我院建册初产妇孕期焦虑及抑郁情况调查及分娩结局跟踪

Investigation of Anxiety and Depression Status and Labor Outcome among Pregnant Women in Our Hospital

目的调查我院初产妇孕期的心理健康状况,并且探讨焦虑抑郁状态对分娩结局及产后抑郁发生率的影响。方法选取我院建册产检的250例初产妇(8~13周)作为研究对象,通过焦虑自评量表和抑郁自评量表对孕妇的心理状态进行评价,并且在分娩后随访分娩方式、新生儿出生体重、孕期并发症和产后抑郁的发生情况。结果不同焦虑和抑郁程度组孕妇的分娩方式和新生儿出生体重差异有统计学意义(P<0.05);中度及重度焦虑和抑郁的孕妇产后抑郁的发生率更高。结论初产妇孕期焦虑和抑郁的发生率较高且与产后抑郁的发生密切相关,给予孕妇相应的心理干预非常必要。

Objective To investigate the mental health status of primipara during pregnancy,and to explore the effect of anxiety and depression on the outcome of labor and the incidence of postpartum depression.Methods 250 primiparas（ 8 ~ 13 weeks） in our hospital were selected as the objects. The psychological status of the pregnant women was evaluated by the self rating anxiety scale and the self rating depression scale. The mode of delivery,the birth weight,the complications of pregnancy and the incidence of postpartum depression were followed up after delivery. Results There were significant differences in the mode of delivery and the birth weight of the pregnant women in different anxiety and depression groups. The incidence of postpartum depression was higher in the pregnant women with moderate or severe anxiety and depression. Conclusion The incidence of anxiety and depression in primipara is higher,and it is closely related to the occurrence of postpartum depression. Psychological intervention is necessary for pregnant women.