First-time parents' prenatal to postpartum changes in health, and the relation of postpartum health to work and partner characteristics
First-time parents' prenatal to postpartum changes in health, and the relation of postpartum health to work and partner characteristics
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DOI：
10.3122/jabfm.16.4.304
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发表时间：
2003-07-01
期刊：
影响因子：
--
通讯作者：
Center, BA
中科院分区：
文献类型：
--
作者：
Gjerdingen, DK;Center, BA
背景：本研究的目的是评估首次父母的身心健康在产前和产后的变化，并描述父母产后健康的社会和健康预测因素。方法：本前瞻性研究对261名怀孕期间和产后6个月的准父母进行了健康、伴侣和工作特征调查。采用配对t检验评估产后健康变化，采用多元回归分析确定产后健康的预测因素。结果：父亲和母亲都经历了产后生活质量的显著下降。此外，据报告，父亲在分娩后生病的天数增加，总体健康和活力下降。尽管母亲们的睡眠时间减少了，但她们的活力却增加了。父母的产后健康与母亲的伴侣满意度、病假天数减少和某些工作特征（如总工作时间和父母之间的工作平衡）有关。结论：母亲和父亲的健康状况在他们的第一个孩子出生后至少持续了6个月。值得注意的是，产后健康与伴侣满意度和工作特征有关。这些信息可用于制定干预措施，以改善父母在这一脆弱时期的健康状况。
Background: The purpose of this study was to evaluate prenatal to postnatal changes in first-time parents' physical and mental health, and to describe social and health predictors of parents' postpartum health.Methods: This prospective study surveyed 261 expectant fathers and mothers during pregnancy and again at 6 months' postpartum regarding their health, partner, and work characteristics. Postpartum changes in health were evaluated by paired t tests, and predictors of postpartum health were determined using multiple regression analyses.Results: Both fathers and mothers experienced significant postpartum declines in perceived quality of life. In addition, fathers reported an increase in the number of days ill and a decrease in general health and vitality after childbirth. Mothers perceived an increase in vitality despite their diminishing sleep. Parents' postpartum health was associated with mothers' partner satisfaction, fewer illness days, and certain work characteristics, such as total work time and the balance of work between mothers and fathers.Conclusions: Both mothers and fathers experienced declines in health that persisted at least 6 months after the birth of their first child. Notably, postpartum health was associated with partner satisfaction and work characteristics. This information might be used to develop interventions for improving parents' health during this vulnerable time.