分娩经历与长期心理结局的关联：一项前瞻性队列研究。
Association of childbirth experience with long-term psychological outcomes: a prospective cohort study.
机构信息
Department of Midwifery, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
Reprod Health. 2024 May 30;21(1):71. doi: 10.1186/s12978-024-01819-9.
BACKGROUND
There has been limited research on the lasting impact of giving birth on both mothers and infants. This study aimed to investigate women's memories of their childbirth experience 4 months and 4 years after giving birth. Additionally, it aimed to examine how the childbirth experience is linked to women's mental health, sexual satisfaction, exclusive breastfeeding, and the type of subsequent birth.
METHODS
In this prospective cohort study, a total of 580 women giving birth in Tabriz hospitals in 2018 were followed up for 4 years. The data were collected using a childbirth experience questionnaire, a mental health inventory, and a sexual satisfaction scale for women, and were analyzed by a Pearson correlation test, an independent samples t-test, and a general linear model.
RESULTS
The total scores of the childbirth experience in two short-term (4 months) and long-term (4 years) time points following the birth had a significant and strong correlation with each other (r = .51; p < .001). After adjusting for the effects of socio-demographic and obstetric characteristics, sexual satisfaction had significant relationships with childbirth experience (p < .001) and postpartum complications (p < .001). In addition, mental health had significant relationships with childbirth experience (p < .001), postpartum complications (p < .001), and low income (p = .004).
CONCLUSIONS
Even 4 years after giving birth, women have a clear recall of their childbirth experience. This experience has a significant association with long-term outcomes such as sexual satisfaction, mental health, exclusive breastfeeding, and subsequent birth type.
背景
关于分娩对母婴的长期影响，相关研究有限。本研究旨在调查女性分娩 4 个月和 4 年后对分娩经历的记忆，并探讨分娩经历与女性心理健康、性满意度、纯母乳喂养以及后续分娩类型的关系。
方法
本前瞻性队列研究随访了 2018 年在大不里士医院分娩的 580 名女性，随访时间为 4 年。采用分娩经历问卷、心理健康量表和女性性满意度量表收集数据，并采用 Pearson 相关检验、独立样本 t 检验和一般线性模型进行分析。
结果
分娩后两个短期（4 个月）和长期（4 年）时间点的分娩经历总分之间具有显著的强相关性（r=0.51；p<0.001）。调整社会人口学和产科特征的影响后，性满意度与分娩经历（p<0.001）和产后并发症（p<0.001）显著相关。此外，心理健康与分娩经历（p<0.001）、产后并发症（p<0.001）和低收入（p=0.004）显著相关。
结论
即使在分娩 4 年后，女性仍能清晰回忆起分娩经历。该经历与性满意度、心理健康、纯母乳喂养和后续分娩类型等长期结局显著相关。
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