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土耳其早产分娩后的分娩相关创伤后应激障碍症状及相关因素

Birth-related PTSD symptoms and related factors following preterm childbirth in Turkey.

作者信息

Gökçe İsbir Gözde, İnci Figen, Kömürcü Akik Burcu, Abreu Wilson, Thomson Gill

机构信息

Midwifery Department, School of Health, Mersin University, Mersin, Turkey.

Psychiatric Nursing Department, Faculty of Zübeyde Hanım Health Sciences, Niğde Ömer Halisdemir University, Niğde, Turkey.

出版信息

Curr Psychol. 2022 Oct 29:1-12. doi: 10.1007/s12144-022-03805-5.

Abstract

: To examine factors associated with birth-related post-traumatic stress disorder (PTSD) among women who had preterm birth in their last pregnancy in Turkey.: 304 women were asked to report sociodemographic factors, perinatal factors, birth-related factors, preterm birth/premature infant characteristics, and social support factors and PTSD symptoms. Data were collected using online surveys between November 2020 and February 2021. Hierarchical multiple linear regression was used. : The prevalence of birth-related PTSD symptoms following preterm birth was 71.1. Older age, the woman being positively affected by her own mother's birth experience, not having traumatic experience in pregnancy and in the postnatal period, lower stress level after traumatic events experienced during birth, not feeling that their life/physical integrity was at risk during birth, having amniotomy, feeling psychologically well after childbirth, not being negatively affected by witnessing other parents' happy moments with their babies in friend/family groups, the absence of infant illness and mother's reporting higher positive interactions with healthcare team were associated with decreased likelihood of birth-related PTSD. Except for age and traumatic event in the postnatal period, all the variables explained 43 of the variance with a small effect size (  = 0.04). Stress level after the traumatic events experienced during labor was the strongest predictor of birth-related PTSD symptoms ( = 0.33). : Wellbeing of mother and baby, facilitating interventions at labor, and positive communication with the healthcare team was associated with lower birth-related PTSD symptoms. The study findings highlighted on birth-related PTSD symptoms in mothers of preterm infants in Turkey.

摘要

目的

探讨土耳其上次妊娠为早产的女性中与分娩相关创伤后应激障碍(PTSD)相关的因素。

方法

304名女性被要求报告社会人口学因素、围产期因素、分娩相关因素、早产/早产儿特征、社会支持因素及PTSD症状。2020年11月至2021年2月期间通过在线调查收集数据。采用分层多元线性回归分析。

结果

早产分娩后分娩相关PTSD症状的患病率为71.1%。年龄较大、自身母亲的分娩经历对女性有积极影响、在孕期和产后没有创伤经历、分娩时经历创伤事件后应激水平较低、在分娩时不觉得自己的生命/身体完整性受到威胁、进行了羊膜穿刺术、产后心理状态良好、在朋友/家庭群体中目睹其他父母与婴儿的幸福时刻未受到负面影响、婴儿无疾病以及母亲报告与医护团队有更多积极互动,这些因素与分娩相关PTSD的可能性降低有关。除年龄和产后创伤事件外,所有变量解释了43%的方差,效应量较小(f² = 0.04)。分娩时经历创伤事件后的应激水平是分娩相关PTSD症状的最强预测因素(β = 0.33)。

结论

母婴健康、分娩时的促进性干预措施以及与医护团队的积极沟通与较低的分娩相关PTSD症状有关。研究结果凸显了土耳其早产婴儿母亲的分娩相关PTSD症状。

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