产妇心理状态对产后出血及乳汁分泌的影响观察

目的探讨产妇心理状态对产后出血及乳汁分泌的影响。方法选择2010年6月～2012年12月于本院进行分娩的单胎初产妇90例为研究对象，全部产妇产前1周由专人采用焦虑自评量表（SAS）及抑郁自评量表（SDS）进行评分并记录，分娩完成后统计产妇产后出血及母乳喂养情况，分析比较产后出血组与未出血组，纯母乳喂养组与非纯母乳喂养组产妇的焦虑、抑郁情况，分析产妇心理状态对产后出血及乳汁分泌的影响。结果产后出血组产妇SAS、SDS评分明显高于非产后出血组（P〈0．05）；纯母乳喂养组SAS、SDS评分明显低于非纯母乳喂养组（P〈0．05）。结论产前焦虑和抑郁心理与产后出血有密切关系，并且可能影响产后乳汁分泌，提示临床应注意对此进行预防性干预。

The influce of maternal mental state on postpartum hemorrhage and milk secretion

Objective To investigate the influce of maternal mental state on postpartum hemorrhage and milk secretion. Methods 90 cases of singletons primiparaes in our hospital were selected as research objects,the self-rating anxiety scale（SAS）and self-rating depression scale（SDS） scores of all primiparaes were detected and recorded by specially-assigned person in prenatal I week; after delivery,maternal postpartum hemorrhage and breastfeeding situation were observed,and the SAS,SDS scores between postpartum hemorrhage group and non-postpartum hemorrhage group,breast feeding group and no breast feeding group were compared. Results SAS,SDS scores of postpartum hemorrhage group were all significantly higher than those of non-postpartum hemorrhage group（P〈0.05）;SAS, SDS scores in breastfeeding group were all signifi- cantly lower than those of non-breastfeeding group（P〈0.05）. Conclusion Prenatal anxiety and depression are closely related to postpartum hemorrhage,and may affect milk secretion,so preventive intervention should be given in clinic.