意向阴道分娩孕妇产程延长与产前恐惧的相关性分析

Correlation between childbirth fear and labor duration in women with intended vaginal delivery: a cohort study

目的探讨产前恐惧与分娩产程延长是否具有关联性。方法 2009年1月至2012年12月我院妇产科住院部符合纳入标准的孕妇1105例,在孕32周至分娩结束期间,统一使用Wijma分娩期待值量表(W-DEQ)评估恐惧程度,运用Logisitic多元回归分析产前恐惧与分娩产程延长的相关性。结果 25.5%的孕妇具有产前恐惧。Logistic回归分析结果表明,产前恐惧、经产次数、产前咨询与培训、硬膜外麻醉等是产程延长的相关影响因素(P<0.05)。结论患产前恐惧的孕妇分娩产程要显著长于无产前恐惧的孕妇,应开展降低孕妇产前恐惧程度的干预措施研究。

Objective To assess the association between childbirth fear and labor duration. Methods From January,2009 to December,2012,1105 participants were included in inpatient department of obstetrics in our hospital. From 32 weeks of gestation to de- livery,the fear degree were assessed by using Wijma delivery expectancy questionnaire（ W-DEQ ）, and the correlation between child- birth fear and labor duration was analyzed by using multiple logisitic regression analysis. Results 25.5% of the participant had child- birth fear. Logistic regression analysis showed that labor duration in women with childbirth fear was longer than that in women without childbirth fear. Moreover, number of labors, consultation and training before pregnancy, and epidural anesthesia were also positively re- lated to the longer labor course （ P 〈 0. 05 ）. Conclusion The labor duration in women with childbirth fear was longer than women without childbirth fear.