Obstet Gynecol. 2021 Apr 1;137(4):757-758. doi: 10.1097/AOG.0000000000004328.
Trauma is experienced throughout the life span, and traumatic experiences may be remote events or current and ongoing. The health care community continues to learn the many ways in which trauma affects an individual's health, relationships, utilization of the health care system, health care experience, and ability to adopt health-related recommendations. It is important for obstetrician-gynecologists and other health care practitioners to recognize the prevalence and effect of trauma on patients and the health care team and incorporate trauma-informed approaches to delivery of care. Although trauma spans all races, ages, and socioeconomic statuses, some populations are exposed to trauma at higher rates and with greater frequency of repeated victimization. A number of health effects that may be associated with trauma are seen frequently in obstetrics and gynecology, including chronic pelvic pain, sexually transmitted infections, unintended pregnancy, conflicted feelings about pregnancy and sexuality, and difficulty with infant attachment postpartum. Obstetrician-gynecologists should become familiar with the trauma-informed model of care and strive to universally implement a trauma-informed approach across all levels of their practice with close attention to avoiding stigmatization and prioritizing resilience.
创伤是贯穿整个生命周期的，创伤经历可能是遥远的事件，也可能是当前正在发生的事情。医疗保健界不断了解创伤对个人健康、人际关系、医疗保健系统的利用、医疗保健体验以及采纳与健康相关建议的能力产生影响的诸多方式。妇产科医生和其他医疗保健从业者认识到创伤对患者和医疗保健团队的普遍性和影响，并采用以创伤为中心的方法提供护理非常重要。尽管创伤跨越所有种族、年龄和社会经济地位，但一些人群遭受创伤的几率更高，重复受害的频率也更高。一些可能与创伤相关的健康影响在妇产科中经常出现，包括慢性盆腔疼痛、性传播感染、意外怀孕、对怀孕和性的矛盾感受以及产后婴儿依恋困难。妇产科医生应熟悉以创伤为中心的护理模式，并努力在其实践的各个层面普遍实施以创伤为中心的方法，密切关注避免污名化和优先考虑恢复力。
