What makes labour and birth traumatic? A survey of intrapartum 'hotspots'
What makes labour and birth traumatic? A survey of intrapartum 'hotspots'
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DOI：
10.1080/08870446.2011.649755
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发表时间：
2012-01-01
影响因子：
3.3
通讯作者：
Ayers, Susan
中科院分区：
文献类型：
--
作者：
Harris, Rachel;Ayers, Susan
有证据表明，1%至6%的妇女在分娩后患上创伤后应激障碍（PTSD）。“热点”是创伤事件中极度痛苦的时刻，这些事件与创伤后应激障碍的症状有关。这项关于热点的横断面互联网调查研究了（1）产时热点的内容和（2）热点期间的特定事件，认知或情绪是否与PTSD有关。妇女（N = 675）经历了困难或创伤性出生完成了一份问卷调查，包括一个有效的措施PTSD，问题的存在热点，和一个新开发的措施的情绪和认知在热点。大多数妇女（67.4%）报告在分娩期间至少有一个热点，52.9%的妇女再次经历这些热点的症状。如果热点涉及恐惧和缺乏控制（比值比（OR）1.30，95%CI 1.17-1.43）或分娩期分离（OR 1.12，95%CI 1.05-1.19），女性更容易患PTSD。与婴儿并发症相比，如果热点涉及人际关系困难（OR 4.34，95%CI 2.15-8.77）或产科并发症（OR 3.35，95%CI 1.64-6.87），PTSD的风险更高。
Evidence suggests between 1% and 6% of women develop post-traumatic stress disorder (PTSD) after childbirth. 'Hotspots' are moments of extreme distress during traumatising events that are implicated in symptoms of PTSD. This cross-sectional internet survey of hotspots examined (1) the content of intrapartum hotspots and (2) whether particular events, cognitions or emotions during hotspots are related to PTSD. Women (N = 675) who experienced a difficult or traumatic birth completed a questionnaire composed of a validated measure of PTSD, questions concerning the existence of hotspots, and a newly developed measure of emotions and cognitions during hotspots. The majority of women (67.4%) reported at least one hotspot during birth and 52.9% had re-experiencing symptoms of these hotspots. Women were more likely to have PTSD if hotspots involved fear and lack of control (odds ratio (OR) 1.30, 95% CI 1.17-1.43) or intrapartum dissociation (OR 1.12, 95% CI 1.05-1.19). Risk of PTSD was higher if hotspots concerned interpersonal difficulties (OR 4.34, 95% CI 2.15-8.77) or obstetric complications (OR 3.35, 95% CI 1.64-6.87) compared to complications with the baby.