Department of Psychology, Lomonosov Moscow State University, Moscow 119991, Russia.
Int J Environ Res Public Health. 2023 Jun 4;20(11):6048. doi: 10.3390/ijerph20116048.
The aim of this study was to investigate the association of postpartum post-traumatic stress disorder (PP-PTSD) symptoms and subjective rates of traumatic birth experience with past traumatic life events (physical and sexual assault, child abuse, perinatal loss, previous traumatic birth experience, and the cumulative traumatic experience). A sample of Russian women ( = 2579) who gave birth within the previous 12 months, filled in a web-based survey, where they reported demographic and obstetric characteristics and past traumatic experiences, evaluated their birth experience (0 = not traumatic, 10 = extremely traumatic), and completed the City Birth Trauma Scale (CBiTS). We found that PP-PTSD symptoms were higher among women who previously experienced physical (F = 22.02, < 0.001) and sexual (F = 15.98, < 0.001) assault and child abuse (F = 69.25, < 0.001), with only associations with child abuse (F = 21.14, < 0.001) remaining significant for subjective rates of traumatic birth experience. Perinatal loss and previous traumatic birth showed moderate but inconsistent effects. Support during labor did not have a buffering effect for participants with past traumatic experiences but showed a universally protective effect against PP-PTSD. Trauma-informed practices and allowing women to have a supportive birth team of choice during childbirth are promising avenues to minimize the incidence of PP-PTSD and improve the childbirth experience for all women.
这项研究的目的是调查产后创伤后应激障碍（PP-PTSD）症状和主观创伤性分娩经历与过去创伤性生活事件（身体和性侵犯、儿童虐待、围产期丧失、先前创伤性分娩经历和累积创伤经历）之间的关联。研究对象为俄罗斯女性（n=2579），她们在过去 12 个月内分娩，填写了一份在线调查，报告了人口统计学和产科特征以及过去的创伤经历，评估了她们的分娩经历（0=非创伤性，10=极度创伤性），并完成了城市分娩创伤量表（CBiTS）。研究发现，有身体（F=22.02，<0.001）和性（F=15.98，<0.001）侵犯、儿童虐待（F=69.25，<0.001）经历的女性出现 PP-PTSD 症状的风险更高，而只有主观创伤性分娩经历与儿童虐待（F=21.14，<0.001）仍有关联。围产期丧失和先前的创伤性分娩经历则表现出中等但不一致的影响。分娩期间的支持对有过去创伤经历的参与者没有缓冲作用，但对预防 PP-PTSD 具有普遍的保护作用。对创伤知情的实践和允许女性在分娩期间选择有支持的分娩团队，是减少 PP-PTSD 发生率和改善所有女性分娩体验的有前途的途径。
