Department of Obstetrics & Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
J Obstet Gynaecol. 2022 Aug;42(6):1841-1846. doi: 10.1080/01443615.2022.2042796. Epub 2022 Apr 25.
The purpose of this paper was to assess the impact and the post-traumatic potential of late termination of pregnancy (TOP) and stillbirth on medical staff and characterise personal attributes that modulate these possible outcomes. Fifty-one participants involved in the treatment of women undergoing late TOPs and stillbirths answered questionnaires including demographics, Neuroticism subscale of the Big Five Inventory (BFI), Life Orientation Test-Revised (LOT-R), Posttraumatic Diagnostic Scale (PDS), Brief Symptom Inventory (BSI-18) and questions regarding exposure to stillbirths and late TOPs. None of the participants met the full post-traumatic stress disorder (PTSD) criteria. A correlation with a marginal significance was found between the number of TOP's/stillbirths attended during the past year and traumatic symptoms. Neuroticism moderated the association between presence in TOP's/stillbirths and post-traumatic symptoms among those who attended this event over the past month. According to our results, medical personnel do not appear to develop long-term and lingering posttraumatic symptoms following attending TOP's/stillbirths. Impact Statement There is a very little research on the ways in which medical personnel respond to Stillbirths, late miscarriages and terminations of pregnancy (TOP) of their patients and on the possible effect of their personality traits in this response. According to our results, medical personnel do not appear to develop long-term and lingering posttraumatic symptoms following attending TOP's/stillbirths. Further studies are warranted to better assess the impact of exposure to traumatic events in general and on the effect of late TOP and stillbirths in particular, on medical personnel and to identify interventions that may prevent posttraumatic symptoms among staff members when they happen.
本文旨在评估晚期终止妊娠（TOP）和死胎对医务人员的影响和创伤后潜在风险，并描述可能调节这些结果的个人属性。 51 名参与晚期 TOP 和死胎治疗的参与者回答了包括人口统计学、大五人格量表（BFI）的神经质分量表、生活取向测验修订版（LOT-R）、创伤后诊断量表（PDS）、简明症状量表（BSI-18）和有关接触死胎和晚期 TOP 的问题的问卷。 没有参与者符合完全创伤后应激障碍（PTSD）标准。 在过去一年中参加的 TOP 或死胎数量与创伤症状之间发现了具有边缘意义的相关性。 在过去一个月内参加过此类事件的人中，神经质程度调节了 TOP 或死胎的存在与创伤后症状之间的关联。 根据我们的结果，医务人员在参加 TOP 或死胎后似乎不会出现长期和持久的创伤后症状。 研究意义 关于医务人员如何应对患者的死胎、晚期流产和终止妊娠（TOP），以及他们的个性特征在这种反应中的可能影响，研究甚少。 根据我们的结果，医务人员在参加 TOP 或死胎后似乎不会出现长期和持久的创伤后症状。 需要进一步的研究来更好地评估一般创伤性事件暴露以及晚期 TOP 和死胎对医务人员的影响，并确定在发生时可能预防工作人员创伤后症状的干预措施。
