Smorti Martina, Ponti Lucia, Simoncini Tommaso, Mannella Paolo, Bottone Pietro, Pancetti Federica, Marzetti Francesca, Mauri Giulia, Gemignani Angelo
Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Department of Education, Languages, Intercultures, Literatures and Psychology, University of Florence, Florence, Italy.
J Reprod Infant Psychol. 2021 Sep;39(4):371-381. doi: 10.1080/02646838.2020.1728524. Epub 2020 Feb 16.
: Miscarriage is a stressful life event with negative consequences that can last into the subsequent gestation, increasing women's risk for psychological symptoms. Less clear in literature is whether having a living child may buffer the psychological impact of miscarriage on subsequent pregnancies.: explore levels of depression, anxiety and fear of delivery in women with and without a previous miscarriage, taking into consideration the presence of a living child.: 208 women (M = 34.68) were recruited during the third trimester of gestation. The sample was composed of 159 women without a previous miscarriage (72.3% primiparae and 27.7% multiparae) and 49 women with a history of miscarriage (53.1% primiparae and 46.9% multiparae). Participants filled out a battery of questionnaires aimed at assessing anxiety, depression, and fear of delivery.: Primiparae reported higher levels of fear of childbirth than multiparae. Moreover, women without a history of previous perinatal loss showed lower levels of depression and fear of childbirth than women with a previous perinatal loss.: Data highlight the importance of developing specific support groups, for primiparae, due to their great emotional vulnerability, and for women with past miscarriage, to help them cope in adaptive ways with a new pregnancy.
流产是一件压力巨大的生活事件，会产生负面影响，且这些影响可能持续到后续妊娠，增加女性出现心理症状的风险。文献中尚不清楚有一个存活的孩子是否可以缓冲流产对后续妊娠的心理影响。：探讨有或没有流产史的女性的抑郁、焦虑和分娩恐惧水平，同时考虑是否有存活的孩子。：在妊娠晚期招募了208名女性（平均年龄M = 34.68岁）。样本包括159名无流产史的女性（初产妇占72.3%，经产妇占27.7%）和49名有流产史的女性（初产妇占53.1%，经产妇占46.9%）。参与者填写了一系列旨在评估焦虑、抑郁和分娩恐惧的问卷。：初产妇报告的分娩恐惧水平高于经产妇。此外，没有围产期损失史的女性的抑郁和分娩恐惧水平低于有围产期损失史的女性。：数据凸显了为初产妇（因其情绪极度脆弱）和有流产史的女性建立特定支持小组的重要性，以帮助她们以适应性方式应对新的妊娠。
