性侵犯史与创伤性分娩及随后 PTSD 的关联。
Association of sexual assault history with traumatic childbirth and subsequent PTSD.
机构信息
Department of Psychiatry, Massachusetts General Hospital, 120 2nd Ave, Boston, MA, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
出版信息
Arch Womens Ment Health. 2021 Oct;24(5):767-771. doi: 10.1007/s00737-021-01129-0. Epub 2021 Apr 13.
Abstract
Although childbirth-related posttraumatic stress (CB-PTSD) has received recognition, how sexual assault (SA) history influences obstetrical and traumatic stress outcomes remains unclear. Six hundred eighty-three women provided information about their childbirth and mental health. Obstetric complications and unplanned cesareans were more prevalent among women with SA history. They also had higher rates of probable CB-PTSD and were two times more likely to have premature deliveries than women without SA history. Screening women for history of sexual trauma is warranted to optimize birth outcomes.
摘要
尽管与分娩相关的创伤后应激障碍（CB-PTSD）已经得到认可，但性侵犯（SA）史如何影响产科和创伤性应激的结果尚不清楚。683 名女性提供了有关分娩和心理健康的信息。有 SA 史的女性中，产科并发症和计划外剖宫产更为常见。她们患有 CB-PTSD 的可能性也更高，早产的可能性是没有 SA 史的女性的两倍。对有性创伤史的女性进行筛查是有必要的，以优化分娩结局。
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