Department of Midwifery, School of Health, Balıkesir University, Balıkesir, Turkey.
J Reprod Infant Psychol. 2021 Sep;39(4):422-434. doi: 10.1080/02646838.2020.1792429. Epub 2020 Jul 16.
The aim of this study was to determine the perception of traumatic childbirth during pregnancy and the postpartum period and the postnatal mental health outcomes of traumatic childbirth perception.
This descriptive-longitudinal study was conducted from December 2017 to June 2018 in Turkey. The study included 248 pregnant women who were in weeks 36-40 of their pregnancies. The pregnant women were administered the Scale of Traumatic Childbirth Perception(STCP) and the Health Anxiety Inventory. The women were administered the STCP and the Depression, Anxiety and Stress Scale three to six weeks after childbirth.
Mean traumatic childbirth perception scores of pregnant women with high health anxiety were significantly higher (=0.01).Traumatic childbirth perceptions of pregnant women who do not trust their ability and power and think that they cannot cope with labor pain were high (=0.000). 21% of women had high perception of postpartum traumatic childbirth. The postpartum women with high levels of traumatic childbirth perception had significantly high levels of depression, anxiety and stress (<0.001).
The results show that the health anxiety experienced by women during pregnancy is related to their perception of traumatic childbirth.A traumatic childbirth experience affects the level of postpartum depression, anxiety, and stress.
本研究旨在确定孕妇在怀孕期间和产后对创伤性分娩的感知，以及创伤性分娩感知对产后心理健康的影响。
本描述性纵向研究于 2017 年 12 月至 2018 年 6 月在土耳其进行。研究纳入了 248 名处于妊娠 36-40 周的孕妇。孕妇接受创伤性分娩感知量表（STCP）和健康焦虑量表（HAI）的评估。分娩后 3-6 周，对孕妇进行 STCP 和抑郁、焦虑和压力量表（DASS）的评估。
健康焦虑程度高的孕妇的创伤性分娩感知评分显著较高（=0.01）。不相信自己能力和力量、认为自己无法应对分娩疼痛的孕妇的创伤性分娩感知较高（=0.000）。21%的女性对产后创伤性分娩有较高的感知。创伤性分娩感知水平较高的产后女性的抑郁、焦虑和压力水平显著较高（<0.001）。
研究结果表明，女性在怀孕期间的健康焦虑与她们对创伤性分娩的感知有关。创伤性分娩经历会影响产后抑郁、焦虑和压力的水平。
