Post-traumatic stress disorder after childbirth in Nigerian women: prevalence and risk factors
Post-traumatic stress disorder after childbirth in Nigerian women: prevalence and risk factors
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DOI：
10.1111/j.1471-0528.2006.00861.x
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发表时间：
2006-03-01
影响因子：
5.8
通讯作者：
Ibigbami, OS
中科院分区：
文献类型：
--
作者：
Adewuya, AO;Ologun, YA;Ibigbami, OS
目的了解尼日利亚一组产后妇女分娩后创伤后应激障碍（PTSD）的患病率，并探讨其相关因素。设计横断面调查。在尼日利亚伊莱萨镇的五个保健中心设立产后诊所和婴儿免疫诊所。总共876名妇女在产后6周。方法产后6周对产妇进行PTSD评估。收集的其他数据包括人口统计学特征、妊娠和分娩细节以及新生儿结局。此外，还使用了以下测量方法：评估PTSD的MINI国际神经精神病学访谈，衡量配偶在婚姻关系中遇到的问题程度的婚姻满意度指数，衡量社会支持的医疗结果研究社会支持调查，衡量过去12个月生活压力的生活事件量表和衡量分娩期间母亲控制经验的劳动中介量表。主要结果测量尼日利亚产后妇女中PTSD的患病率，以及这种患病率与其他孕产妇和新生儿特征的关系。结果PTSD患病率为5.9%。与分娩后创伤后应激障碍独立相关的因素包括因妊娠并发症入院（OR 11.86, 95% CI 6.36-22.10）、器械分娩（OR 7.94, 95% CI 3.91-16.15）、紧急剖腹产（OR 7.31, 95% CI 3.53-15.10）、人工移除胎盘（OR 4.96, 95% CI 2.43-10.14）和分娩时母亲控制不良（OR 5.05, 95% CI 2.69-9.48）。结论尼日利亚妇女产后PTSD患病率略高于西方妇女。分娩后PTSD发展的有效预测模型有待开发和评估，旨在降低分娩后PTSD发病率的干预措施有待进一步研究。
Objective To estimate the prevalence of post-traumatic stress disorder (PTSD) after childbirth in a group of postpartum Nigerian women and to examine any associated factors.Design A cross-sectional survey.Setting Postnatal clinics and infant immunisation clinics of the five health centres in Ilesa Township, Nigeria.Population A total of 876 women at 6 weeks postpartum.Methods The postpartum women were assessed for PTSD at 6 weeks. Other data collected were demographic characteristics, details of pregnancy and delivery and neonatal outcome. Additionally, the following measures were used: the MINI International Neuropsychiatric Interview to assess PTSD, the Index of Marital Satisfaction to measure the degree of problem a spouse encounters in the marital relationship, the Medical Outcome Study Social Support Survey to measure social support, the Life Events Scale to measure the life stress covering the preceding 12 months and the Labour Agentry Scale that measures the maternal experiences of control during childbirth.Main outcome measures Prevalence of PTSD in this population of postpartum Nigerian women, and how this prevalence related to other maternal and neonatal characteristics.Results The prevalence of PTSD was 5.9%. The factors independently associated with PTSD after childbirth include hospital admission due to pregnancy complications (OR 11.86, 95% CI 6.36-22.10), instrumental delivery (OR 7.94, 95% CI 3.91-16.15), emergency caesarean section (OR 7.31, 95% CI 3.53-15.10), manual removal of placenta (OR 4.96, 95% CI 2.43-10.14) and poor maternal experience of control during childbirth (OR 5.05, 95% CI 2.69-9.48).Conclusions The prevalence of PTSD after childbirth in Nigerian women is slightly higher than those found in western culture. An effective model for the prediction of the development of PTSD after childbirth needs to be developed and evaluated, and interventions aimed at reducing the incidence of PTSD after childbirth need further research.