负性情绪对孕产期妇女影响及预防的临床研究

Clinical Study on Affection and Prevention of Negative Emotion on Perinatal Women

目的探讨分娩前后孕产妇焦虑、抑郁发生情况，以及产妇抑郁对泌乳与产后流血的影响，并针对孕产期负性情绪产生的危险因素探讨有效性的干预措施。方法对来自我院2007—06—09住院分娩的258例孕产妇，采用HAD量表分别测评孕产妇焦虑、抑郁情况，并对产后抑郁组和对照组，测评泌乳指标及产后流血的差异。结果产后较产前负性情绪的发生率增高，尤其产后抑郁发生率更为显著；抑郁组产妇产后72h泌乳量多者仅9例，与对照组相比差异有显著性；抑郁组产妇产后流血量多，与对照组相比差异有显著性。结论积极开展有关围产期的保健教育，降低负性情绪的发生率；产妇抑郁对泌乳与产后流血有不利影响，应加强对孕产妇进行心理健康指导。

Objective To discuss the anxiety and inhibition of perinatal women on bleeding and lactation and discuss the effective interventional procedure for risk factors. Methods The clinical materials of 258 eases of primipara aged from 23 - 34 year old （25.62.7） were analyzed with HAD table. The anxiety and depression, lactation and bleeding were ob- served and compared with control group. Results The negative emotion rate was lower before delivery than that after delivery with significant difference in lactation and bleeding. Condusion The health education during perinatal stage to decrease the negative emotion rate. The depression might affect negatively the lactation and bleeding.