A Prospective Investigation of Prenatal Mood and Childbirth Perceptions in an Ethnically Diverse, Low-Income Sample.
A Prospective Investigation of Prenatal Mood and Childbirth Perceptions in an Ethnically Diverse, Low-Income Sample.
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DOI：
10.1111/birt.12221
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发表时间：
2016-06
期刊：
影响因子：
--
通讯作者：
Bush NR
中科院分区：
文献类型：
--
作者：
Congdon JL;Adler NE;Epel ES;Laraia BA;Bush NR
很少有研究将产前情绪作为识别有负面分娩经历风险的女性的一种手段。我们探讨产前情绪和出生的看法在社会经济上不同的，美国样本之间的关联。我们对136名主要是低收入和少数民族妇女进行了一项前瞻性研究。采用分娩经验问卷（CEQ; 1），产前测量感知压力、妊娠相关焦虑和抑郁症状，以预测产后一个月母亲对分娩经验的感知。在调整社会人口学变量和分娩方式后，孕晚期压力越高，CEQ总分越差。这种关联主要由两个CEQ领域解释：自己的能力（例如控制感和能力）和感知安全。怀孕相关的焦虑和抑郁症状与感知压力相关，但都不能独立预测出生经历。计划外剖腹产与CEQ总分较差相关。阴道分娩预测更大的感知安全。总的来说，社会人口统计学协变量、分娩方式和产前情绪解释了35%的分娩经历变异（p<0.001）。我们的发现是，产前压力可以解释分娩经历差异中很大一部分且可能具有临床意义，这表明女性通过一个透镜来感知和回忆她们的分娩经历，而这个透镜部分取决于先前存在的个人环境和情感储备。由于分娩的观念对孕产妇和儿童健康，患者满意度和医疗保健支出的影响，这些研究结果值得考虑产前压力筛查，以针对有负面分娩经历风险的妇女进行干预。
Few studies have examined prenatal mood as a means to identify women at risk for negative childbirth experiences. We explore associations between prenatal mood and birth perceptions in a socioeconomically diverse, American sample. We conducted a prospective study of 136 predominantly low-income and ethnic minority women of mixed parity. Prenatal measures of perceived stress, pregnancy-related anxiety, and depressive symptoms were used to predict maternal perceptions of birth experiences one month postpartum using the Childbirth Experience Questionnaire (CEQ; 1). After adjusting for sociodemographic variables and mode of delivery, higher third trimester stress predicted worse CEQ total scores. This association was predominantly explained by two CEQ domains: own capacity (e.g. feelings of control and capability) and perceived safety. Pregnancy-related anxiety and depressive symptoms correlated with perceived stress, though neither independently predicted birth experience. Unplanned cesareans were associated with a worse CEQ total score. Vaginal delivery predicted greater perceived safety. Altogether, sociodemographic covariates, mode of delivery, and prenatal mood accounted for 35% of the variance in birth experience (p<.001). Our finding that prenatal stress explains a significant and likely clinically meaningful proportion of the variance in birth experience suggests that women perceive and recall their birth experiences through a lens that is partially determined by preexisting personal circumstances and emotional reserves. Since childbirth perceptions have implications for maternal and child health, patient satisfaction, and healthcare expenditures, these findings warrant consideration of prenatal stress screening to target intervention for women at risk for negative birth experiences.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
DOI：
10.4088/jcp.08m04651
发表时间：
2009-09
期刊：
The Journal of clinical psychiatry
影响因子：
--
作者：
Bodnar LM;Wisner KL;Moses-Kolko E;Sit DK;Hanusa BH
通讯作者：
Hanusa BH
DOI：
10.1111/j.1552-6909.2012.01385.x
发表时间：
2012-11
期刊：
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
影响因子：
--
作者：
Alhusen JL;Gross D;Hayat MJ;Rose L;Sharps P
通讯作者：
Sharps P
DOI：
10.1111/j.1552-6909.2007.00203.x
发表时间：
2008-01-01
影响因子：
1.8
作者：
Bryanton, Janet;Gagnon, Anita J.;Hatem, Marie
通讯作者：
Hatem, Marie
影响因子：
9.8
作者：
Hodnett, ED
通讯作者：
Hodnett, ED