Birth related PTSD and its association with the mother-infant relationship: A meta-analysis

IF 1.4 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sexual & Reproductive Healthcare Pub Date : 2023-10-15 DOI:10.1016/j.srhc.2023.100920

Lucy J. Frankham, Einar B. Thorsteinsson, Warren Bartik

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Abstract

Objective

There is a growing body of research showing that birth related posttraumatic stress disorder (PTSD) symptoms may impact the mother-infant relationship. The present study assessed the strength of the association between birth related PTSD symptoms and the mother-infant relationship.

Method

A total of twelve studies (5,572 participants) were included based on database searches using PubMed, EBSCO and ProQuest.

Results

The findings showed that greater levels of birth related PTSD symptoms were associated with poorer mother-infant relationship, r = −0.36, 95% CI: [−0.43 - −0.28], random effects model. The outcomes appeared to be heterogeneous (Q(11) = 81.63, p <.001, tau² = 0.0123, I² = 80.73%), despite all outcomes being in the same direction as the overall outcome.

Conclusions

The results indicated that birth related PTSD symptoms are negatively associated with the mother-infant relationship. Further investigation into the prevention of birth related trauma is suggested. Improving birthing experiences for mothers is likely to contribute to improved infant mental health, thereby reducing overall social and economic costs.

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出生相关PTSD及其与母婴关系的关系：一项荟萃分析。

目的：越来越多的研究表明，出生相关的创伤后应激障碍（PTSD）症状可能会影响母婴关系。本研究评估了出生相关PTSD症状与母婴关系之间的相关性。方法：基于PubMed、EBSCO和ProQuest的数据库搜索，共纳入12项研究（5572名参与者）。结果：研究结果表明，出生相关PTSD症状水平越高，母婴关系越差，r=-0.36，95%CI:[-0.43--0.28]，随机效应模型。结果似乎是异质的（Q（11）=81.63，P2=0.0123，I2=80.73%），尽管所有结果与总体结果方向相同。结论：研究结果表明，出生相关的PTSD症状与母婴关系呈负相关。建议对预防出生相关创伤进行进一步调查。改善母亲的分娩体验可能有助于改善婴儿的心理健康，从而降低总体社会和经济成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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