...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of women’s health >Prevalence of Post-Traumatic Stress Disorder Following Caesarean Section: A Systematic Review and Meta-Analysis
【24h】

Prevalence of Post-Traumatic Stress Disorder Following Caesarean Section: A Systematic Review and Meta-Analysis

机译：剖腹产后创伤后应激障碍的患病率：系统审查和荟萃分析

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: While caesarean section (CS) can be a lifesaving intervention when performed in a timely manner to overcome dystocia or other complications, it is a traumatic event and may increase the risk of post-traumatic stress disorder (PTSD). No attempt has been made to assess prevalence of PTSD after CS specifically. This study aimed to quantify pooled prevalence of PTSD after CS through a systematic review and meta-analysis. Methods: MEDLINE, PsycINFO, EMBASE, and CINAHL were searched using PTSD terms crossed with CS terms. Studies were included if they reported the prevalence of PTSD after CS using an instrument based on Diagnostic and Statistical Manual of Mental Disorders-criteria to identify PTSD. The pooled prevalence was then estimated by meta-analysis in overall eligible studies and in subgroups. Results: Nine studies were included with a total of 1,134 postpartum women, of which 136 were identified as having PTSD. Pooled prevalence of PTSD after CS was 10.7% (95% confidence interval [CI]: 4.0-20.2). Pooled prevalence of PTSD after emergency CS (10.3% [95% CI: 1.7-24.9]) was higher than that after elective CS (7.1% [95% CI: 0.7-19.4]), but the difference was not statistically significant. Subgroup analysis showed that pooled prevalence of PTSD after CS differed according to study setting, time interval of PTSD assessment, and type of participants. Meta-regression analysis showed that study setting and type of study participants were significant sources of heterogeneity. Conclusions: Women with CS apparently have higher rates of PTSD as compared with women without CS. However, the susceptibility to PTSD appears to vary based on emergency/elective CS, study methodology, self-perceived traumatic birth, and country of study. Further targeted research is needed to elucidate the role of these factors in relationship between CS and PTSD.
机译：背景：虽然凯撒部分（CS）可以是在克服数据染素或其他并发症的及时进行的救生干预时，但它是一种创伤事件，可能会增加创伤后应激障碍（PTSD）的风险。没有尝试特别是CS之后评估PTSD的患病率。本研究旨在通过系统审查和荟萃分析量化CS后PTSD的汇总患病率。方法：使用PTSD术语与CS术语交叉进行搜查的Medline，Psycinfo，Embase和Cinahl。如果他们在CS诊断和统计手册的诊断和统计标准中报告了CS后的PTSD患病率，则包括研究，以识别PTSD。然后通过在整个合格的研究和亚组中通过Meta分析估算汇总患病率。结果：9项研究总共包括1,134名产后妇女，其中136名被鉴定为具有PTSD。 CS后PTSD的流行率为10.7％（95％置信区间[CI]：4.0-20.2）。应急后PTSD的患病率Cs（10.3％[95％[95％CI：1.7-24.9]）高于选修Cs（7.1％[95％CI：0.7-19.4]），但差异没有统计学意义。亚组分析表明，在CS根据研究设定，PTSD评估的时间间隔和参与者类型的时间间隔和参与者的类型不同，PTSD的流行率汇总。元回归分析表明，研究环境和研究参与者的类型是重要的异质性来源。结论：与没有CS的女性相比，CS的女性显然具有更高的可行科目利率。然而，对应激障碍的敏感性似乎根据紧急/选修CS，研究方法，自我感知的创伤出生和学习国家而异。需要进一步的有针对性的研究来阐明这些因素在CS和PTSD之间的关系中的作用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号