Role of pelvic sensory signaling during delivery in postpartum mental health.
Role of pelvic sensory signaling during delivery in postpartum mental health.
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DOI：
10.1080/02646831003630039
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发表时间：
2010-01-01
影响因子：
2.5
通讯作者：
Powers SI
中科院分区：
文献类型：
--
作者：
Hayes UL;Balaban S;Smith JZ;Perry-Jenkins M;Powers SI
动物研究表明，分娩时骨盆感觉信号会引发行为和情绪变化，从而保护母亲和后代。相比之下，人类研究发现剖腹产（即阻断骨盆信号传导的手术）对母亲的心理健康没有影响。缺乏效果可能反映出很少考虑使用硬膜外麻醉，这是另一种阻断骨盆信号传导的干预措施。以下研究探讨了分娩过程中阻断骨盆信号传导是否可以预测产后抑郁症症状。纵向心理健康数据前瞻性地收集了 142 名剖腹产和/或接受硬膜外麻醉（干预）或未经麻醉阴道分娩（无干预）的初产妇女。测量从怀孕后期开始，一直持续到产后第一年。与不干预组相比，干预组的母亲在产后第一年末报告了更多的抑郁症状。这种效应独立于已知可预测抑郁症状水平的社会文化因素。这些结果表明，骨盆感觉信号可能有助于女性为产后做好准备。考虑到影响母亲心理健康的因素有很多，目前的研究结果表明，易患产后抑郁症的人群应在医学允许的情况下考虑在没有干预的情况下分娩。
Animal research demonstrates that pelvic sensory signaling at parturition initiates behavioral and emotional changes that are protective for mother and offspring. In contrast, research with humans has found no effect of cesarean delivery (i.e., procedure that blocks pelvic signaling) on mother's mental health. The lack of effect may reflect little consideration for the use of epidurals, another intervention that blocks pelvic signaling. The following study examines whether blocking pelvic signaling during delivery predicts postpartum depression symptomatology. Longitudinal mental health data were collected prospectively from 142 primiparous women who had a cesarean delivery and/or received epidural anesthesia (Intervention) or delivered vaginally without anesthesia (No-Intervention). Measurements began in late pregnancy and continued through the first postpartum year. Intervention mothers reported more depressive symptoms at the end of the first postpartum year compared to those in the No-Intervention group. This effect was independent of socio-cultural factors known to predict levels of depressive symptoms. These results suggest that pelvic sensory signaling may help to prepare women for the postpartum period. Considering there are many factors influencing the mental health of mothers, the present finding suggest that populations vulnerable to postpartum depression should consider a delivery without intervention, when medically permissible.