分娩方式与早期婴儿行为问题的关系研究

Relationship between Delivery Alternatives and Behavioral Disorders in Infants: a Survey of 606 Post-delivery Women

目的 探讨分娩方式与婴儿行为问题之间的关系。方法 以北京大学第一医院复诊产妇 6 0 6名及其 2～ 3个月婴儿为对象 ,对婴儿母亲进行问卷调查。结果 顺产组与剖宫产组在婴儿行为问题方面存在显著差异 ,而婴儿的行为问题又反过来导致养育者的心理行为问题。结论 剖宫产是导致婴儿睡眠障碍、情绪困扰、多动易惊、视听失调等行为的重要因素之一 。

ObjectiveTo investigate the relationship between delivery alternatives and behavioral disorders in infants Methods A question naire survey of the delivery patterns and behavioral disorders of inf ants was conducted among 606 post-delivery women who came to the hospital for f urther consultation, of which 226 (37 29%) had given birth to 131 male infants a nd 95 female infants by normal labor, and 380 (62 17%) had undergone cesar e an section and given birth to 212 male infants and 168 female infants ResultsT here were no significant differences in diseases, emotion and environment during pregnancy between the mothers of these 2 groups No significant difference in the prevalence of childbirth-associated complications in infants was found betw e en these 2 groups The prevalence rates of dyssomnia, irritability, excessive d efense reflex, abnormality of visuoauditary reflex, and emotionalized tearful sc ene were significantly higher in the infants, both male and female, of the cesar ean section group than in the normal labor group (all P<0 01) The rate of parents confident in bringing up children was significantly higher in the normal labor group than in the cesarean section group (P< 0 01) The breast-feeding rate was significantly higher in the normal la bor group than in the cesarean section group (P<0 01) ConclusionCesarean section is one of the influencing factors of beh avioral disorders in infants