拉玛泽减痛分娩法对产妇心理状态及妊娠效果的影响

Effects of Lamaze Pain Relieving Delivery for Pregnant Woman on Psychological state and Pregnancy outcome

目的:观察拉玛泽减痛分娩法对产后抑郁症及妊娠结局的影响。方法:对某医院定期产前检查、接受孕期教育、自愿选择拉玛泽减痛分娩法的198例初产孕妇为观察组,同期不选择拉玛泽减痛分娩法的206例初产孕妇为对照组。两组孕妇均采用产后抑郁量表(EPDS)比较两组产妇产后抑郁症的发生率及两组产妇的妊娠结局。结果:观察组产后抑郁症发生率低于对照组(P<0.05),产妇自然分娩率高于对照组(P<0.05)。结论:拉玛泽减痛分娩法能显著提高产妇自然分娩率,降低产后抑郁症的发生率,值得临床推广应用。

Objective：To observe the effect of Lainaze pain relieving delivery on postpartum psychosis and preg-nancy outcome. Methods：Of the primiparas with pregnancy education and pregnancy examine, 198 pregnant volunteers receiving the training of Lamaze pain relieving delivery were chosen to the study group, other 206 pregnant women who had not received the training were chosen to the control group. Edinburgh post natal depression scale CEPDS） were used after the labor to confirm the incidence rate of postpartum psychosis. A comparison was conducted between incidence rate of postpartum psychosis and Pregnancy outcome in the two groups. Results：The incidence rate of postpartum psychosis of the treatment group was significantly lower than that of the control group （ P 〈 0. 05）. The spontaneous delivery rate of the treatment group was significantly higher than that of the control group （ P 〈 0. 05）. Conclusion：Lamaze pain relieving delivery can significantly improve the normal delivery rate and reduce the rate of postpartum psychosis, which is worthy of clinical application.