孕产妇分娩前后心身健康状况调查

目的 探讨孕产妇分娩前后心身健康状况,为临床干预提供依据.方法 对100名孕产妇产前、产后1周、4周、12周末采用焦虑自评量表、抑郁自评量表和爱丁堡产后抑郁量表评定焦虑抑郁状况,于产前、产后1周末检测血清雌二醇和孕酮水平.结果 入组被试产后焦虑自评量表、抑郁自评量表和爱丁堡产后抑郁量表评分随着时间的延续均呈持续性下降(...

The investigation of antepartum and postpartum psychosomatic health status of pregnant women

Objective To explore antepartum and postpartum psychosomatic health status of pregnant women in order to provide basis for clinical intervention. Methods Anxiety-depression status was assessed with the the Sself-rating Anxiety Scale （SAS）, Self-rating Depression Scale （SDS） and Edingburgh Post- natal Depression Scale （EPDS） in 100 pregnant women at antepartum and the end of the 1st, 4th and 12th week after childbirth, serum estradiol （E2） and progesterone levels were detected before childbirth and at the end of the 1st week after. Results After childbirth, their scores of the SAS, SDS and EPDS lowered continuatively over time （P〈0.05 or 0.01）. Detection rates were 3.0% before childbirth, 2.0% at the end of the 1st week after childbirth, 2.0% 4th and 1.0% 12th respectively, those of depression 12.0%, 8.0%, 7.0% and 3.0 %, and those of depression were the highest before childbirth and at the end of the 1st week after childbirth, detection rates of depression were the highest before childbirth and at the end of the 1st week after childbirth and gradually lowered at the end of the 4th. Antepartum and postpartum SAS scores had no significant differences in educational levels （P〉0.05） ; Dectetion results of E2 and progesterone at the end of the 1st week lowerd more significantly compared with anteparum in the pregnant women with and without anxiety-depression symptoms （P〈0.01）. Conclusion Pregnancy and labour have great influence to women＇s psychosomatic health mental status, as should be paid attention to.