Department of Midwifery, University of West Attica, Egaleo, Greece.
Department of Midwifery, University of Western Macedonia, Keptse, Ptolemaida, Greece.
J Mother Child. 2023 Nov 3;27(1):158-167. doi: 10.34763/jmotherandchild.20232701.d-23-00056. eCollection 2023 Jun 1.
The experience of a neonate hospitalised in the Neonatal Intensive Care Unit (NICU) is an understandably traumatic experience for the parents, especially, for the mothers of neonates. This mental distress resulting from preterm birth and/or NICU hospitalisation can be understood as post-traumatic symptomatology, according to the Diagnostic and Statistical Manual-5 version. The aim of this study is to investigate the impact of the admission of a neonate to the NICU (from any reason) on the development of postpartum post-traumatic stress disorder (PTSD) in a sample of women after cesarean sections.
A total of 469 women who gave birth with cesarean section from July 2019 to June 2020 participated in this study, from the original sample of 490 women who consented to participate. Data were obtained from the researcher's socio-demographic questionnaire, the past traumatic Life Events Checklist, the perinatal stressor Criterion A, and the Post-Traumatic Stress Checklist from the Diagnostic and Statistical Manual-5 version.
A percentage of 46.64% of sample experienced postpartum PTSD. Factors associated with PTSD were placenta previa type4, abruption, bleeding (β = .07, p = .049), premature contractions (β = .08, p = .039), heavy medical history or previous gynecological history and preeclampsia (β = .08, p = .034), abnormal heart rate, premature rupture of membrane, premature contractions, infections (β = .14, p = .004), life of child in danger (β = .12, p = .025), complications involving child (β = .15, p = .002), complications involving both (child and mother) (β = .12, p = .011), traumatic cesarean section (β = .041, p < .001) and prematurity (β = .12, p = .022).
Additional measures must be taken for mothers of children who have been admitted to the NICU with psychological support interventions and reassessment of their mental state.
对于父母来说，新生儿在新生儿重症监护病房（NICU）住院的经历是一次可以理解的创伤性经历，尤其是对于新生儿的母亲来说。根据《诊断与统计手册-5 版》，早产儿和/或 NICU 住院引起的这种精神困扰可以被理解为创伤后症状。本研究的目的是调查新生儿因任何原因入住 NICU 对剖宫产后产妇产后创伤后应激障碍（PTSD）发展的影响。
共有 469 名 2019 年 7 月至 2020 年 6 月期间剖宫产分娩的妇女参与了本研究，这是最初同意参与的 490 名妇女中的一部分。数据来自研究人员的社会人口学问卷、过去创伤性生活事件检查表、围产期应激源标准 A 和《诊断与统计手册-5 版》中的创伤后应激检查表。
样本中有 46.64%的人经历了产后 PTSD。与 PTSD 相关的因素包括胎盘前置 4 型、胎盘早剥、出血（β=0.07，p=0.049）、早产宫缩（β=0.08，p=0.039）、重度医疗史或既往妇科史和子痫前期（β=0.08，p=0.034）、心率异常、胎膜早破、早产宫缩、感染（β=0.14，p=0.004）、孩子生命危险（β=0.12，p=0.025）、涉及孩子的并发症（β=0.15，p=0.002）、涉及孩子和母亲的并发症（β=0.12，p=0.011）、创伤性剖宫产（β=0.041，p<0.001）和早产（β=0.12，p=0.022）。
必须采取额外措施为入住 NICU 的儿童的母亲提供心理支持干预，并重新评估她们的精神状态。
