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目的 :探讨产妇产前精神状态与分娩方式、乳汁分泌的关系。方法 :用汉密顿焦虑量表 (HAS)和抑郁量表 (HDS)评定 10 4例在我院分娩健康初产妇的精神状态 ,全部产妇均以产科常规分娩而不进行干预 ,观察其分娩方式及产后 7d内乳汁分泌情况 ;按分娩方式不同分为剖宫产组、儿吸产组及顺产组 ;按产后乳汁分泌不同分为纯母乳喂养组和母乳加代乳品喂养组。结果 :10 4例产妇出现焦虑 2 5例 ,发生率 2 4.0 4% ;出现抑郁 2 0例 ,发生率 19.2 3% ,焦虑并抑郁 5例 ,发生率 4.80 % ;焦虑评分及抑郁评分剖宫产组、儿吸产组明显高于顺产组 (P <0 .0 5 ) ,剖宫产组与儿吸产组比较无显著性差异 ;母乳喂养加代乳品组焦虑及抑郁评分亦明显高于纯母乳喂养组 (P <0 .0 5 )。结论 :产前焦虑与抑郁状态是增加助产率及影响乳汁分泌的因素。
Objective: To explore the relationship between maternal prenatal mental status, delivery mode and milk secretion. Methods: The mental state of 104 healthy primiparous women delivered in our hospital was evaluated by Hamilton Anxiety Scale (HAS) and Depression Rating Scale (HDS). All the mothers were given routine obstetrical delivery without intervening, and the mode of delivery And postpartum 7d milk secretion; according to different modes of delivery is divided into cesarean section group, abortion group and abortion group; according to postpartum milk secretion is divided into exclusive breastfeeding group and breast milk plus milk feeding group. Results: 10 4 maternal anxiety occurred in 25 cases, the incidence of 2 4.04%; depression occurred in 20 cases, the incidence of 19.2 3%, anxiety and depression in 5 cases, the incidence rate of 4.80%; anxiety and depression score cesarean section Group, abortion group was significantly higher than the cesarean section group (P <0.05), cesarean section group and abortion group was no significant difference; breastfeeding plus milk group anxiety and depression scores were significantly higher than pure breast milk Feeding group (P <0.05). Conclusion: Prenatal anxiety and depression status are the factors that increase midwifery rate and affect milk secretion.