Barut Sümeyye, Uçar Tuba, Yılmaz Ayşe Nur
Department of Midwifery, Faculty of Health Sciences, Fırat University, Elazig, Turkey.
Department of Midwifery, Faculty of Health Sciences, Inonu University, Malatya, Turkey.
J Obstet Gynaecol. 2022 Oct;42(7):2729-2737. doi: 10.1080/01443615.2022.2106832. Epub 2022 Aug 5.
This study was conducted to identify and compare pregnant women's anxiety, depression, and birth satisfaction levels based on their traumatic childbirth perceptions. This study used a cross-sectional design. The data were collected at two stages, namely, the prenatal and postpartum stages. First, the Traumatic Childbirth Perception Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory were applied to the pregnant women. Next, in the postpartum period, the Childbirth Information Form and the Birth Satisfaction Scale-Revised were applied. It was found that the participants with high levels of traumatic childbirth perception had higher mean anxiety and depressive symptom scores (26.13 ± 11.30 and 16.16 ± 9.02, respectively), whereas the participants with low levels of traumatic childbirth perception had a higher mean birth satisfaction score (17.50 ± 4.91). The findings indicated that high levels of traumatic childbirth perception may lead to have anxiety and depression, while low levels of traumatic childbirth perception may enhance their birth satisfaction. IMPACT STATEMENT In the literature, it is stated that the perception of a traumatic birth can lead to permanent or long-term negative consequences in women's lives, negatively affecting their future health, subsequent birth experiences, and family relationships. In this study, 37.7% of the participants were found to have high levels of traumatic childbirth perception. It was determined that the anxiety and depression levels of the participants with high levels of perception of traumatic birth were higher, and the levels of birth satisfaction were higher in the pregnant women with low levels of perception of traumatic birth. The results indicated that severe depressive symptoms, severe anxiety, and low levels of birth satisfaction were likely to raise traumatic childbirth perception levels in pregnant women. The care to be given under the leadership of midwifery professionals is important in terms of reducing pregnant women's perceptions of a traumatic birth, anxiety, and depression levels and increasing their levels of birth satisfaction.
本研究旨在基于孕妇对创伤性分娩的认知，识别并比较她们的焦虑、抑郁及分娩满意度水平。本研究采用横断面设计。数据分两个阶段收集，即产前和产后阶段。首先，对孕妇应用创伤性分娩认知量表、贝克焦虑量表和贝克抑郁量表。接下来，在产后阶段，应用分娩信息表和修订后的分娩满意度量表。结果发现，创伤性分娩认知水平高的参与者焦虑和抑郁症状平均得分更高（分别为26.13±11.30和16.16±9.02），而创伤性分娩认知水平低的参与者分娩满意度平均得分更高（17.50±4.91）。研究结果表明，高创伤性分娩认知水平可能导致焦虑和抑郁，而低创伤性分娩认知水平可能提高分娩满意度。影响声明在文献中指出，创伤性分娩的认知会给女性生活带来永久性或长期的负面后果，对其未来健康、后续分娩经历及家庭关系产生负面影响。在本研究中，发现37.7%的参与者创伤性分娩认知水平较高。确定创伤性分娩认知水平高的参与者焦虑和抑郁水平更高，而创伤性分娩认知水平低的孕妇分娩满意度水平更高。结果表明，严重抑郁症状、严重焦虑和低分娩满意度可能会提高孕妇的创伤性分娩认知水平。在助产专业人员的引领下给予护理，对于降低孕妇对创伤性分娩的认知、焦虑和抑郁水平以及提高其分娩满意度至关重要。
