孕期焦虑状态对产妇分娩方式、产程和妊娠结局的影响

Influence of anxiety state during pregnancy on the way of delivery, delivery process and pregnancy outcome of parturients

目的探讨孕期焦虑状态对产妇分娩方式、产程及妊娠结局的影响。方法选择2018年1月至2020年1月在某医院产科进行分娩的产妇100例作为研究对象,所有产妇均采用焦虑自评量表(SAS)评估孕期期间的焦虑状态,并根据SAS评分不同分焦虑组(SAS评分≥50分)、无焦虑组(SAS评分<50分),统计2组孕妇分娩方式、产程时间以及妊娠结局。结果 100例产妇中孕期出现焦虑症状27例,占比27.00%;孕妇选择自然阴道分娩方式的比例,焦虑组29.63%(8/27)低于无焦虑组76.71%(56/73)(P<0.05);孕妇产后出血、胎膜早破、胎儿宫内窘迫及感染的发生率,焦虑组(25.93%、37.04%、25.93%、25.93%)均高于无焦虑组(4.11%、2.74%、2.74%、1.37%)(P<0.05);自然分娩孕妇第一、第二及第三产程时间,焦虑组均长于无焦虑组(P<0.05)。结论产妇的分娩方式、产程、妊娠结局均受到孕期焦虑状态的影响,临床应制定针对性干预措施,缓解产妇孕期焦虑状态,改善妊娠结局。

Objective To investigate the influence of anxiety during pregnancy on the way of delivery, the course of labor and pregnancy outcome.Methods One hundred parturients who gave birth in the obstetrics department of our hospital from January 2018 to January 2020 were selected as the research objects. All parturients were given Self-Rating Anxiety Scale(SAS) to assess their anxiety during pregnancy, and according to the SAS score, all parturients were divided into the anxiety group(SAS score≥50 points) and the non-anxiety group(SAS score<50 points). The methods of delivery, labor time and pregnancy outcome of the two groups of pregnant women were collected.Results Among 100 parturients, 27 cases had anxiety symptoms during pregnancy, accounting for 27.00%;the proportion of pregnant women in the anxiety group who chose natural vaginal delivery was 29.63%(8/27), which was significantly lower than 76.71%(56/73) in the non-anxiety group(P<0.05);the incidence of postpartum hemorrhage, premature rupture of membranes, fetal distress and infection in the anxiety group(25.93%, 37.04%, 25.93%, and 25.93%) was significantly higher than that of the non-anxiety group(4.11%, 2.74%, 2.74%, and 1.37%)(P<0.05);the first, second, and third stages of labor of pregnant women with natural childbirth in the anxiety group were significantly longer than those in the non-anxiety group(P<0.05).Conclusion The way of delivery, delivery process, and pregnancy outcome of parturients are all affected by anxiety during pregnancy. Clinical interventions should be developed to relieve the anxiety of parturients during pregnancy and help improve pregnancy outcome.