Facultad De Psicología, Universidad Del Desarrollo (UDD), Santiago, Chile.
J Reprod Infant Psychol. 2023 Jul;41(3):275-288. doi: 10.1080/02646838.2021.1990233. Epub 2021 Oct 21.
Childbirth experience can have long-lasting effects on maternal wellbeing.
Positive childbirth experiences may strengthen maternal self-confidence, in contrast, negativeexperiences may promote a sense of failure or distrust.
To examine the contribution of maternal hospital childbirth experience on mental health at 6 months postpartum in a community-based, Chilean sample. An additional aim is to examine which childbirth-related aspects contribute to the global birth experience.
One hundred and forty-eight women completed self-report measures of mental health during the third trimester of pregnancy and 3 and 6 months postpartum. At 3months after childbirth, subjective childbirth experience was assessed. Logistic regression analysis examined the contribution of childbirth experience to maternal mental health.
Negative subjective experience of childbirth contributes to maternal depression and anxiety up to 6 months after childbirth, controlling for mental health during pregnancy and at 3 months postpartum. Quality of care from health professionals made the largest, statistically significant contribution to the global perception of childbirth.
Subjective experience of childbirth is a modifiable risk factor for the development of postpartum maternal depression and anxiety. Health providers in direct contact with childbearing women may promote maternal emotional wellbeing through sensitive and respectful care.
分娩经历会对产妇的健康产生持久影响。
积极的分娩经历可能会增强产妇的自信心，而消极的经历可能会导致失败感或不信任感。
在智利的一个社区样本中，研究产妇在医院分娩的经历对产后 6 个月心理健康的影响。此外，还研究了分娩相关方面对整体分娩体验的影响。
148 名女性在妊娠晚期、产后 3 个月和 6 个月时完成了心理健康的自我报告评估。产后 3 个月时，对主观分娩经历进行了评估。逻辑回归分析考察了分娩经历对产妇心理健康的影响。
控制孕期和产后 3 个月的心理健康状况，消极的主观分娩经历会导致产妇在产后 6 个月内出现抑郁和焦虑。医护人员的护理质量对整体分娩体验的影响最大，且具有统计学意义。
分娩的主观体验是产后产妇抑郁和焦虑发生的可改变的危险因素。与产妇直接接触的医护人员可以通过敏感和尊重的护理来促进产妇的情绪健康。
