[Mental Health of Women After Childbirth: Inpatient Family Rooms as a Resource? A Pilot Study].

IF 0.8 4区 心理学 Q4 PSYCHOLOGY, CLINICAL
Nana-Rosa Wonner, Annalena Koehnlein, Sarah Sommerlad, Sonja Rohrmann, Frank Louwen, Karin Schermelleh-Engel, Silvia Oddo-Sommerfeld
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Abstract

Social support is a key factor in mental health. Obstetric wards can promote social support by providing family rooms. Family rooms are not yet universally accessible. Studies on their influence on the maternal psyche are also lacking. The present study examines the mental health of women with and without accommodation in a family room on an obstetric ward.113 patients filled in standardized scales on anxiety, depression, psychological well-being and post-traumatic stress symptoms 1-3 days postpartum. In addition, obstetric data of birth mode, pregnancy and birth complications were collected. Recruitment during strict pandemic visiting restrictions made it possible to compare women in the family room (constant presence of the partner) and women without a family room (without any visits).In the overall sample, anxiety (22.6%) and lack of psychological well-being (33.6%) were particularly evident. The two groups did not differ in terms of mental health, but women with birth complications and an unplanned birth mode in the family room had significantly lower anxiety scores than women without a family room.Women with birth complications exhibited higher post-traumatic stress symptoms overall. Additionally, women in the family room were significantly more often primipara, they more often had an unplanned birth mode and they differed in the frequency of their birth complications.This study provides first evidence for a psychoprotective influence of family rooms on anxiety in patients with previous complications and unplanned birth modes. A discussion on promoting family rooms, especially for patients with peripartal complications, appears necessary. Further studies on the effectiveness of family rooms are required.

分娩后妇女的心理健康:住院家庭病房作为一种资源?试点研究]。
社会支持是心理健康的一个关键因素。产科病房可以通过提供家庭活动室来促进社会支持。家庭娱乐室尚未普及。关于它们对母亲心理影响的研究也很缺乏。本研究调查了有和没有产科病房家庭活动室的妇女的心理健康状况。113例患者在产后1-3天填写了焦虑、抑郁、心理健康和创伤后应激症状的标准化量表。此外,还收集了分娩方式、妊娠和分娩并发症的产科数据。在严格的大流行探视限制期间招募人员,可以比较有家庭活动室的妇女(伴侣经常在场)和没有家庭活动室的妇女(没有任何探视)。在整个样本中,焦虑(22.6%)和缺乏心理健康(33.6%)尤为明显。这两组在心理健康方面没有差异,但有分娩并发症和在家庭活动室计划外分娩模式的妇女的焦虑得分明显低于没有家庭活动室的妇女。总体而言,有分娩并发症的妇女表现出较高的创伤后应激症状。此外,在家庭房间里的女性更经常是初产妇,她们更经常有计划外的分娩方式,她们的分娩并发症的频率也不同。本研究首次提供证据,证明家庭活动室对既往并发症和计划外分娩方式患者的焦虑有心理保护作用。关于推广家庭房的讨论,特别是对于有围生期并发症的患者,似乎是必要的。需要进一步研究家庭娱乐室的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
11.10%
发文量
89
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