Conceição Haylane Nunes da, Madeiro Alberto Pereira
Programa de Pós-graduação em Saúde e Comunidade, Universidade Federal do Piauí, Teresina, Brasil.
Cad Saude Publica. 2024 Sep 16;40(8):e00008024. doi: 10.1590/0102-311XPT008024. eCollection 2024.
This study aimed to analyze the relationship between disrespect and abuse during labor and the risk of postpartum depression. This is a cross-sectional study carried out with women from the rural and urban areas of Caxias, Maranhão State, Brazil. Postpartum depression was considered the dependent variable, assessed using the Edinburgh Postnatal Depression Scale. The independent variables were sociodemographic characteristics, mental health history, behavioral aspects, obstetric characteristics and self-perception of disrespect and abuse during labor. Pearson's chi-square test and multiple logistic regression were used to assess the association between postpartum depression and disrespect and abuse during labor. A total of 190 women were interviewed. The prevalence of postpartum depression was 16.3%. The occurrence of at least one type of disrespect and abuse during labor was 97.4%, with health system conditions and restrictions predominating (94.7%). More than half of the women (66.3%) suffered two forms of disrespect and abuse during labor, while three or more forms were reported by 22.6%. Suffering two (adjustedOR = 3.01; 95%CI 1.08-8.33) and three or more forms of disrespect and abuse during labor (adjustedOR = 3.41; 95%CI: 1.68-24.40) increased the chance of postpartum depression. There was a significant association between disrespect and abuse during labor and postpartum depression, and dignified and respectful care for women during childbirth were found to reduce the risk of postpartum depression symptoms.
本研究旨在分析分娩期间的不尊重和虐待与产后抑郁症风险之间的关系。这是一项对巴西马拉尼昂州卡希亚斯城乡地区妇女进行的横断面研究。产后抑郁症被视为因变量，采用爱丁堡产后抑郁量表进行评估。自变量包括社会人口学特征、心理健康史、行为方面、产科特征以及分娩期间不尊重和虐待的自我认知。采用Pearson卡方检验和多元逻辑回归来评估产后抑郁症与分娩期间不尊重和虐待之间的关联。共采访了190名妇女。产后抑郁症的患病率为16.3%。分娩期间至少发生一种不尊重和虐待行为的比例为97.4%，其中卫生系统状况和限制因素占主导（94.7%）。超过一半的妇女（66.3%）在分娩期间遭受两种形式的不尊重和虐待，而22.6%的妇女报告遭受三种或更多形式的不尊重和虐待。在分娩期间遭受两种（调整后比值比=3.01；95%置信区间1.08 - 8.33）和三种或更多形式的不尊重和虐待（调整后比值比=3.41；95%置信区间：1.68 - 24.40）会增加产后抑郁症的发生几率。分娩期间的不尊重和虐待与产后抑郁症之间存在显著关联，并且发现分娩期间对妇女给予有尊严和尊重的护理可降低产后抑郁症症状的风险。
