School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith 2751, Australia.
Midwifery. 2021 Dec;103:103165. doi: 10.1016/j.midw.2021.103165. Epub 2021 Oct 7.
This paper reports findings from a study about women's experience of postpartum psychosis which affects 1-2 women in 1000 in the first four to six weeks following childbirth. Previous research reports many women are relucent to disclose symptoms of mental ill health to healthcare professionals, although they are most likely to discuss symptoms and concerns with a health professional known to them.
A qualitative interpretive study using semi-structured interviews.
Ten women in Australia who had recovered from postpartum psychosis in the last ten years were interviewed.
Data were analysed thematically by three researchers to enhance trustworthiness.
The women described their overall experience as traumatic and described what they saw as contributing factors such as a previous history of mental illness or a significant life event that was present before or during pregnancy; the women described how they made meaning of the symptoms they experienced, such as a lack of sleep or changes in their thoughts or behaviours; and the difficulties they experienced during recovery. The women also identified novel ways to support themselves and each other as they recovered.
Midwives require further education to recognise the symptoms of postpartum psychosis, to ask further probing questions to identify postpartum psychosis in its early stages and to support women as they recover from this illness.
本文报告了一项关于女性产后精神病体验的研究结果，这种疾病在产后的四到六周内，每 1000 名女性中就有 1-2 名会受到影响。先前的研究报告称，许多女性不愿意向医疗保健专业人员透露精神健康问题的症状，尽管她们最有可能与自己认识的熟悉的健康专业人员讨论症状和担忧。
使用半结构化访谈的定性解释性研究。
10 名在过去十年中从产后精神病中康复的澳大利亚女性接受了采访。
三名研究人员对数据进行了主题分析，以增强可信度。
这些女性描述了她们的整体经历是创伤性的，并描述了她们认为是促成因素的情况，例如先前的精神病史或在怀孕前或怀孕期间存在的重大生活事件；女性描述了她们如何理解自己经历的症状，例如睡眠不足或思维或行为的变化；以及她们在康复过程中遇到的困难。女性还确定了支持自己和彼此康复的新方法。
助产士需要进一步的教育，以识别产后精神病的症状，提出进一步的探究性问题来识别早期的产后精神病，并在女性从这种疾病中康复时为她们提供支持。
