产前焦虑相关因素调查及与自然分娩的关系

目的调查产前情绪障碍发生情况及可能影响的因素，并分析其与自然分娩的关系。方法选择2007年12月至2008年12月健康产妇590例，采用自制问卷调查，用状态一特质焦虑量表和SDS抑郁量表对产妇心理评估。结果选取569例问卷调查结果，根据焦虑、抑郁的评分结果分别将其分为焦虑组114例、抑郁组159例。产前焦虑与以下因素有关：害怕分娩、担心孩子、了解分娩知识、产妇年龄及自身经济状况。结论初产妇年龄偏大、经济状况差、家庭支持不足、担心自身与孩子安全及对疼痛的恐惧等因素与产前情绪障碍有关，而产前情绪障碍会影响分娩质量及分娩方式的选择，提高自然分娩的失败率。

Investigation on Influencing Factors of Antenatal Anxiety and Its Relationship with Spontaneous Delivery

Objective： To investigate the occurrence of antenatal anxiety and possible influencing factors, and analyze its relationship with spontaneous delivery. Methods： 590 healthy puerperal women who delivered in Taihe hospital during Dec 2007 and Dec 2008 were randomly selected and investigated for their psychological status, with T -Al anxiety scale and SDS depression scale employed. Results： 569 effective questionnaires were gathered, with 114 cases divided into the anxiety group and 159 cases into the depression group. Influencing factors of antenatal anxiety include fear of delivery, worry about the safety of babies, understanding of delivery knowledge, puerperal age, and the family financial status. Conclusion： Factors including a relatively older age of primipara, poor financial status, insufficient support from family, worry about the safety of oneself and baby, and fear for delivery pain all have close connections with antenatal mental disorders. Meanwhile, antenatal mental disorders have a direct influence on delivery quality and the choice of delivery modes, and increase the failure rate of spontaneous delivery.