孕期接受分娩心理辅导对独生女孕妇剖宫产率影响的观察

Effect of psychological counseling during pregnancy on cesarean section rate of only-daughter parturient

目的分析孕期接受分娩心理辅导对独生女孕妇剖宫产率的影响,以提高自然分娩率。方法选择在我院产检、分娩的156例独生女孕妇作为研究对象,预产期在2015年10月~2017年1月,采用SPSS20.0生成随机数字表,将孕妇随机分为观察组(n=78例)和对照组(n=78例),对照组未在孕期接受系统的心理辅导,观察组孕妇在孕期接受分娩心理辅导,所有产妇在分娩前均进行焦虑自评量表(SAS)和抑郁自评量表(SDS)评定,统计两组产妇分娩前焦虑、抑郁情况,比较两组孕产妇分娩方式及在无医学指征时强烈要求剖宫产的发生率差异。结果观察组分娩前焦虑程度明显轻于对照组,差异具有统计学意义(χ~2=15.758,P<0.01)。观察组分娩前抑郁程度均明显轻于对照组,差异具有统计学意义(χ~2=13.555,P<0.01)。观察组产妇剖宫率、无医学指征时强烈要求剖宫产的发生率均明显低于对照组,差异具有统计学意义(χ~2=19.226、9.028,P<0.01)。结论孕期接受分娩心理辅导能够有效缓解独生女孕妇的焦虑、抑郁症状,提高自然分娩率,降低"社会因素"引起的无医学指征剖宫产率,值得临床推广使用。

Objective To analyze the influence of psychological counseling during pregnancy on cesarean section rate of only-daughter parturient, so as to improve the rate of Natural childbirth. Methods 156 only-daughter parturient from October 2015 to January 2017 in our hospital were selected as the study objects. The random number table were generated by SPSS20.0. All the only-daughter parturient were divided into the observation group （n=78） and the control group （n=78）. Patients in control group were not received systematic psychological counseling during pregnancy, and patiens in observation group were given psychological counseling during pregnancy. The self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were assessed for comparing of the Anxiety and depression of all the only-daughter parturient. The mode of childbirth and cesarean section rate without medical indication were analyzed. Results The anxiety degree of the observation group was significantly lighter than that of the control group before childbirth, and the difference was statistically significant （Z2=15.758, P 〈 0.01）. The degree of depression in the observation group was significantly lighter than that in the control group, and the difference was statistically significant （χ2=13.555, P 〈 0.01）. The incidence of cesarean section in the observation group was significantly lower than that in the control group, the difference was statistically significant （χ2= 19.226, 9.028, P 〈 0.01 ）. Conclusion Psychological counseling during pregnancy can effectively relieve anxiety and depressive symptoms of only-daughter parturient, improve the rate of Natural childbirth and reduce the cesarean rate without medical indication caused by ＂social factors＂. It is worth popularizing.