摘要
目的了解影响妊娠妇女心理的相关因素,及与分娩过程及产后出血的关系。方法180例健康单胎初产顺产孕妇,采用问卷调查的方式对孕妇的心理状况及影响心理健康的相关因素进行调查,同时观察其产程及产后出血情况。结果(1)孕妇普遍存在焦虑、抑郁的情绪,而且与她们的年龄、学历、职业及社会支持呈密切相关;(2)无产后出血组较产后出血组的焦虑、抑郁评分均要低,差异有非常显著性。而焦虑、抑郁高分组产妇的第一、第二产程均较低分组要长,差异有非常显著性。结论妊娠妇女的心理状况与正常人群有显著差异,且随社会群体不同而不同;焦虑及抑郁状态可增加产后出血的发生和产程延长,故可提供有针对性的心理干预以提高产科质量。
Objective To investigate the impact,of psychological factors on post-partum hemorrhage and labor duration. Methods A questionnaire-based investigation was conducted in 180 healthy single-fetus spontaneous delivery primigravida to understand their psychological status and related factors, and the duration of labor and postpartum hemorrhage were recorded. Results Anxiety and depression were common in pregnant women and positively related to age, profession, education and social support. The scores of SAS and SDS of postpartum hemorrhage-flee group were significantly lower than those in postpartum hemorrhage group, and the duration of first and the second stage was significantly longer in women with high SAS and SDS score than in those with lower scores. Conclusions The mental health, status of pregnant women may vary significantly depending on the social community they belong to. Anxiety and depression may increase the risk of postpartum hemorrhage and prolonged labor, so that psychological counseling can be of importance to improve the care in the department of obstetrics.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2006年第8期1203-1204,共2页
Journal of Southern Medical University
关键词
孕妇
焦虑
抑郁
产后出血
pregnant woman
anxiety, depression
postpartum hemorrhage