مقایسه ترس از زایمان، نشانگان افسردگی و PTSD پس از زایمان در زنان دارای سقط جنین (خود‌به‌خودی)، زایمان طبیعی و سزارین

نوع مقاله : اصیل پژوهشی

نویسندگان

1 استادیار گروه علوم انسانی، دانشگاه سجاد، مشهد، ایران.

2 کارشناس ارشد روانشناسی عمومی، مؤسسه غیرانتفاعی شاندیز، مشهد ایران.

3 استادیار گروه روانشناسی، مؤسسه غیرانتفاعی شاندیز، مشهد، ایران.

چکیده

مقدمه: با توجه به این‌که باروری، از ارزش بالایی در اکثر فرهنگ‌ها برخوردار است، اگر تلاش برای حاملگی با شکست مواجه شود، ممکن است منجر به مختل شدن سلامت روانی فرد شود، لذا مطالعه حاضر با هدف مقایسه ترس از زایمان، نشانگان افسردگی و PTSD پس از زایمان در زنان دارای سقط جنین (خود‌به‌خودی)، زایمان طبیعی و سزارین انجام شد.
روش‌کار: این مطالعه توصیفی از نوع علّی- مقایسه ­ای از بهمن ماه 1399 تا خرداد 1400 بر روی 300 نفر از زنان تازه زایمان کرده مراجعه­ کننده به مراکز بهداشت شهر مشهد انجام شد. ابزار مورد استفاده در این مطالعه، پرسشنامه­ های تجربه زایمان ویژما، پرسشنامه افسردگی بک و پرسشنامه PTSD پس از زایمان بود. با استفاده از این ابزارها، ترس از زایمان، علائم افسردگی و PTSD پس از زایمان اندازه گرفته شد. تجزیه و تحلیل داده­ ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و آزمون­ تحلیل واریانس چندمتغیری انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: ترس از زایمان، نشانگان افسردگی و PTSD پس از زایمان در زنان دارای سقط خود­به ­خودی به‌طور معنی­ داری بیشتر از زنان دارای زایمان طبیعی و سزارین بود (001/0>p). گروه زایمان طبیعی و سزارین از نظر میزان ترس از زایمان و نشانگان افسردگی پس از زایمان تفاوت معنی­ داری نداشتند (05/0<p). نشانگان PTSD پس از زایمان در گروه زنان دارای سزارین به‌طور معنی­ داری بیشتر از زنان دارای زایمان طبیعی بود (05/0>p).
نتیجه ­گیری: ترس از زایمان، افسردگی و PTSD پس از زایمان در زنان دارای سقط خود­به­ خودی نسبت به زنانی که زایمان داشته‌اند، بیشتر است و از این نظر باید مورد توجه قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of postpartum fear of childbirth, symptoms of postpartum PTSD in women with miscarriage, vaginal delivery and cesarean section

نویسندگان [English]

  • Maryam Ghazaei 1
  • Zahra Khodrah 2
  • Iman Ghotb 3
1 Assistant Professor, Department of Humanity Sciences, Sajjad University, Mashhad, Iran.
2 M.Sc. in General Psychology, Shandiz Institute of Higher Education, Mashhad, Iran.
3 Assistant Professor, Department of Psychology, Shandiz Institute of Higher Education, Mashhad, Iran.
چکیده [English]

Introduction: Considering that fertility has a high value in most cultures, if attempt to get pregnant fails, it may lead to the mental health dysfunction of the person. Therefore, the present study was conducted with the aim to compare the postpartum fear of childbirth, postpartum symptoms of depression and postpartum PTSD in women with miscarriage, vaginal delivery and cesarean section.
Methods: The present study was a causal-comparative description research which was conducted from February 2021 to June 2021 on 300 women who had just given birth and referred to health centers in Mashhad. The tools used in this study were Wijma Delivery Experience Questionnaire, Beck Depression Inventory and Perinatal PTSD Questionnaire. Fear of childbirth, depression symptoms and postpartum PTSD were measured. Data were analyzed by SPSS (version 22.0) and multivariate analysis of variance test. P<0.05 was considered statistically significant.
Results: Postpartum fear of childbirth, symptoms of depression and PTSD in women with miscarriage was significantly higher than women with vaginal delivery and cesarean section (p<0.001). There was no significant difference between the vaginal delivery and cesarean delivery groups in terms of postpartum fear of childbirth and postpartum depression (p>0.05). Symptoms of postpartum PTSD was significantly higher in the vaginal delivery group than cesarean group (p<0.05).
Conclusion: Postpartum fear of childbirth, depression and PTSD was higher in women with miscarriage than women with delivery.

کلیدواژه‌ها [English]

  • Postpartum depression
  • Postpartum fear of childbirth
  • Postpartum PTSD
  • Miscarriage

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 11
بهمن 1401
صفحه 16-25

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