产妇精神因素对分娩方式及产后出血的影响(附120例临床分析)

目的观察产妇精神状态（焦虑与抑郁）与分娩方式、产后出血间的关系。方法120例健康初产妇以汉密顿焦虑量表（HAS）和抑郁量表（HI）S）评定精神状态，观察其分娩方式及产后出血状况；按分娩方式不同分为剖宫产组、钳产组及顺产组；按是否有产后出血分产后出血组及产后无出血组。结果120例产妇焦虑发生率35．0％，抑郁发生率28．3％，焦虑并抑郁发生率16．7％。剖官产组、钳产组的焦虑评分及抑郁评分明显高于顺产组，而剖宫产组、钳产组间则无显著差异；产后出血组焦虑及抑郁评分亦明显高于无产后出血组。结论焦虑状态与抑郁状态是增加助产率及产后出血的一个可能因素。

The Influence of Psychic Factor on Delivery Mode and Postpartum Hemorrhage

Objective To observe the relationship between the psychic factor(anxiety and depression)and delivery mode and postpartum hemorrhage.Methods 120 healthy primiparae were involved in our study.Their psychosises were evaluated according to Hamilton depression scale(HDS).Delivery mode and postpartum hemorrhage were observed.Women were divided into caesarean section,forceps and natural groups according to different mode of delivery,as well as into hemorrhage and non-hemorrhage groups according to occurance of hemorrhage or not after labor.Results Among the whole primiparae observed,the anxious rate was 35.0%,the depress rate was 28.3%,while 16.7% were both anxious and depress.The anxious and drepress scales in caesarean and forceps groups were higher than that in spontaneous group but no difference existed between themselves.The two scales were higher in hemorrhage group than that of non-hemorrhage group.Conclusion Anxious and depress status may be one of the factors causing high dystocia-rate and postpartum hemorrhage.