Persistence of anxiety symptoms after elective caesarean delivery.
Persistence of anxiety symptoms after elective caesarean delivery.
复制标题
剖腹产后，焦虑症状的持久性。
DOI：
10.1192/bjo.2018.48
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发表时间：
2018-09
期刊：
影响因子：
5.4
通讯作者：
John RM
中科院分区：
文献类型：
--
作者：
Janssen AB;Savory KA;Garay SM;Sumption L;Watkins W;Garcia-Martin I;Savory NA;Ridgway A;Isles AR;Penketh R;Jones IR;John RM
在英国，11.8%的孕妇接受选择性剖腹产（ELCS），每年分娩92,000例。目前尚不清楚这种手术对心理健康的长期影响有多大。目的：确定威尔士接受ELCS的妇女焦虑和抑郁症状的患病率和产后进展。在威尔士大学医院（2015-16;n = 308），通过在ELCS前1天和产后3个时间点完成爱丁堡产后抑郁量表（EPDS;≥13）和状态-特质焦虑量表（STAI;≥40）问卷，确定抑郁和焦虑的患病率。根据问卷确定产妇特征，并尽可能从国民保健服务的产妇记录中得到确认。使用这些标准，ELCS前1天报告的抑郁症状患病率为14.3% (95% CI 10.9-18.3)， 1周内为8.0% (95% CI 4.2-12.5)， 10周时为8.7% (95% CI 4.2-13.8)，产后1年为12.4% （95% CI 6.4-18.4）。在相同的阶段，报告的焦虑症状的患病率分别为27.3% （95% CI 22.5-32.4）、21.7% （95% CI 15.8-28.0）、25.3% （95% CI 18.5-32.7）和35.1% （95% CI 26.3-44.2）。分娩后1年以上ELCS仍未消除产前焦虑。接受ELCS的妇女经历了长期的产后焦虑，值得集中临床注意。没有。
In the UK, 11.8% of expectant mothers undergo an elective caesarean section (ELCS) representing 92 000 births per annum. It is not known to what extent this procedure has an impact on mental well-being in the longer term. To determine the prevalence and postpartum progression of anxiety and depression symptoms in women undergoing ELCS in Wales. Prevalence of depression and anxiety were determined in women at University Hospital Wales (2015–16; n = 308) through completion of the Edinburgh Postnatal Depression Scale (EPDS; ≥13) and State-Trait Anxiety Inventory (STAI; ≥40) questionnaires 1 day prior to ELCS, and three postpartum time points for 1 year. Maternal characteristics were determined from questionnaires and, where possible, confirmed from National Health Service maternity records. Using these criteria the prevalence of reported depression symptoms was 14.3% (95% CI 10.9–18.3) 1 day prior to ELCS, 8.0% (95% CI 4.2–12.5) within 1 week, 8.7% (95% CI 4.2–13.8) at 10 weeks and 12.4% (95% CI 6.4–18.4) 1 year postpartum. Prevalence of reported anxiety symptoms was 27.3% (95% CI 22.5–32.4), 21.7% (95% CI 15.8–28.0), 25.3% (95% CI 18.5–32.7) and 35.1% (95% CI 26.3–44.2) at these same stages. Prenatal anxiety was not resolved after ELCS more than 1 year after delivery. Women undergoing ELCS experience prolonged anxiety postpartum that merits focused clinical attention. None.
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作者：
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通讯作者：
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