摘要
目的:观察孕妇心理因素(焦虑)对分娩方式及妊娠结局的影响,为产前心理疏导提供理论支持。方法:回顾性分析2013年11月-2015年11月期间于我院妇产科生产的130例孕妇的基本住院资料,通过焦虑自评量表(SAS)将130名孕妇分为观察组(有焦虑情绪孕妇)与对照组(无焦虑情绪孕妇),分别为47例和83例,观察两组孕妇阴道自然分娩与剖宫产人数,同时对分娩结局进行比较。结果:观察组孕妇阴道自然分娩率27.66%,刨宫产率72.34%,对照组孕妇阴道自然分娩率60.24%,刨宫产率39.76%,两组数据差异显著(χ~2=12.75,P<0.001);观察组孕妇阴道自然分娩时间、剖宫产出血量均显著高于对照组,新生儿Apgar评分低于对照组(t=3.80,3.41,-19.00;P<0.01);产后抑郁、产后出血以及新生儿窒息的总发生率显著高于对照组,(P<0.001),差异存在统计学意义。结论:孕妇在孕期出现的焦虑症状会显著增加剖宫产率,降低阴道自然分娩率,同时焦虑情绪会增加分娩时间、加大出血量,给产后婴儿及孕妇带来一系列不良影响。
Objective：To study the effects of pregnant women psychological factors on delivery mode and pregnancy outcome,and provide theoretical support for prenatal psychological counseling.Methods：We conducted the retrospective analysis on basic hospital information of 130 delivery women who gave birth in the obstetrics and gynecology department in our hospital from November 2013 to November 2015.Based on the SAS（Self-Rating Anxiety Scale）,we divided the patients into two groups：Observation group（47 cases of delivery women with anxiety）and control group（83 cases of delivery women without anxiety）.The number of vaginal delivery and cesarean delivery in the two groups were observed,and the pregnancy outcomes in the two groups were compared.Results：In the observation group,the rate of women who gave birth through vaginal delivery（27.66%）was lower than that of the control group（72.34%）.The rate of women who gave birth through vaginal delivery of the observation group（60.24%）was higher than that of the control group（39.76%）.The difference between the two groups was statistically significant（χ~2=12.75,P0.001）.The time of vaginal delivery and the amount of bleeding of cesarean delivery in the observation group were significantly higher than those in the control group,and Apgar score of newborns was lower than that of the control group（t=3.80,3.41,-19.00;P0.001）.The incidence rate of postpartum depression,postpartum hemorrhage and neonatal asphyxia were significantly lower than those in the control group.The difference between the two groups was statistically significant（P0.001）.Conclusion：Anxiety symptoms occurring during pregnancy for delivery women will significantly increase the rate of cesarean delivery and reduce the rate of vaginal delivery.At the same time,anxiety will increase the time of delivery and the amount of bleeding,which will bring a series of adverse effects on newborn babies and mothers after delivery.
出处
《中国健康心理学杂志》
2017年第12期1812-1814,共3页
China Journal of Health Psychology
关键词
孕妇心理因素
焦虑
分娩方式
妊娠结局
Psychological factors of pregnant women
Anxiety
Delivery mode
Pregnancy outcome
