Wonner Nana-Rosa, Koehnlein Annalena, Sommerlad Sarah, Rohrmann Sonja, Louwen Frank, Schermelleh-Engel Karin, Oddo-Sommerfeld Silvia
Goethe-Universität Frankfurt, Universitätsklinikum Frankfurt, Geburtshilfe und Pränatalmedizin, Frankfurt am Main, Germany.
Goethe-Universität Frankfurt, Institut für Psychologie, Frankfurt am Main, Germany.
Psychother Psychosom Med Psychol. 2025 Feb;75(2):85-94. doi: 10.1055/a-2510-4223. Epub 2025 Feb 14.
Social support is a key factor in mental health. Obstetric wards can promote social support by providing family rooms. Family rooms are not yet universally accessible. Studies on their influence on the maternal psyche are also lacking. The present study examines the mental health of women with and without accommodation in a family room on an obstetric ward.113 patients filled in standardized scales on anxiety, depression, psychological well-being and post-traumatic stress symptoms 1-3 days postpartum. In addition, obstetric data of birth mode, pregnancy and birth complications were collected. Recruitment during strict pandemic visiting restrictions made it possible to compare women in the family room (constant presence of the partner) and women without a family room (without any visits).In the overall sample, anxiety (22.6%) and lack of psychological well-being (33.6%) were particularly evident. The two groups did not differ in terms of mental health, but women with birth complications and an unplanned birth mode in the family room had significantly lower anxiety scores than women without a family room.Women with birth complications exhibited higher post-traumatic stress symptoms overall. Additionally, women in the family room were significantly more often primipara, they more often had an unplanned birth mode and they differed in the frequency of their birth complications.This study provides first evidence for a psychoprotective influence of family rooms on anxiety in patients with previous complications and unplanned birth modes. A discussion on promoting family rooms, especially for patients with peripartal complications, appears necessary. Further studies on the effectiveness of family rooms are required.
社会支持是心理健康的关键因素。产科病房可通过提供家庭房来促进社会支持。然而，家庭房尚未普及，且缺乏关于其对产妇心理影响的研究。本研究调查了产科病房中入住和未入住家庭房的女性的心理健康状况。113名患者在产后1至3天填写了关于焦虑、抑郁、心理健康和创伤后应激症状的标准化量表。此外，还收集了分娩方式、妊娠和分娩并发症等产科数据。在严格的疫情探访限制期间进行招募，使得能够比较入住家庭房的女性（伴侣始终在场）和未入住家庭房的女性（无任何探访）。
在总体样本中，焦虑（22.6%）和心理健康状况不佳（33.6%）尤为明显。两组在心理健康方面没有差异，但家庭房中出现分娩并发症且分娩方式为非计划内的女性，其焦虑得分显著低于未入住家庭房的女性。总体而言，出现分娩并发症的女性创伤后应激症状更高。此外，入住家庭房的女性初产妇比例显著更高，她们的分娩方式更常为非计划内，且分娩并发症的发生率也有所不同。
本研究首次证明了家庭房对既往有并发症和非计划内分娩方式的患者的焦虑具有心理保护作用。有必要就推广家庭房进行讨论，尤其是为围产期并发症患者。还需要进一步研究家庭房的有效性。
