Identification of influencing factors and exploration of preventive and control strategies for psychological trauma during childbirth in primiparas
Li Jing , Liu Jia, Chen Ping , et al
1. Department of Obstetrics, Suzhou Hospital Affiliated to Nanjing Medical University, Jiangsu, Suzhou 215000, China; 2. Department of Nursing, Suzhou Hospital Affiliated to Nanjing Medical University, Jiangsu, Suzhou 215000, China; 3. School of Nursing, Nanjing Medical University, Jiangsu, Suzhou 210000, China
Abstract: 【Abstract 】 Objective To investigate the in?uencing factors of psychological trauma during childbirth in primiparas, and analyze the preventive and control strategies. Method A total of 210 primiparasadmitted to Suzhou Hospital Affiliated to Nanjing Medical University between June 2022 and March 2023 were randomly selected in a retrospective study. The Traumatic Childbirth Perception Scale (TCPS) was used to assess the psychological trauma during childbirth. According to the TCPS score, The primiparas were divided into the psychological trauma group (n=62, TCPS score >52 points) and the non-psychological trauma group (n=148, TCPS score ≤52 points). An analysis was conducted to identify the in?uencing factors of psychological trauma during childbirth in primiparas. Based on these in?uencing factors, a Nomogram prediction model for psychological trauma during childbirth was constructed and validated. Statistical methods were performed by independent sample t-test, χ2 test, multivariate Logistic regression analysis, and calibration curve evaluation. Result The TCPS scores of 210 primiparas ranged from 38 to 64 points, with an average of (51.69±5.82) points, which was at a low or moderate level of psychological trauma during childbirth. The incidences of complications during pregnancy, adverse psychological states during pregnancy, and emergency cesarean sections in the psychological trauma group were all higher than those in the non-psychological trauma group [51.61% (32/62) vs 29.05% (43/148), 37.10% (23/62) vs 20.27% (30/148), and 27.42% (17/62) vs 8.11% (12/148); χ2 values were 9.685, 6.557, and 13.690, respectively; all P<0.05]. Conversely, the proportions of good sleep quality in the third trimester, the rate of neonatal health, and the rate of midwife consultation in the psychological trauma group were all lower than those in the non- psychological trauma group [24.19% (15/62) vs 31.76% (47/148), 79.03% (49/62) vs 93.24% (138/148), and 64.52% (40/62) vs 82.43% (122/148); χ2 values were 13.627, 9.048, and 7.955, respectively; all P<0.05]. The results of multivariate Logistic regression analysis showed that the complications during pregnancy, poor sleep quality in the third trimester, adverse psychological states during pregnancy, and emergency cesarean sections were identified as the risk factors for psychological trauma during childbirth in primiparas (all P<0.05); whereas neonatal health and midwife counseling served as the protective factors for psychological trauma during childbirth in primiparas (all P<0.05) . Based on the above factors, a Nomogram prediction model was constructed, the results of ROC curve analysis demonstrated that the area under the curve (AUC) was 0.762, indicating that this model had a good prediction performance. The results of the calibration curve analysis indicated that the prediction results of this model were in good consistency with the actual observed results, indicating that the model had a good calibration. Conclusion Psychological trauma during childbirth in primiparas is in?uenced by factors such as complications during pregnancy, sleep quality in the third trimester, adverse psychological states during pregnancy, emergency cesarean sections, neonatal health, and midwife consultation . The Nomogram prediction model for the psychological trauma during childbirth in primiparas constructed based on these factors demonstrates the high predictive efficacy, and can provide a reference for the clinical prevention and control of psychological trauma during childbirth in primiparas.
李静 刘嘉 陈萍 崔焱 . 初产妇分娩心理创伤的影响因素识别及防控策略探究[J]. 发育医学电子杂志, 2025, 13(6): 441-447,454.
Li Jing , Liu Jia, Chen Ping , et al. Identification of influencing factors and exploration of preventive and control strategies for psychological trauma during childbirth in primiparas. Journal of Developmental Medicine(Electronic Version), 2025, 13(6): 441-447,454.
2025, Vol. 13 
