摘要
目的:探讨孕产妇情绪障碍对分娩方式与产后母婴结局的影响。方法:选取2019年4月-2021年11月广西贵港市港北区人民医院收治的孕产妇200例为观察对象,根据抑郁自评量表(SDS)和焦虑自评量表(SAS)评分将孕产妇分成观察组与对照组,各100例。观察组SAS评分≥50分或SDS评分≥53分,对照组SAS评分<50分或SDS评分<53分。对孕产妇进行问卷调查与面对面交谈,比较两组孕产妇分娩方式、并发症发生率、新生儿结局。结果:观察组孕产妇自然分娩率低于对照组,剖宫产率、产钳助产高于对照组,差异有统计学意义(P<0.05);观察组孕产妇胎膜早破、产程延长、产后出血、产后感染及产后抑郁症发生率均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率高于对照组,差异有统计学意义(P=0.000)。结论:孕产妇产前伴有情绪障碍在一定程度上影响分娩方式与母婴结局,应积极采取措施加以引导,以有效改善母婴结局,提高临床自然分娩率。
Objective:To investigate the effects of maternal mood disorders on maternal mode of delivery and postpartum maternal and infant outcomes.Methods:Two hundred cases of pregnant women admitted to Gangbei District People's Hospital from April 2019 to November 2021 were selected as observation subjects.Patients were divided into observation and control groups according to Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)scores,with one hundred cases each.The SAS score was≥50 or SDS score was≥53 in the observation group,and the SAS score was<50 or SDS score was<53 in the control group.Questionnaires and face-to-face interviews were conducted to compare the mode of delivery,complication rate,and neonatal outcome between the two groups.Results:The spontaneous delivery rate of pregnant women in the observation group was lower than that of the control group,and the cesarean section rate and forceps assisted delivery were higher than that of the control group,with statistically significant differences(P<0.05).The rates of premature rupture of membranes,prolonged labor,postpartum hemorrhage,postpartum infection and postpartum depression were higher in the observation group than in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.000).Conclusion:Pregnant women with mood disorders affect the mode of delivery and maternal and infant outcomes to a certain extent,and should be actively guided by measures to effectively improve maternal and infant outcomes and increase the clinical natural delivery rate.
作者
李英
Li Ying(Gangbei District People's Hospital,Guigang 537100,Guangxi,China)
出处
《中外医药研究》
2022年第16期27-29,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
情绪障碍
自然分娩
产后出血
胎膜早破
早产
Mood disorders
Spontaneous delivery
Postpartum hemorrhage
Premature rupture of membranes
Preterm delivery
