孕期心理因素对妊娠结局的影响

Influence of mental status during pregnany on pregnany outcomes

目的描述妊娠期妇女心理健康状况,并探讨孕期心理因素对妊娠结局的影响。方法以2012年1月至2013年6月安徽省池州市第二人民医院产科门诊定期产前检查并拟在该院分娩的506例孕妇作为研究对象,采用贝克焦虑量表(BAI)、流行病学调查中心用抑郁量表(CES-D)于孕中、晚期对孕妇心理健康状况进行评定,跟踪至产房随访其妊娠结局。结果孕妇在孕晚期焦虑、抑郁程度高于孕中期,差异有统计学意义(P<0.01),同时,孕晚期焦虑、抑郁与新生儿出生体质量、身长呈负相关(P<0.05),随着焦虑、抑郁程度的增高,孕妇出现分娩并发症的风险也越大(P<0.01),未发现孕期心理因素与分娩方式的关系。结论孕期心理健康对妊娠结局具有不同程度的影响,应加强围生期保健工作,提高妊娠质量,以促进母婴健康。

Objective To describe the mental status of pregnant women during pregnany, and explore the effect of men- tal status during pregnany on pregnany outcomes. Methods The objectives were 506 pregnant women who had regularly visited the obstetrics clinic of Chizhou Municipal Second People＇s Hospital in Anhui with plan to delivery from January 2012 and June 2013. Beck Anxiety Inventory （BAI） and Center for Epidemiological Survey, Depression Scale （CES-D） were used to evaluate the mental condition of the pregnant women during second trimester and terminal pregnancy and follow up the pregnant outcomes at delivery room. Results The degree of depression and anxiety in the last trimester were higher than that at the middle pregnant metaphase with statistically significant difference （P〈0.01）, and the degree of anxiety, depression in the last trimester was nega- tive related with the weight and height （P〈0.05）. The higher of degree of anxiety and depression, the greater risk of delivery corn plications during pregnancy（P〈0.01 ）. The mental status during pregnany were not related to the mode of delivery. Conclusion Mental status during pregnany impact the pregnany outcomes on different levels,therefore,health service in perinatal period should be strengthened to improve the delivery quality and promote the maternal and child healthy.