Department of Anesthesiology, West Penn Hospital/Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
Obstetric Anesthesia, Department of Anesthesiology, West Penn Hospital/Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. Electronic address: https://twitter.com/coffin_erica.
Anesthesiol Clin. 2021 Dec;39(4):779-791. doi: 10.1016/j.anclin.2021.08.007.
The integration of trauma-informed care practices into the care of obstetric patients requires an understanding of psychological trauma, its impact on this population, and how trauma-informed care can be adapted to improve outcomes for those patients with a previous history of trauma or for those that experience peripartum trauma. System-based changes to policies, protocols, and practices are needed to achieve sustainable change. Maternal morbidity and mortality that result from trauma-related and other mental health conditions in the peripartum period are significant. Innovative approaches to the prevention of negative birth experiences and retraumatization during labor and delivery are needed.
将创伤知情护理实践整合到产科患者的护理中，需要了解心理创伤、其对这一人群的影响，以及如何调整创伤知情护理以改善有既往创伤史或在围产期经历创伤的患者的结局。需要对政策、协议和实践进行基于系统的改变，以实现可持续的改变。围产期与创伤相关和其他心理健康状况导致的产妇发病率和死亡率是显著的。需要创新的方法来预防分娩和分娩过程中的负面生育经历和再创伤。
