Impact of miscarriage and termination of pregnancy on subsequent pregnancies: A longitudinal study of maternal and paternal depression, anxiety and eudaimonia

被引:0
|
作者
Hsu, Hsueh-Wen [1 ]
Huang, Jian-Pei [2 ]
Au, Heng-Kien [3 ,4 ]
Lin, Chen-Li [5 ]
Chen, Yi-Yung [2 ]
Chien, Ling-Chu [6 ,7 ]
Chao, Hsing Jasmine [6 ,7 ]
Lo, Yu-Chun [7 ,8 ]
Lin, Wen-Yi [9 ,10 ]
Chen, Yi-Hua [6 ,7 ,11 ]
机构
[1] Taipei Med Univ, Coll Publ Hlth, Master Program Appl Epidemiol, Taipei, Taiwan
[2] Mackay Mem Hosp, Dept Obstet & Gynecol, Taipei, Taiwan
[3] Taipei Med Univ Hosp, Dept Obstet & Gynecol, Taipei, Taiwan
[4] Taipei Med Univ, Coll Med, Sch Med, Dept Obstet & Gynecol, Taipei, Taiwan
[5] Taipei City Hosp, Dept Obstet & Gynecol, Heping Fuyou Branch, Taipei, Taiwan
[6] Taipei Med Univ, Coll Publ Hlth, Sch Publ Hlth, 301 Yuantong, New Taipei 235, Taiwan
[7] Taipei Med Univ, Neurosci Res Ctr, Taipei, Taiwan
[8] Taipei Med Univ, Coll Med Sci & Technol, PhD Program Med Neurosci, New Taipei, Taiwan
[9] Taipei Med Univ, Coll Med Sci & Technol, PhD Program Med Neurosci, Taipei, Taiwan
[10] Natl Hlth Res Inst, New Taipei, Taiwan
[11] Taipei Med Univ, Coll Publ Hlth, Res Ctr Hlth Equ, New Taipei, Taiwan
关键词
Miscarriage; Termination of pregnancy; Subsequent pregnancies; Depression; Anxiety; Eudaimonia; POSTNATAL DEPRESSION; WOMEN; RISK; ABORTION; EXPERIENCES; POSTPARTUM; SYMPTOMS; DISTRESS; PARTNERS; PARENTS;
D O I
10.1016/j.jad.2024.03.054
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Although miscarriage and termination of pregnancy affect maternal mental illnesses on subsequent pregnancies, their effects on the positive mental health (e.g., eudaimonia) of both first-time and multi-time parents have received minimal attention, especially for fathers. This longitudinal study examines the effects of experiences of miscarriage and termination on parental well-being in subsequent pregnancies from prenatal to postpartum years, while simultaneously considering parity. Methods: Pregnant women and their partners were recruited during early prenatal visits in Taiwan from 2011 to 2022 and were followed up from mid-pregnancy to 1 year postpartum. Six waves of self-reported assessments were employed. Results: Of 1813 women, 11.3 % and 14.7 % had experiences of miscarriage and termination, respectively. Compared with the group without experiences of miscarriage or termination, experiences of miscarriage were associated with increased risks of paternal depression (adjusted odds ratio = 1.6, 95 % confidence interval [CI] = 1.13-2.27), higher levels of anxiety (adjusted beta = 1.83, 95 % CI = 0.21-3.46), and lower eudaimonia scores (adjusted beta = -1.09, 95 % CI = -1.99 to -0.19) from the prenatal to postpartum years, particularly among multiparous individuals. Additionally, experiences of termination were associated with increased risks of depression in their partner. Limitations: The experiences of miscarriage and TOP were self-reported and limited in acquiring more detailed information through questioning. Conclusions: These findings highlight the decreased well-being of men whose partners have undergone termination of pregnancy or experienced miscarriage, and stress the importance of interventions aimed at preventing adverse consequences among these individuals.
引用
收藏
页码:544 / 552
页数:9
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