a systematic review of the relationship between severe maternal morbidity and post-traumatic stress disorder系统回顾的产妇发病率和严重创伤后应激障碍之间的关系.pdfVIP

Furuta et al. BMC Pregnancy and Childbirth 2012, 12:125 /1471-2393/12/125 RESEARCH ARTICLE Open Access A systematic review of the relationship between severe maternal morbidity and post-traumatic stress disorder Marie Furuta1*, Jane Sandall2 and Debra Bick1 Abstract Background: The incidence of severe maternal morbidity is increasing in high-income countries as a consequence, in part, of increased obstetric intervention and increasingly complex medical needs of women who become pregnant. Access to emergency obstetric care means that for the majority of women in these countries, an experience of severe maternal morbidity is unlikely to result in loss of life. However, little is known about the subsequent impact on postnatal psychological health resulting in an evidence gap to support provision of appropriate care for these women. There has recently been increasing recognition that childbirth can be a cause of post-traumatic stress disorder (PTSD). The combination of experiencing a life-threatening complication and its management may culminate in psychological trauma. This systematic review examined the association between women’s experience of severe maternal morbidity during labour, at the time of giving birth or within the first week following birth, and PTSD and its symptoms. Methods: Relevant literature was identified through multiple databases, including MEDLINE, PsycINFO, EMBASE, CINAHL, British Nursing Index, Web of Science, Cochrane library and the British Library, using predetermined search strategies. The search terms included post-traumatic stress disorder, PTSD, stress disorders, post-traumatic, maternal morbidity, “pregnancy complications” “puerperal disorders”, obstetric labo(u)r complication, postpartum h(a)emorrhage, eclampsia”. Studies identified were categorised according to pre-defined inclus