维吾尔族女性妊娠心理精神因素对分娩方式及妊娠结局的影响

The effect of pregnancy psychological factor on delivery mode and outcome of the Uighur female

目的探讨维吾尔族女性妊娠心理因素对分娩方式及妊娠结局的影响。方法对2006年1月至2011年1月乌鲁木齐市妇幼保健院分娩的132例健康维吾尔族女性妊娠心理研究,以汉密顿焦虑量表(HAS)和抑郁量表(HDS)评定精神心理状态,(其中12例终止妊娠,仅对120例进行分析),对所有妊娠维吾尔族女性予以产科常规指导分娩方式的选择,观察其分娩方式及妊娠结局;并按妊娠心理精神因素及分娩方式不同分出剖宫产组、顺产组、产钳助娩组;并根据妊娠结局的不同分出良好妊娠结局及不良妊娠结局。结果 120例维吾尔族妊娠女性焦虑发生率35%,抑郁发生率28.3%,焦虑并抑郁发生率16.7%。剖宫产组、产钳助娩组的焦虑及抑郁评分明显高于顺产组,而妊娠结局不良的的焦虑及抑郁评分亦明显高于妊娠结局良好的评分。结论维吾尔族妊娠妇女心理精神因素对分娩方式及妊娠结局有一定影响。

Objective： To investigate the effect of pregnancy psychological factor on delivery mode and outcome of the Uighur female. Methods： 132 cases of childbirth of healthy Uighur female were included in pregnancy psychological research from January of 2006 to January of 2011 of Maternal and child health hospital of Urumqi, and assessed the mental state with the Hamilton Anxiety Scale （HAS） and Depression Scale （HDS）, only 120 cases were analyzed eventually, except 12 cases of terminal pregnancy, all of them were got conventional obstetric guide to choose the way of delivery, then the mode of delivery and pregnancy outcome were observed, According to pregnancy psychological mental factors and mode of delivery, dividing to normal group, cesarean section group, forceps delivery group ; and according to the different outcome of pregnancy to distinguish the good outcome and the bad outcome. Resuits ： The incidence of anxiety was 35% and the incidence of depression was 28.3% and anxiety and depression incidence was 16. 7% accorded to the study of 120 cases of Uighur pregnant women. Cesarean section group and forceps delivery group had higher scores of anxiety and depression than that of the normal group, and the unhealthy pregnancy outcome had higher score of anxiety and depression than that of the good pregnancy outcome. Conclusion： The mental factors of theUighur women on delivery mode and pregnancy outcomes have some effect.