妊娠心理状况对分娩方式及妊娠结局的影响

Effect of pregnancy psychological status on delivery modes and pregnancy outcome

目的探讨女性妊娠心理状况对分娩方式和妊娠结局的影响。方法回顾性分析200例健康妊娠女性病历,根据不同分娩方式分为顺产组、剖宫产组、产钳助娩组。通过汉密顿焦虑量表(HAS)和抑郁量表(HDS)评分3组妊娠女性心理精神状况,对比不同妊娠结局的HAS及HDS评分。结果 200例妊娠女性中,顺产组124例(62.0%),剖宫产组53例(26.5%),产钳助娩组23例(11.5%),其中顺产组的HAS、HDS评分显著低于剖宫产组和产钳助娩组,差异有统计学意义(P<0.05);良好妊娠结局产妇妊娠心理精神状况评分显著低于不良妊娠结局的产妇,差异有统计学意义(P<0.05)。结论妊娠女性的心理精神状态对分娩方式的选择有明显的影响,并且心理精神状况良好的女性妊娠结局较理想。

Objective To explore the eft;oct of maternal pregnancy psychological status on delivery modes and pregnancy outcome. Methods The medical records of 200 heahhy pregnant women were analyzed retrospectively, then they were divided into vaginal delivery group, cesarean section group, and forceps delivery group according to different delivery modes. Hamilton Anxiety Scale （HAS） and ttamilton Depression Scale （HDS） were used to evaluate the psychological status of pregnant women in the three groups; HAS and HDS seores were compared among the women with different pregnancy outcomes. Results Among 200 heahhy pregnant women, there were 124 pregnant women （62. 0% ） in vaginal delivery group, 53 pregnant women （26. 5% ） in cesarean section group, and 23 pregnant women （ 1 1. 5% ） in forceps delivery group, ttAS and HDS scores in vaginal delivery group were statistically significantly lower than those in the other two groups （P〈0. 05 ） ; HAS and HDS scores in good pregnancy outcome group were statistically signifieantly lower than those in adverse pregnamey outcome group （P〈0. 05） . Conclusion Psychological status of pregnant women has significant impact on choice of delivery modes, and good psychological status brings hetter pregnancy outcome.