Academy of Health Sciences, Department of Midwifery, KTO Karatay University, Konya, Turkey.
Faculty of Health Sciences, Department of Midwifery, Osmangazi University, Eskişehir, Turkey.
Women Health. 2021 May-Jun;61(5):479-489. doi: 10.1080/03630242.2021.1927287. Epub 2021 May 12.
Traumatic birth has various effects on women, and postpartum depression is one of them. The present study had two aims: 1) to determine the level of traumatic childbirth perception and postpartum depression in women and the factors affecting them and 2) to reveal the relationship between traumatic childbirth perception and postpartum depression. Five hundred fifty women, recruited between March 2018 and February 2019, completed the following form and scales one month after delivery: the general and obstetric information form, the Perception of Traumatic Childbirth Scale (PTCS), and the Edinburgh Postnatal Depression Scale (EPDS). The mean PTCS scores of the women included in the study were 63.45 ± 28.116 with a median value of 65, and the prevalence of traumatic childbirth was 33.8%. The risk of postpartum depression was determined in 25.3% of the women. There was a significant relationship between the participants' traumatic childbirth perception and their EPDS scores ( < .05). It was determined that the probability of experiencing postpartum depression increased four to five times in women with a high or very high level of traumatic childbirth perception (OR = 4.31; CI 95% 1.912 to 9.701; = .000)(OR = 5.57; CI 95% 2.090 to 14.818; = .001). The findings revealed that one-third of the participant women had traumatic childbirth perception, and the risk of postpartum depression increased as the level of traumatic birth perception increased.
创伤性分娩对女性有多种影响,产后抑郁症就是其中之一。本研究有两个目的:1)确定女性创伤性分娩感知和产后抑郁的程度及其影响因素;2)揭示创伤性分娩感知与产后抑郁之间的关系。2018 年 3 月至 2019 年 2 月期间,招募了 550 名女性,她们在分娩后一个月内完成了以下表格和量表:一般和产科信息表、创伤性分娩感知量表(PTCS)和爱丁堡产后抑郁量表(EPDS)。研究纳入的女性平均 PTCS 得分为 63.45±28.116,中位数为 65,创伤性分娩的发生率为 33.8%。25.3%的女性存在产后抑郁风险。研究参与者的创伤性分娩感知与 EPDS 评分之间存在显著关系( < 0.05)。研究发现,在创伤性分娩感知程度较高或非常高的女性中,发生产后抑郁的概率增加了四到五倍(OR=4.31;95%CI 1.912 至 9.701; =.000)(OR=5.57;95%CI 2.090 至 14.818; =.001)。研究结果表明,三分之一的参与女性存在创伤性分娩感知,且随着创伤性分娩感知程度的增加,产后抑郁的风险也随之增加。