“单独二孩”政策对再生育妇女月经和心理的影响

Influence of “separately second child”policy to menstruation and psychology of reproduction women

目的探讨"单独二孩"政策对再生育妇女月经和心理的影响。方法选取符合"单独二孩"政策的拟再生育妇女50例作为研究对象,且选取不受"单独二孩"政策影响的再生育妇女(不享受"单独二孩"政策,自主决定生育二胎的妇女)50例作为对照组,分析观察两组患者决定怀孕至其怀孕成功期间的月经周期和月经量及痛经情况,且评价患者的心理状况,记录焦虑自评量表(SAS)以及抑郁自评量表(SDS)的评分。结果研究组的月经周期异常发生率(10.0%)、月经量出现异常的发生率(8.0%),均明显高于对照组患者(P<0.05);而痛经的发生率却无统计学差异(P>0.05);研究组的SAS评分为(42.72±1.91)分,SDS评分为(43.28±1.64)分,均明显高于对照组患者,差异有统计学意义(P<0.05)。结论 "单独二孩"政策对再生育妇女的月经和心理均造成影响,需积极采取一定的治疗措施和必要的心理干预。

Objective To explore influence of separately second child policy to menstruation and psychology of reproduction women. Methods 50 cases of reproduction women in compliance with separately second child policy were selected as the research objects. 50 cases of reproduction women not affected by separately second child policy（not enjoying separately second child policy, women autonomously deciding to have second child） were selected as control group. Menstrual cycle and menstrual volume and dysmenorrhea during the period of determining pregnancy and pregnancy success of the patients in two groups were analyzed and observed. Psychological status of patient was evaluated. Self-rating anxiety scale（SAS） and self-rating depression scale（SDS） score were recorded. Results Incidence of abnormal menstrual cycle（10.0%） and occurrence rate of abnormal menstruation（8.0%） of study group were all significantly higher than those of control group（P〈0.05）. The incidence of dysmenorrhea was not statistically significant（P〉0.05）. SAS score and SDS score of study group were（42.72±1.91） and（43.28±1.64）, which were all significantly higher than those of control group, and the differences were statistically significant（P〈0.05）. ConclusionThere is some influence of separately second child policy to menstruation and psychology of reproduction women. It is necessary to actively take certain treatment measures and some psychological intervention.