Ryding E L, Wijma K, Wijma B
Department of Obstetrics and Gynaecology, Central Hospital, Helsingborg, Sweden.
J Psychosom Obstet Gynaecol. 1998 Sep;19(3):135-44. doi: 10.3109/01674829809025691.
The purpose of the study was to compare the psychological reactions of women after emergency Cesarean section (EmCS), elective Cesarean section (ElCS), instrumental vaginal delivery (IVD) and normal vaginal delivery (NVD). The participants (EmCS, n = 71, ElCS, n = 70, IVD, n = 89, and NVD, n = 96) answered questionnaires a few days postpartum and 1 month postpartum. The EmCS group reported the most negative delivery experience at both times, followed by the IVD group. At a few days postpartum the EmCS group experienced more general mental distress than the NVD group, but not when compared with the ElCS or the IVD groups. At 1 month postpartum the EmCS group showed more symptoms of post-traumatic stress than the ElCS and NVD groups, but not when compared to the IVD group. An unplanned instrumental delivery (EmCS or IVD) should be regarded as a pointer with respect to possible post-traumatic stress.
本研究的目的是比较急诊剖宫产（EmCS）、择期剖宫产（ElCS）、器械助产阴道分娩（IVD）和正常阴道分娩（NVD）后女性的心理反应。参与者（EmCS组71例、ElCS组70例、IVD组89例、NVD组96例）在产后几天和产后1个月回答问卷。EmCS组在两个时间点均报告了最负面的分娩经历，其次是IVD组。产后几天，EmCS组比NVD组经历了更多的一般心理困扰，但与ElCS组或IVD组相比则不然。产后1个月，EmCS组比ElCS组和NVD组表现出更多的创伤后应激症状，但与IVD组相比则不然。非计划的器械助产分娩（EmCS或IVD）应被视为可能发生创伤后应激的一个指标。
