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[创伤性分娩与创伤敏感型产科支持]

[Traumatic childbirth and trauma-sensitive obstetric support].

作者信息

Weidner Kerstin, Bartmann Catharina, Leinweber Julia

机构信息

Klinik und Poliklinik für Psychotherapie und Psychosomatik, Medizinische Fakultät, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

Frauenklinik und Poliklinik, Universitätsklinikum Würzburg, Josef-Schneider-Str. 4, 97080, Würzburg, Deutschland.

出版信息

Nervenarzt. 2023 Sep;94(9):811-820. doi: 10.1007/s00115-023-01510-7. Epub 2023 Jun 23.

Abstract

Childbirth can be a very happy and empowering experience for women but also one of suffering and despair. Biographical traumatic experiences, especially sexual, physical and emotional violence, are risk factors for a traumatic childbirth experience with the danger of subsequent trauma sequelae and impaired mother-child bonding; however, obstetrically indicated interventions or poor communication in the delivery room can also primarily be experienced as traumatic.In recent years, policies affecting traumatic childbirth experience have been controversially and sometimes emotionally discussed. In the clinical obstetric routine there is often a fine line between medically necessary rapid interventions and emotionally supportive trauma-sensitive and preventive obstetric care. The following article addresses the causes and prevention strategies of traumatic childbirth experiences from obstetric, midwifery and psychotherapeutic perspectives.

摘要

分娩对女性来说可能是一段非常幸福且赋予力量的经历,但也可能是充满痛苦与绝望的过程。个人经历中的创伤性事件,尤其是性暴力、身体暴力和情感暴力,是导致分娩创伤经历的风险因素,存在后续创伤后遗症以及母婴关系受损的危险;然而,产科指征性干预措施或产房内沟通不畅也可能被直接体验为创伤性经历。近年来,关于影响分娩创伤经历的政策引发了争议性讨论,有时甚至涉及情绪化讨论。在临床产科常规操作中,在医学上必要的快速干预与对创伤敏感且具支持性的预防性产科护理之间,往往存在一条微妙的界限。以下文章将从产科、助产和心理治疗的角度探讨分娩创伤经历的成因及预防策略。

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