Traumatic childbirth during COVID-19 triggers maternal psychological growth and in turn better mother-infant bonding.
Traumatic childbirth during COVID-19 triggers maternal psychological growth and in turn better mother-infant bonding.
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DOI：
10.1016/j.jad.2022.06.076
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发表时间：
2022-09-15
影响因子：
6.6
通讯作者：
Dekel, Sharon
中科院分区：
文献类型：
--
作者：
Babu, Mrithula S.;Chan, Sabrina J.;Ein-Dor, Tsachi;Dekel, Sharon
关键词：
虽然创伤后心理发育发生在应激事件之后，但缺乏关于在新型冠状病毒(新冠肺炎)大流行期间分娩导致的母亲心理发育的知识。我们对2205名在疫情期间分娩的妇女和540名以前生育的妇女的样本进行了PTG与近期分娩相关的评估(创伤后成长问卷)。他们还提供了与出生有关的创伤应激(创伤周围痛苦问卷；创伤后应激障碍检查表)、母婴纽带(母亲依恋问卷)和母乳喂养的信息。近三分之二(60.45%)的参与者报告了与分娩相关的PTG，其中对生活的感激程度最高。在新冠肺炎分娩期间或之前，PTG患病率的组间差异无统计学意义(χ2=0.35，P=0.84)。一个多组调解模型显示，在大流行期间的分娩中，与分娩相关的急性应激与PTG升高有关(β=0.07，P<0.001)；反过来，PTG与较低的创伤后应激症状(β=−=0.06，P<0.001)和更好的母婴纽带(β=100.22，P<0.001)有关。通过PTG的这些间接途径在大流行之前的交付中并不重要。依赖于方便的样本、自我报告和横断面设计可能会带来偏见。在大流行期间，有相当一部分妇女认可分娩所带来的积极的产妇心理变化，并可能因应分娩创伤而随之而来。在一个重要的时期，母亲的成长进一步牵涉到成功的产后调整和积极的母婴互动。因此，将临床注意力引导到母亲心理成长的机会上可能会有好处，特别是对于面临分娩创伤经历不良后果风险的妇女。
Although posttraumatic psychological growth (PTG) occurs following stressful events, knowledge of maternal psychological growth as a result of giving birth during the novel coronavirus (COVID-19) pandemic is lacking. We assessed PTG associated with recent childbirth (Posttraumatic Growth Inventory) in a sample of 2205 women who gave birth during the pandemic and 540 who gave birth before. They also provided information about birth-related traumatic stress (Peritraumatic Distress Inventory; PTSD Checklist), mother-infant bonding (Maternal Attachment Inventory), and breastfeeding. Close to two thirds (60.45 %) of participants reported childbirth-related PTG with greater appreciation of life endorsed most frequently. No group differences in PTG prevalence were noted between deliveries during or before COVID-19 (χ2 = 0.35, p = 0.84). A multigroup mediation model revealed that in deliveries during the pandemic, childbirth-related acute stress was linked with elevated PTG (β = 0.07, p < 0.01); in turn, PTG was associated with lower posttraumatic stress symptoms (β = −0.06, p < 0.05) and better mother-infant bonding (β = 0.22, p < 0.001). These indirect paths via PTG were not significant in deliveries before the pandemic. Reliance on a convenient sample, self-reports, and cross-sectional design may introduce bias. Perceived positive maternal psychological changes as a result of childbirth are endorsed by a significant portion of women during the pandemic and can ensue in response to traumatic childbirth. Maternal growth is further implicated in successful postpartum adjustment and positive mother-infant interactions during an important period. Hence, directing clinical attention to opportunities of maternal psychological growth may have benefits especially for women at risk for the adverse outcomes of exposure to traumatic experiences of childbirth.
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影响因子：
15.1
作者：
Townsend R;Chmielewska B;Barratt I;Kalafat E;van der Meulen J;Gurol-Urganci I;O'Brien P;Morris E;Draycott T;Thangaratinam S;Doare KL;Ladhani S;Dadelszen PV;Magee LA;Khalil A
通讯作者：
Khalil A
影响因子：
3.7
作者：
Basu A;Kim HH;Basaldua R;Choi KW;Charron L;Kelsall N;Hernandez-Diaz S;Wyszynski DF;Koenen KC
通讯作者：
Koenen KC
影响因子：
4.5
作者：
Berman, Zohar;Thiel, Freya;Dekel, Sharon
通讯作者：
Dekel, Sharon
影响因子：
6.3
作者：
Dekel, Sharon;Ein-Dor, Tsachi;Solomon, Zahava
通讯作者：
Solomon, Zahava
影响因子：
3.3
作者：
Tedeschi, Richard G.;Cann, Arnie;Calhoun, Lawrence G.
通讯作者：
Calhoun, Lawrence G.