Birth expectations, birth experiences and childbirth-related post-traumatic stress symptoms in mothers and birth companions: Dyadic investigation using response surface analysis

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2024-06-26 DOI:10.1111/bjhp.12738
Asuman Buyukcan-Tetik, Lara Seefeld, Luisa Bergunde, Turan Deniz Ergun, Pelin Dikmen-Yildiz, Antje Horsch, Susan Garthus-Niegel, Mirjam Oosterman, Joan Lalor, Tobias Weigl, Annick Bogaerts, Sarah Van Haeken, Soo Downe, Susan Ayers
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Abstract

Objectives

During the perinatal period, women and their birth companions form expectations about childbirth. We aimed to examine whether a mismatch between birth expectations and experiences predict childbirth-related post-traumatic stress symptoms (CB-PTSS) for mothers and birth companions. We also explored the influence of the mismatch between mothers' and birth companions' expectations/experiences on CB-PTSS.

Design

Dyadic longitudinal data from the Self-Hypnosis IntraPartum Trial.

Methods

Participants (n = 469 mothers; n = 358 birth companions) completed questionnaires at 27 and 36 weeks of gestation and 2 and 6 weeks post-partum. We used the measures of birth expectations (36 weeks gestation), birth experiences (2 weeks post-partum) and CB-PTSS (6 weeks post-partum).

Results

Correlations revealed that birth expectations were associated with experiences for both mothers and birth companions but were not consistently associated with CB-PTSS. Birth experiences related to CB-PTSS for both mothers and birth companions. The response surface analysis results showed no support for the effect of a mismatch between expectations and experiences on CB-PTSS in mothers or birth companions. Similarly, a mismatch between mothers' and birth companions' expectations or experiences was unrelated to CB-PTSS.

Conclusions

Following previous literature, birth expectations were associated with experiences, and experiences were associated with CB-PTSS. By testing the effect of the match between birth experiences and expectations using an advanced statistical method, we found that experiences play a more substantial role than the match between experiences and expectations in CB-PTSS. The impact of birth experiences on CB-PTSS highlights the importance of respectful and supportive maternity care.

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母亲和陪产人员的分娩期望、分娩经历以及与分娩相关的创伤后应激症状:使用响应面分析法进行的双向调查。
目的:在围产期,产妇及其陪产人员会形成对分娩的期望。我们旨在研究分娩期望与分娩经历不匹配是否会对母亲和陪产人员的分娩相关创伤后应激症状(CB-PTSS)产生影响。我们还探讨了母亲和陪产人员的期望/经历不匹配对 CB-PTSS 的影响:设计:产前自我催眠试验(Self-Hypnosis IntraPartum Trial)的双向纵向数据:参与者(n = 469 名母亲;n = 358 名陪产者)分别在妊娠 27 周和 36 周以及产后 2 周和 6 周填写问卷。我们采用了分娩期望(妊娠 36 周)、分娩经历(产后 2 周)和 CB-PTSS(产后 6 周)作为测量指标:结果:相关性表明,分娩期望与母亲和陪产人员的分娩经历相关,但与 CB-PTSS 的相关性并不一致。母亲和陪产人员的分娩经历与 CB-PTSS 相关。响应面分析结果显示,母亲和陪产者的期望与经历不匹配对 CB-PTSS 的影响不成立。同样,母亲和陪产者的期望或经历不匹配也与 CB-PTSS 无关:根据以往的文献,生育期望与经历相关,而经历与 CB-PTSS 相关。通过使用先进的统计方法测试出生经历与期望之间匹配的影响,我们发现在 CB-PTSS 中,经历比经历与期望之间的匹配发挥着更重要的作用。分娩经历对 CB-PTSS 的影响凸显了尊重和支持性产科护理的重要性。
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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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