信息和支持。
