Potentially traumatic events, fear of childbirth and posttraumatic stress disorder during pregnancy in Stockholm, Sweden: A cross-sectional study
Potentially traumatic events, fear of childbirth and posttraumatic stress disorder during pregnancy in Stockholm, Sweden: A cross-sectional study
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DOI：
10.1016/j.srhc.2020.100516
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发表时间：
2020-10-01
影响因子：
1.8
通讯作者：
Magnusson, Asa
中科院分区：
文献类型：
--
作者：
Persson, Anna;Lindmark, Sofia;Magnusson, Asa
目的：估计潜在的创伤性事件（PTE）的患病率，分娩的恐惧（FOC），并支持它，以及创伤后应激障碍（PTSD）孕妇参加孕产妇保健在斯德哥尔摩，Sweden.Methods：进行了横断面研究。在斯德哥尔摩各大医院参加分娩准备讲座的孕妇被要求匿名填写问卷。主要结果的措施是患病率的PTE，FOC，支持FOC和PTSD.Results：一千一百五十七名妇女在怀孕后期参加讲座，准备分娩在医院在斯德哥尔摩，瑞典，被要求参加，945选择参加，导致81.7%的应答率。大多数孕妇，78.5%（95%置信区间（CI）75.6-81.3），报告至少经历过一次PTE。报告介绍了遭受不同类型暴力的普遍程度。在28.8%（95% CI 25.7-32.0）的孕妇中发现FOC，而只有10.9%（95% CI 10.5-11.2）的孕妇支持FOC。目前PTSD的患病率为4.1%（95%CI 2.8-5.8）。结论：大多数孕妇经历过PTEs，暴力的经验是常见的，因为是FOC。据估计，在瑞典斯德哥尔摩，大约每25名接受一般孕产妇护理的妇女中就有一名患有创伤后应激障碍。这突出表明需要防止暴力，发现患有FOC或PTSD的孕妇，为FOC制定循证治疗方法，并为PTSD提供此类治疗。
Objectives: To estimate the prevalence of potentially traumatic events (PTEs), fear of childbirth (FOC), and support for it as well as posttraumatic stress disorder (PTSD) among pregnant women attending maternal care in Stockholm, Sweden.Methods: A cross-sectional study was conducted. Pregnant women attending lectures in preparation for childbirth at the major hospitals in Stockholm were asked to complete questionnaires anonymously. Main outcome measures were the prevalence of PTEs, FOC, support for FOC and PTSD.Results: One thousand one hundred fifty-seven women in late pregnancy attending lectures in preparation for childbirth at hospitals in Stockholm, Sweden, were asked to participate, 945 chose to participate, resulting in a response rate of 81.7 percent. Most pregnant women, 78.5 percent (95% confidence interval (CI) 75.6-81.3), reported having experienced at least one PTE. The prevalence of having experienced different types of violence is presented. FOC was found among 28.8 percent (95% CI 25.7-32.0) of pregnant women, while only 10.9 percent (95% CI 10.5-11.2) received support for FOC. The prevalence of current PTSD was 4.1 percent (95% CI 2.8-5.8).Conclusions: The majority of pregnant women had experienced PTEs, and experiences of violence were common, as was FOC. Approximately one in 25 women attending general maternal care in Stockholm, Sweden, was estimated to have current PTSD. This highlights the need to prevent violence, find pregnant women suffering from FOC or PTSD, to develop an evidence-based treatment for FOC and to provide such treatment for PTSD.