ABSTRACT

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.

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.

Results

Mean traumatic childbirth perception scores of pregnant women with high health anxiety were significantly higher (P=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 (P=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 (P<0.001).

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.

中文翻译：

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孕期和产后创伤性分娩感知及其产后心理健康结果：一项前瞻性纵向研究

摘要

客观的

本研究的目的是确定在怀孕期间和产后期间对创伤性分娩的感知以及创伤性分娩感知对产后心理健康结果的影响。

方法

这项描述性纵向研究于 2017 年 12 月至 2018 年 6 月在土耳其进行。该研究包括 248 名怀孕 36-40 周的孕妇。对孕妇进行创伤性分娩感知量表（STCP）和健康焦虑量表。这些妇女在分娩后三到六周接受了 STCP 和抑郁、焦虑和压力量表。

结果

健康焦虑程度高的孕妇的平均创伤分娩知觉得分显着高于（P =0.01）。不相信自己的能力和权力，认为自己无法应对分娩痛苦的孕妇的创伤分娩知觉高（P =0.000 ）。21% 的女性对产后创伤性分娩有很高的认识。创伤性分娩感知水平高的产后妇女抑郁、焦虑和压力水平显着升高（P <0.001）。

结论

结果表明，女性在怀孕期间经历的健康焦虑与其对创伤性分娩的感知有关。创伤性分娩经历会影响产后抑郁、焦虑和压力的水平。