产前精神因素对分娩方式及乳汁分泌的影响

THE INFLUENCE OF PSYCHIC FACTOR ON DELIVERY MODE AND LACTESCENCES

目的 :探讨产妇产前精神状态与分娩方式、乳汁分泌的关系。方法 :用汉密顿焦虑量表 (HAS)和抑郁量表 (HDS)评定 10 4例在我院分娩健康初产妇的精神状态 ,全部产妇均以产科常规分娩而不进行干预 ,观察其分娩方式及产后 7d内乳汁分泌情况 ;按分娩方式不同分为剖宫产组、儿吸产组及顺产组 ;按产后乳汁分泌不同分为纯母乳喂养组和母乳加代乳品喂养组。结果 :10 4例产妇出现焦虑 2 5例 ,发生率 2 4.0 4% ;出现抑郁 2 0例 ,发生率 19.2 3% ,焦虑并抑郁 5例 ,发生率 4.80 % ;焦虑评分及抑郁评分剖宫产组、儿吸产组明显高于顺产组 (P <0 .0 5 ) ,剖宫产组与儿吸产组比较无显著性差异 ;母乳喂养加代乳品组焦虑及抑郁评分亦明显高于纯母乳喂养组 (P <0 .0 5 )。结论 :产前焦虑与抑郁状态是增加助产率及影响乳汁分泌的因素。

Objective:To study the relationship between the psychic factor and delivery mode and lactescebce Methods:104 healthy nulliparas were involved in our study Their psychosis were evaluated according to Hamilton anxiety scale (HAS) and Hamilton depression scale (HDS) The delivery course of the all women were processed routinely without interference Delivery mode and lactescence were observed Women were divided into three groups (caesarean section group,head allure group and spontaneous group) according to different modes of delivery,as well as pure femalemilk group and mix femalemilk group according to lactescences or not after labor Results:Among the nulliparas observed,the anxious rate was 24 04%,the depress rate was 19 23% The anxious scores and depress scores in caesarean and head allure groups were higher than that in spontaneous group while no difference existed between themselves The two scores were higher in pure femalemilk group than that of mix femalemilk group (P<0 05) Conclusion:Anxious and depress statue may be one of the factors causing high assis labor and postpartum lactescences