焦虑和抑郁对初产妇分娩方式及产后出血的影响

The effect of anxiety and depression's factor on delivery mode and postpartum hemorrhage

目的观察和剖析初产妇精神焦虑和抑郁对分娩方式及产后出血的影响。方法120例健康初产妇以汉密顿焦虑量表(HAS)和抑郁量表(HDS)评定精神状态,观察其分娩方式及产后出血状况;按分娩方式不同分为剖宫产组、钳产组及顺产组;按是否有产后出血分产后出血组及产后无出血组。结果120例产妇焦虑发生率35.83%,抑郁发生率25.83%,焦虑并抑郁发生率19.17%。剖宫产组、钳产组的焦虑评分及抑郁评分明显高于顺产组,而剖宫产组、钳产组间则无显著差异;产后出血组焦虑及抑郁评分亦明显高于无产后出血组。结论产妇焦虑与抑郁可能是增加助产率及产后出血的一个因素。

Objective To observe and parse the effect between anxiety and depression on delivery mode and postpartum hemorrhage. Methods 190 healthy primiparas were involved in the research, whose psychosises were evaluated according to Hamilton anxiety scale （HAS） and Hamilton depression scale（HDS）, and their delivery mode and postpartum hemorrhage were observed. According to the different delivery mode they were divided into three groups, caesarean section group,forceps group and natural group. As well as according to the state of hemorrhage they were divided into hemorrhage group and non - hemorrhage group. Results Among 120 primiparas observed, the anxious rate was 35.83%, the depression rate was 25.83%, both anxious and depression rate was 19.17%. The anxious scores and depression scores in caesarean section and forceps group were bigger than those in natural group but no overt differences existed between themselves. The anxious scores and depression scores in the hemorrhage group were also bigger than those in non - hemorrhage group. Conclusion Anxious and depressive status may be one of the factors which causes higher assistant labor - rate and postpartum hemorrhage.