Özkan Asibe, Dissiz Melike, Acar Zehra, Mamuk Rojjin
Health Science University, Hamidiye Faculty of Nursing - İstanbul, Turkey.
Eastern Mediterranean University, Faculty of Health Sciences - Famagusta, Cyprus.
Rev Assoc Med Bras (1992). 2025 Mar 17;71(1):e20241331. doi: 10.1590/1806-9282.20241331. eCollection 2025.
The aim of this study was to evaluate the effects of an earthquake experienced during pregnancy on maternal stress, depression, and perinatal outcomes.
This descriptive-comparative study was conducted between April and May 2023 in four state hospitals affiliated to the Ministry of Health with 82 mothers (affected by the earthquake=41, not affected by the earthquake=41) who gave birth. Data were obtained with the Personal Information Form, Edinburgh Postpartum Depression Scale, and Traumatic Stress Symptom Checklist.
The mean age of the mothers who were earthquake affected in the study was 27.63±5.62. It was determined that earthquake-affected mothers gave birth prematurely and the birth weight of their infants was lower (p<0.05). It was determined that all of the earthquake-affected mothers experienced more stress according to the Traumatic Stress Symptom Checklist scale cut-off score (>25) and 73.2% of them showed more depressive symptoms according to the Edinburgh Postpartum Depression Scale cut-off score (>13) (p<0.05). According to multivariate regression analysis, early gestational age and depressive symptoms were found to be risk factors for posttraumatic stress in mothers affected by the earthquake (p<0.05).
The study concluded that the earthquake-affected mothers showed depressive symptoms at least 6 weeks after giving birth, and all had increased levels of posttraumatic stress.
本研究旨在评估孕期经历地震对母亲压力、抑郁及围产期结局的影响。
本描述性比较研究于2023年4月至5月在卫生部下属的四家国立医院进行，研究对象为82名分娩的母亲（受地震影响=41名，未受地震影响=41名）。通过个人信息表、爱丁堡产后抑郁量表和创伤应激症状清单获取数据。
研究中受地震影响的母亲平均年龄为27.63±5.62岁。结果显示，受地震影响的母亲早产，其婴儿出生体重较低（p<0.05）。根据创伤应激症状清单量表临界值（>25）判定，所有受地震影响的母亲均经历了更多压力，且根据爱丁堡产后抑郁量表临界值（>13）判定，其中73.2%的母亲表现出更多抑郁症状（p<0.05）。多元回归分析显示，孕早期和抑郁症状是受地震影响母亲创伤后应激的危险因素（p<0.05）。
该研究得出结论，受地震影响的母亲在分娩后至少6周出现抑郁症状，且所有人的创伤后应激水平均有所升高。
