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妊娠中および産後のトラウマ的出産知覚とその産後のメンタルヘルスの転帰：前向き縦断的研究
Traumatic childbirth perception during pregnancy and the postpartum period and its postnatal mental health outcomes: a prospective longitudinal study.
PMID: 32673072 DOI: 10.1080/02646838.2020.1792429.
抄録
目的:
本研究の目的は，妊娠中および産後の外傷性分娩の認知と，外傷性分娩認知の産後のメンタルヘルスアウトカムを明らかにすることであった。
OBJECTIVE: The aim of this study was to determine the perception of traumatic childbirth during pregnancy and the postpartum period and the postnatal mental health outcomes of traumatic childbirth perception.
方法:
この記述的縦断的研究は、2017年12月から2018年6月までトルコで実施された。本研究では、妊娠36～40週目の妊婦248名を対象とした。妊婦には、Scale of Traumatic Childbirth Perception(STCP)とHealth Anxiety Inventoryを投与した。女性には産後3～6週間にSTCPとDepression, Anxiety and Stress Scaleが投与された。
METHODS: This descriptive-longitudinal study was conducted from December 2017 to June 2018 in Turkey. The study included 248 pregnant women who were in weeks 36-40 of their pregnancies. The pregnant women were administered the Scale of Traumatic Childbirth Perception(STCP) and the Health Anxiety Inventory. The women were administered the STCP and the Depression, Anxiety and Stress Scale three to six weeks after childbirth.
結果:
健康不安が高い妊婦の平均外傷性出産認知スコアは有意に高く（＝0.01），自分の能力や力を信頼しておらず，陣痛に対処できないと考えている妊婦の外傷性出産認知は高かった（＝0.000）。21％の女性が産後のトラウマ出産の認識が高かった。外傷性出産の認識が高い産後女性は、うつ病、不安、ストレスのレベルが有意に高かった（<0.001）。
RESULTS: Mean traumatic childbirth perception scores of pregnant women with high health anxiety were significantly higher (=0.01).Traumatic childbirth perceptions of pregnant women who do not trust their ability and power and think that they cannot cope with labor pain were high (=0.000). 21% of women had high perception of postpartum traumatic childbirth. The postpartum women with high levels of traumatic childbirth perception had significantly high levels of depression, anxiety and stress (<0.001).
結論:
その結果、妊娠中に女性が経験する健康不安は、外傷性出産に対する認識と関連していることが示された。外傷性出産の経験は、産後うつ、不安、ストレスのレベルに影響を与える。
CONCLUSIONS: The results show that the health anxiety experienced by women during pregnancy is related to their perception of traumatic childbirth.A traumatic childbirth experience affects the level of postpartum depression, anxiety, and stress.