临床应用导乐分娩对初产妇心理的影响

Efects of Doula Delivery on Mentality in Primipara

目的：研究导乐分娩对初产妇分娩过程中心理状态的影响及对产后抑郁症的预防作用。方法选择定期在我院做产前检查的初产妇360例，将其随机分为导乐组（180例）和对照组（180例），导乐组采取导乐分娩，对照组采取常规分娩。观察和比较两组产妇分娩时的心理状态，并在产后4～6周对两组产妇均施测爱丁堡产后抑郁量表（ EPDS），比较两组产妇产后抑郁症的发生率。结果导乐组产妇在分娩过程中的不良心理反应及产后抑郁症的发生率均显著低于对照组（χ^2＝50．4，P＜0．01；χ^2＝4．09，P＜0．05）。结论导乐分娩能有效降低初产妇在分娩过程中焦虑、抑郁等不良情绪，并且能有效降低产后抑郁症的发生率。

Objective To study the effects of clinical application of doula delivery on mentality of primipara and the preventive effect of postpartum depression .Methods 300 primipara who were done prenatal examination were divided into two groups （150 in doula group and 150 in control group） randomly.The doula group applied doula delivery and the control group applied general delivery .The subjects were asked to complete the questionnaires of EPDS at 4-6 weeks postpartum .Results The incidence of adverse psychological reactions and postpartum depression of the doula group were both lower than the control group （χ^2 =50.4,P〈0.005;χ^2 =4.09,P〈0.05）.Con-clusion The doula delivery can effectively reduce the incidence of adverse psychological reactions and postpartum depression of primip -ara.