Department of Psychology, University of Utah, 380 South 1530 East, BEH S 502, Salt Lake City, UT84112, USA.
Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC27701, USA.
Dev Psychopathol. 2024 May;36(2):533-544. doi: 10.1017/S0954579422001389. Epub 2023 Jan 26.
Despite recent applications of a developmental psychopathology perspective to the perinatal period, these conceptualizations have largely ignored the role that childbirth plays in the perinatal transition. Thus, we present a conceptual model of childbirth as a bridge between prenatal and postnatal health. We argue that biopsychosocial factors during pregnancy influence postnatal health trajectories both directly and indirectly through childbirth experiences, and we focus our review on those indirect effects. In order to frame our model within a developmental psychopathology lens, we first describe "typical" biopsychosocial aspects of pregnancy and childbirth. Then, we explore ways in which these processes may deviate from the norm to result in adverse or traumatic childbirth experiences. We briefly describe early postnatal health trajectories that may follow from these birth experiences, including those which are adaptive despite traumatic childbirth, and we conclude with implications for research and clinical practice. We intend for our model to illuminate the importance of including childbirth in multilevel perinatal research. This advancement is critical for reducing perinatal health disparities and promoting health and well-being among birthing parents and their children.
尽管最近将发展心理病理学的观点应用于围产期，但这些概念在很大程度上忽略了分娩在围产期转变中的作用。因此，我们提出了一个将分娩视为产前和产后健康之间桥梁的概念模型。我们认为，怀孕期间的生物心理社会因素既可以直接影响产后健康轨迹，也可以通过分娩经历间接影响，我们的综述重点关注这些间接影响。为了在发展心理病理学的视角下构建我们的模型，我们首先描述了妊娠和分娩的“典型”生物心理社会方面。然后，我们探讨了这些过程可能偏离常态从而导致不良或创伤性分娩经历的方式。我们简要描述了可能由这些分娩经历所导致的早期产后健康轨迹，包括尽管分娩经历创伤但仍具有适应性的轨迹，最后我们讨论了对研究和临床实践的意义。我们希望我们的模型能够阐明在多层次围产期研究中纳入分娩的重要性。这一进展对于减少围产期健康差距以及促进分娩父母及其子女的健康和福祉至关重要。
