妊娠晚期孕妇不良心理状态与胎儿缺氧的相关性

Analysis of the correlation between the poor mental state of women during the third trimester of pregnancy and their fetal hypoxia

目的:分析孕晚期孕妇的不良心理状态对胎儿缺氧的影响。方法:选择2023年1-12月于本院产科产前检查的孕妇320例作为研究对象,利用调查问卷及自评焦虑量表(SAS)和自评抑郁量表(SDS)评估孕妇的焦虑、抑郁状态,比较胎儿缺氧与无胎儿缺氧间孕妇焦虑、抑郁状态的差异,分析孕妇不良心理状态与胎儿缺氧关系。结果:本次调查的孕晚期孕妇焦虑的发生率为27.8%,抑郁的发生率10.6%,胎儿缺氧发生率13.1%;胎儿缺氧组(42例)SAS(58.65±20.46分)、SDS(56.29±22.34分)得分均高于无胎儿缺氧组(278例)(46.22±15.08分、45.37±13.68分),焦虑(59.5%)及抑郁(45.2%)的发生率也高于无胎儿缺氧组(23.0%、5.4%),重度焦虑、重度抑郁发生率高于无胎儿缺氧组(均P<0.05);胎盘因素、脐带因素、孕妇焦虑、孕妇抑郁是胎儿缺氧的独立危险因素(P<0.05),母体因素不是胎儿缺氧的独立影响因素(P>0.05)。结论:孕晚期孕妇焦虑及抑郁状态会增加胎儿缺氧的风险,值得临床关注。

Objective:To analyze the influence of the poor mental state of pregnant women during the third trimester of pregnancy on their fetal hypoxia.Methods:A total of 320 pregnant women who received antenatal examination in the hospital from January 2023 to December 2023 were selected as the research objects.The anxiety and depression status of these women were evaluated by questionnaire,self-rated anxiety scale(SAS)and self-rated depression scale(SDS).The differences of anxiety and depression status of the women were compared between group A(the fetuses with anoxia)and group B(the fetuses without anoxia).The correlation between the poor mental state of the pregnant women and their fetal hypoxia was analyzed.Results:The incidences of the anxiety and depression of the women,and the fetal hypoxia were 27.8%,10.6% and 13.1%,respectively.The scores of SAS(58.65±20.46 points)and SDS(56.29±22.34 points)of the women in group A(42 cases)were significantly higher than those(46.22±15.08 points and 45.37±13.68 points)of the women in group B(278 cases).The incidences of anxiety(59.5%)and depression(45.2%)of the women in group A were significantly higher than those(23.0% and 5.4%)of the women in group B,and the incidences of severe anxiety and severe depression of the women in group A were significantly higher than those of the women in group B(all P<0.05).The placental factors,the umbilical cord factors,the maternal anxiety and depression were all the independent risk factors of the fetal hypoxia(P<0.05),while the maternal factors were not the independent risk factors of the fetal hypoxia(P>0.05).Conclusion:The anxiety and depression of the pregnant women during the third trimester of pregnancy may increase the risk of their fetal hypoxia,which should be paid attention to in clinic.