孕妇分娩恐惧的影响因素分析

目的探讨孕妇分娩恐惧的影响因素。方法采用便利抽样法,于2020年1月—2021年2月选取在南京市中西医结合医院妇产科就诊的孕妇为研究对象。采用一般资料调表、爱丁堡产后抑郁量表、分娩预期问卷中文版对其进行调查。采用二项Logistic回归分析孕妇分娩恐惧的影响因素。共发放问卷385份,回收有效问卷359份。结果根据分娩恐惧程度将359名孕妇分为轻中度恐惧组(n=293)和严重恐惧组(n=66)。孕产次数、是否不孕治疗、是否计划妊娠、与预期分娩方式是否一致、是否抑郁是孕妇分娩恐惧的影响因素(P<0.05)。结论应重点关注孕妇的分娩恐惧问题,针对影响因素开展干预。

Influencing factors of pregnant women's fear of childbirth

Objective To explore the influencing factors of pregnant women's fear of childbirth.Methods From January 2020 to February 2021,convenience sampling was used to select pregnant women attending the Department of Gynecology and Obstetrics of Nanjing Integrated Traditional Chinese and Western Medicine Hospital as the research object.The General Information Questionnaire,Edinburgh Postnatal Depression Scale(EPDS),the Chinese Version of Wijma Delivery Expectancy/Experience Questionnaire Version A(W-DEQ-A)were used for investigation.Binomial Logistic regression was used to analyze the influencing factors of pregnant women's fear of childbirth.A total of 385 questionnaires were distributed and 359 valid questionnaires were returned.Results According to the degree of fear of childbirth,359 pregnant women were divided into mild to moderate fear group(n=293)and severe fear group(n=66).The frequency of pregnancy,infertility treatment,planning pregnancy,whether it is consistent with the expected delivery method,and depression were the influencing factors of pregnant women's fear of childbirth(P<0.05).Conclusions We should focus on pregnant women's fear of childbirth,and carry out interventions for influencing factors.