认为自己在分娩期间受到不适当治疗的妇女自杀和产后抑郁的风险。

IF 4.4 2区医学 Q1 NURSING

Women and Birth Pub Date : 2025-01-01 DOI:10.1016/j.wombi.2024.101858

Juan Miguel Martínez-Galiano , Ana Rubio-Alvárez , Ana Ballesta-Castillejos , Inmaculada Ortiz-Esquinas , Miriam Donate-Manzanares , Antonio Hernández-Martínez

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引用次数: 0

摘要

背景：产后抑郁和自杀是围产期最常见的两种心理健康障碍，并有上升趋势。越来越多的妇女报告在分娩护理期间得不到充分的治疗。没有研究表明治疗不足与任何这些精神健康障碍有关；那些现有的非常有限，并且没有使用经过验证的仪器。我们建议确定在分娩护理过程中治疗不当和/或虐待是否与围产期妇女产后抑郁（PPD）和自杀风险之间存在关联。方法：对西班牙产后妇女进行观察性研究。收集了关于社会人口和产科变量等方面的资料。采用爱丁堡产后抑郁量表（Edinburgh Postnatal Depression Scale）测定产后抑郁风险和项目10测定自杀风险，采用《分娩虐待与尊重评价-产妇问卷》（CARE-MQ）测定产妇在分娩过程中受到不适当对待的感觉。计算调整后的or及其95% % CI。结果：1579名女性参与。CARE-MQ得分高于第90百分位的女性有更高的自杀意念风险(aOR为2.89；95 %CI: 1.60-5.04)和产后抑郁(aOR为3.17；95 %CI: 1.94-5.18)与那些得分低于50百分位的人相比。相反，与自杀意念和产后障碍发生率较低相关的因素是：较高的经济收入和参加产前教育。结论：认为自己在分娩过程中治疗不足的妇女更有可能患产后抑郁症和自杀的风险。

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Risk of suicide and postpartum depression in women who feel they were treated inadequately during childbirth

Background

Postpartum depression and suicide are two of the most frequent mental health disorders in the perinatal period and have an increasing trend.. An increasing number of women report receiving inadequate treatment during childbirth care. There are no studies that relate inadequate treatment to any of these mental health disorders; those that exist are very limited and have not used validated instruments. We proposed to determine if there is an association between inadequate treatment and/or abuse during childbirth care with the risk of postpartum depression (PPD) and the risk of suicidality in women during the perinatal stage.

Methods

An observational study was carried out with postpartum women in Spain. Information was collected on sociodemographic and obstetric variables, among others. Edinburgh Postnatal Depression Scale was used to determine the risk of postpartum depression and item 10 for the risk of suicide, and the Childbirth Abuse and Respect Evaluation-Maternal Questionnaire (CARE-MQ) was used to determine the women's perception of having been treated inadequately during childbirth. Adjusted ORs and their 95 % CI were calculated.

Results

1579 women participated. Women with CARE-MQ scores above the 90th percentile had a higher probability of risk of suicidal ideation (aOR of 2.89; 95 %CI: 1.60–5.04) and postpartum depression (aOR of 3.17; 95 %CI: 1.94–5.18) compared to those who had scores lower than the 50th percentile. On the contrary, factors associated with a lower probability of suicidal ideation and PPD were: higher economic income and attendance at prenatal education.

Conclusion

Women who perceived that they experienced a situation of inadequate treatment during childbirth were more likely to be at risk of postpartum depression and risk of suicide.

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来源期刊

Women and Birth NURSING-OBSTETRICS & GYNECOLOGY

CiteScore

7.20

自引率

13.20%

发文量

371

审稿时长

27 days

期刊介绍： Women and Birth is the official journal of the Australian College of Midwives (ACM). It is a midwifery journal that publishes on all matters that affect women and birth, from pre-conceptual counselling, through pregnancy, birth, and the first six weeks postnatal. All papers accepted will draw from and contribute to the relevant contemporary research, policy and/or theoretical literature. We seek research papers, quality assurances papers (with ethical approval) discussion papers, clinical practice papers, case studies and original literature reviews. Our women-centred focus is inclusive of the family, fetus and newborn, both well and sick, and covers both healthy and complex pregnancies and births. The journal seeks papers that take a woman-centred focus on maternity services, epidemiology, primary health care, reproductive psycho/physiology, midwifery practice, theory, research, education, management and leadership. We also seek relevant papers on maternal mental health and neonatal well-being, natural and complementary therapies, local, national and international policy, management, politics, economics and societal and cultural issues as they affect childbearing women and their families. Topics may include, where appropriate, neonatal care, child and family health, women’s health, related to pregnancy, birth and the postpartum, including lactation. Interprofessional papers relevant to midwifery are welcome. Articles are double blind peer-reviewed, primarily by experts in the field of the submitted work.