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首页> 外文期刊>Psychology & Health >What makes labour and birth traumatic? A survey of intrapartum ‘hotspots’
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What makes labour and birth traumatic? A survey of intrapartum ‘hotspots’

机译：是什么使分娩和生育受到创伤？产时“热点”调查

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摘要

Evidence suggests between 1% and 6% of women develop post-traumatic stress disorder (PTSD) after childbirth. ‘Hotspots’ are moments of extreme distress during traumatising events that are implicated in symptoms of PTSD. This cross-sectional internet survey of hotspots examined (1) the content of intrapartum hotspots and (2) whether particular events, cognitions or emotions during hotspots are related to PTSD. Women (N = 675) who experienced a difficult or traumatic birth completed a questionnaire composed of a validated measure of PTSD, questions concerning the existence of hotspots, and a newly developed measure of emotions and cognitions during hotspots. The majority of women (67.4%) reported at least one hotspot during birth and 52.9% had re-experiencing symptoms of these hotspots. Women were more likely to have PTSD if hotspots involved fear and lack of control (odds ratio (OR) 1.30, 95% CI 1.17-1.43) or intrapartum dissociation (OR 1.12, 95% CI 1.05-1.19). Risk of PTSD was higher if hotspots concerned interpersonal difficulties (OR 4.34, 95% CI 2.15-8.77) or obstetric complications (OR 3.35, 95% CI 1.64-6.87) compared to complications with the baby.View full textDownload full textKeywordsPTSD, birth, labour, fear, dissociation, supportRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/08870446.2011.649755
机译：有证据表明，有1％至6％的妇女在分娩后发生创伤后应激障碍（PTSD）。 “热点”是创伤性事件中极度困扰的时刻，与创伤后应激障碍的症状有关。这项针对热点的横断面互联网调查检查了（1）产时热点的内容，以及（2）热点期间的特定事件，认知或情感是否与PTSD相关。妇女（N = 675）经历困难或创伤的出生完成了一个调查表，其中包括PTSD的验证措施，有关热点存在的问题以及热点期间的情绪和认知的新开发措施。大多数妇女（67.4％）在出生时报告至少有一个热点，而52.9％的妇女又出现了这些热点的症状。如果热点涉及恐惧和缺乏控制（优势比（OR）为1.30，95％CI为1.17-1.43）或产内分离（OR为1.12，95％CI为1.05-1.19），则女性患PTSD的可能性更高。如果热点涉及人际交往困难（OR 4.34，95％CI 2.15-8.77）或产科并发症（OR 3.35，95％CI 1.64-6.87），那么与婴儿并发症相比，PTSD的风险更高。查看全文下载全文关键词劳力，恐惧，解离，支持相关的变量add add_id -4dff56cd6bb1830b“};添加到候选列表链接永久链接http://dx.doi.org/10.1080/08870446.2011.649755

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