孕妇体操配合瑜伽呼吸训练对产妇分娩方式及情绪状态的影响

目的探讨孕妇体操配合瑜伽呼吸训练对产妇分娩方式及抑郁症的影响。方法对2008年9月至2009年5月行定期产前检查、接受孕期教育、自愿选择孕妇体操配合瑜伽呼吸训练的182例初产孕妇为研究组,同期不做孕妇体操及瑜伽呼吸训练的216例初产孕妇为对照组。两组孕妇均采用抑郁自评量表（self-rating depression scale,SDS）和焦虑自评量表（self-rating anxiety scale,SAS）在孕36周时进行评分,比较两组孕妇产前心理状态;产后采用产后抑郁量表（Edinburgh postnatal depression scale,EPDS）比较两组产妇产后抑郁症的发生率;比较两组产妇的分娩方式。结果研究组孕妇产前抑郁及焦虑评分明显低于对照组（P〈0.05）,焦虑和抑郁的发生率也低于对照组（P〈0.05）;研究组产妇自然分娩率高于对照组（P〈0.05）,产后抑郁症发生率低于对照组（P〈0.05）。结论孕妇体操配合瑜伽呼吸训练能调节孕妇产前心理状态,促进自然分娩,降低产后抑郁症的发生率。

Effects of Antenatal Exercise Combined with Yoga Breath Exercise for Pregnant Woman on Delivery Mode and Emotional State

Objective To discuss the effect of antenatal exercise combined with Yoga breath exercise on the delivery and postpartum psychosis.Methods Of the primiparas with pregnancy education and pregnancy examine from Sept.2008 to May.2009,182 pregnant women who volunteered to take Antenatal exercise on labor and Yoga breath exercise were selected as the treatment group and 216 who did not take the course were selected as the control group.Two self-rating scales;self-rating depression scale（SDS）and self-rating anxiety scale（SAS）were used for the assessment of antenatal mental condition of the pregnant women at 36 weeks of pregnancy.Edinburgh postnatal depression scale（EPDS）were used after the labor to confirm the incidence rate of postpartum psychosis.A comparison was conducted between the modes of delivery and incidence rate of postpartum psychosis in the two groups.Results The SDS SAS scores and incidence rate of postpartum psychosis and anxiety on the treatment group were significantly lower than those of the control group（P0.05）.The spontaneous delivery rate of the treatment group was significantly higher than that of the control group（P0.05）.The incidence rate of postpartum psychosis of the treatment group was significantly lower than that of the control group（P0.05）.Conclusion Antenatal exercise on labor and Yoga breath exercise can regulate the primiparas＇ mental condition,facilitate spontaneous delivery and reduce the rate of postpartum psychosis.