Rådestad I, Steineck G, Nordin C, Sjögren B
Department of Woman and Child Health, Karolinska Hospital, Stockholm, Sweden.
Gynecol Obstet Invest. 1996;41(3):194-8. doi: 10.1159/000292267.
Prevalence and determinants of long-term psychosocial morbidity among women giving birth to a stillborn child are largely unknown. Few, if any, systematic epidemiologic studies are available. In this pilot study we investigated one alternative way to collect data from relevant patient populations and formulated some hypotheses. Moreover, questions found unhelpful in this context were identified, e.g., whether the mother had bathed her dead child or not. Fruitful hypotheses found worthwhile testing were, among others: the risk of long-term anxiety-related symptoms is reduced if (1) the woman has seen her stillborn child, (2) she has an ultrasonic or photographic picture of the child, and (3) she has gone through a ritual, primarily burial of the child; moreover, (4) divorce may be a social consequence of the intrauterine loss of a child.
死产儿母亲长期心理社会疾病的患病率及其决定因素在很大程度上尚不清楚。几乎没有(如果有的话)系统性的流行病学研究。在这项试点研究中,我们调查了一种从相关患者群体收集数据的替代方法,并提出了一些假设。此外,还确定了在此背景下无用的问题,例如母亲是否给死产儿洗澡。值得进行检验的有价值的假设包括:如果(1)女性见过她的死产儿,(2)她有孩子的超声或照片,(3)她经历了一种仪式,主要是孩子的埋葬,长期焦虑相关症状的风险会降低;此外,(4)离婚可能是子宫内胎儿丢失的社会后果。