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首页> 外文期刊>Scandinavian journal of primary health care. >Use of primary health care prior to a postpartum psychiatric episode
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Use of primary health care prior to a postpartum psychiatric episode

机译：产后精神病发作前使用初级卫生保健

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Objective. Childbirth is a strong trigger of psychiatric episodes. Nevertheless, use of primary care before these episodes is not quantified. The aim was to study the use of general practice in Denmark from two years before to one year after childbirth in women who developed postpartum psychiatric disorders. Design. A matched cohort study was conducted including women who gave birth in the period 1996-2010. Women were divided into four groups: (i) all mothers with postpartum psychiatric episodes 0-3 months after birth, n = 939; 2: All mothers with a postpartum psychiatric episode 3-12 months after birth, n. 1 436; and (iii) two comparison groups of mothers, total n. 6 630 among 320 620 eligible women. Setting. Denmark. Subjects. Women born in Denmark after 1 January 1960, restricting the cohort to women who gave birth to their first singleton child between 1 January 1996 and 20 October 2010. Main outcome measures. The main outcome measures were consultation rates, consultation rate ratios, and rate differences. Results. Women who developed a psychiatric episode after childbirth had higher GP consultation rates before, during, and after the pregnancy. Women with a psychiatric episode 0-3 months postpartum had 6.89 (95% CI 6.60; 7.18) mean number of consultations during pregnancy, corresponding to 1.52 (95% CI 1.22; 1.82) more visits than the comparison group. Conclusion. Women with a postpartum psychiatric episode had higher use of GP-based primary health care services years before the childbirth, and in this specific group of patients childbirth itself triggered a marked increase in the number of GP contacts postpartum.
机译：目的。分娩是精神病发作的强烈诱因。尽管如此，在这些发作之前对初级保健的使用尚无法量化。目的是研究丹麦发生分娩后精神疾病的妇女从分娩前两年到分娩后一年的一般做法。设计。进行了一项队列研究，包括1996-2010年间分娩的妇女。妇女分为四组：（i）所有母亲在出生后0-3个月出现精神病发作，n = 939; 2：所有母亲在出生后3至12个月内发生产后精神病。 1436; （iii）两个母亲比较组，总计n。 320 620名合格妇女中的6 630名。设置。丹麦。主题。 1960年1月1日以后在丹麦出生的妇女，该队列仅限于1996年1月1日至2010年10月20日期间生下第一个单身孩子的妇女。主要结果指标。主要结果指标是咨询率，咨询率比率和比率差异。结果。分娩后出现精神病发作的妇女在妊娠前，妊娠中和妊娠后的GP咨询率较高。产后0-3个月有精神病发作的妇女在怀孕期间的平均会诊次数为6.89（95％CI 1.22; 1.82），高于对照组的1.52（95％CI 1.22; 1.82）。结论。有产后精神病发作的妇女在分娩前几年使用基于GP的初级卫生保健服务的比例更高，并且在这一类特定的患者中，分娩本身触发了产后GP接触人数的显着增加。

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