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分娩经历、产妇功能与心理健康:它们之间有何关联?

Childbirth experience, maternal functioning and mental health: how are they related?

机构信息

Midwifery Counseling, Tabriz University of Medical Sciences, Student Research Center, Tabriz, Iran.

Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Reprod Infant Psychol. 2022 Sep;40(4):399-411. doi: 10.1080/02646838.2021.1913488. Epub 2021 Apr 10.

DOI:10.1080/02646838.2021.1913488
PMID:33843380
Abstract

INTRODUCTION

Childbirth experience is shaped by the labor and delivery process. The aim of this study was to investigate the relationship between childbirth experience, subsequent postpartum maternal functioning and mental health.

METHODS

A total of 483 mothers in the first 4-16 weeks postpartum participated in this cross-sectional study. The cluster random sampling method was used to select the participants. The Questionnaire for Assessing the Childbirth Experience, Mental Health Inventory, and the Barkin Index of Maternal Functioning were completed through interviews.

RESULTS

The mean childbirth experience, mental health, and maternal functioning scores were 1.6 (0.4), 79.1 (15.0), and 97.4 (13.0), respectively. There was a significant correlation between the total mental health and maternal functioning scores and all its subscales with childbirth experience scores (P<0.001). Results from the general linear model pointed to a significant correlation between maternal functioning and childbirth experience (P<0.001), as well as between receiving support for infant care (P<0.001) and family income adequacy (P=0.006). Mental health was also significantly correlated with childbirth experience (P<0.001), complete life satisfaction (P<0.001), and receiving support for infant care (P=0.025).

CONCLUSION

Supportive care provision services may improve mothers' birth experiences, which leads to enhanced postpartum maternal functioning and mental health.

摘要

简介

分娩体验受分娩过程的影响。本研究旨在调查分娩体验与产后母婴功能和心理健康之间的关系。

方法

共有 483 名产后 4-16 周的母亲参与了这项横断面研究。采用聚类随机抽样法选取参与者。通过访谈完成了分娩体验评估问卷、心理健康量表和 Barkin 母婴功能指数。

结果

分娩体验、心理健康和母婴功能的平均得分为 1.6(0.4)、79.1(15.0)和 97.4(13.0)。心理健康和母婴功能总分及其所有子量表与分娩体验得分均呈显著相关(P<0.001)。一般线性模型的结果表明,母婴功能与分娩体验之间存在显著相关性(P<0.001),接受婴儿护理支持(P<0.001)和家庭收入充足性(P=0.006)之间也存在显著相关性。心理健康与分娩体验(P<0.001)、完全生活满意度(P<0.001)和接受婴儿护理支持(P=0.025)也呈显著相关。

结论

提供支持性护理服务可以改善母亲的分娩体验,从而提高产后母婴功能和心理健康。

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