不同分娩方式对产妇产后生理及心理影响分析

Analysis of the Effects of Different Delivery Ways on the Maternal Postpartum Physiology and Psychology

目的对比分析阴道自然分娩及剖宫产对产妇生理及心理的影响。方法以2014年6月—2015年6月作为观察时间,应用随机数字表法随机选取50例阴道自然分娩产妇及50例剖宫产产妇作为观察对象,以阴道自然分娩产妇为自然组,以剖宫产产妇为剖宫组。分别对比两组产后的生理情况及分娩前后的焦虑抑郁情绪变化情况。结果剖宫组产后恶露持续时间及泌乳时间明显短于自然组,而剖宫组24 h泌乳量明显少于自然组(P<0.05)。两组入组时HAMA评分及HAMD评分比较,差异无统计学意义(P>0.05),而产后7 d时HAMA评分及HAMD评分比较差异无统计学意义(P>0.05)。结论不同分娩方式对产妇产后心理情绪无明显影响,但自然分娩可改善产妇产后的生理情况。

Objective To analyze and compare the effect between spontaneous vaginal delivery and cesarean section on the maternal postpartum physiology and psychology. Methods From June 2014 to June 2015, 50 puerperants with spontaneous vaginal delivery and other 50 puerperants with cesarean section were randomly selected as the natural group and the cesarean group. The postpartum physiology, anxiety and depression before and after delivery of the two groups were compared. Results Compared with the natural group, the cesarean group had significantly shorter duration of lochia and lactation time, and much less 24 h lactating quantity（P〉0.05）. There was no statistical difference in the HAMA scores and HAMD scores between the two groups when grouped（P 0.05）. And no statistical difference in the HAMA scores and HAMD scores was found between the two groups 7 d after delivery（P〉0.05）. Conclusion Different delivery ways have no obvious effect on maternal postpartum psychological mood, but natural childbirth can improve maternal postpartum physiological situation.