论文部分内容阅读
目的:观察孕妇心理因素(焦虑)对分娩方式及妊娠结局的影响,为产前心理疏导提供理论支持。方法:回顾性分析2013年11月-2015年11月期间于我院妇产科生产的130例孕妇的基本住院资料,通过焦虑自评量表(SAS)将130名孕妇分为观察组(有焦虑情绪孕妇)与对照组(无焦虑情绪孕妇),分别为47例和83例,观察两组孕妇阴道自然分娩与剖宫产人数,同时对分娩结局进行比较。结果:观察组孕妇阴道自然分娩率27.66%,刨宫产率72.34%,对照组孕妇阴道自然分娩率60.24%,刨宫产率39.76%,两组数据差异显著(χ~2=12.75,P<0.001);观察组孕妇阴道自然分娩时间、剖宫产出血量均显著高于对照组,新生儿Apgar评分低于对照组(t=3.80,3.41,-19.00;P<0.01);产后抑郁、产后出血以及新生儿窒息的总发生率显著高于对照组,(P<0.001),差异存在统计学意义。结论:孕妇在孕期出现的焦虑症状会显著增加剖宫产率,降低阴道自然分娩率,同时焦虑情绪会增加分娩时间、加大出血量,给产后婴儿及孕妇带来一系列不良影响。
Objective: To observe the influence of psychological factors (anxiety) on the mode of delivery and pregnancy outcome in pregnant women and to provide theoretical support for prenatal psychological counseling. Methods: The hospitalization data of 130 pregnant women in obstetrics and gynecology department in our hospital from November 2013 to November 2015 were retrospectively analyzed. 130 pregnant women were divided into observation group (SAS) Anxiety pregnant women) and the control group (anxiety-free pregnant women), 47 cases and 83 cases respectively. The number of spontaneous vaginal delivery and cesarean section in the two groups were observed. At the same time, the delivery outcomes were compared. Results: The spontaneous delivery rate of vagina in observation group was 27.66% and the rate of planing palace was 72.34%. The spontaneous vaginal delivery rate in control group was 60.24% and that of planing palace was 39.76%. There was significant difference between the two groups (χ ~ 2 = 12.75, P < 0.001). The spontaneous vaginal delivery time and cesarean section bleeding volume in the observation group were significantly higher than those in the control group. The Apgar score in neonates was lower than that in the control group (t = 3.80, 3.41, -19.00, P <0.01) The overall incidence of bleeding and neonatal asphyxia was significantly higher than that of the control group (P <0.001), and the difference was statistically significant. Conclusion: Anxiety symptoms of pregnant women during pregnancy significantly increase the rate of cesarean section, reduce the vaginal natural delivery rate, and anxiety will increase the delivery time, increase bleeding, postpartum infants and pregnant women to bring a series of adverse effects.