Cheetham R W, Rzadkowolski A
S Afr Med J. 1980 Nov 15;58(20):814-6.
The psychiatric complications occurring during the three stages of labour are described, together with those factors which predispose to delivery-room complications or abnormalities. The predisposing factors include conflicts in relation to feminine identity, repressed traumatic experiences during the early stages of psychosexual development, adverse social, educational and economic situation, and excessive fear and anxiety, particularly in the absence of support from the husband. The triad of fear-tension-pain, the influence of socio-economic and cultural factors, and the methods utilized to reduce both anxiety and fear are discussed. The interrelation between environmental, hormonal and psychological manifestations in the postpartum period is briefly described, with specific emphasis on depression.
本文描述了分娩三个阶段出现的精神科并发症，以及那些易引发产房并发症或异常情况的因素。诱发因素包括与女性身份认同相关的冲突、性心理发育早期被压抑的创伤经历、不利的社会、教育和经济状况，以及过度恐惧和焦虑，尤其是在缺乏丈夫支持的情况下。文中讨论了恐惧-紧张-疼痛三联征、社会经济和文化因素的影响，以及用于减轻焦虑和恐惧的方法。简要描述了产后环境、激素和心理表现之间的相互关系，特别强调了抑郁症。
