产妇心理状态对产后出血及乳汁分泌的影响观察 |
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引用本文: | 祁化萍.产妇心理状态对产后出血及乳汁分泌的影响观察[J].中国当代医药,2014,21(4):185-186. |
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作者姓名: | 祁化萍 |
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作者单位: | 祁化萍 (湖南省常德市鼎城区妇幼保健院产科,湖南常德,415101); |
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摘 要: | 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。
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关 键 词: | 焦虑 抑郁 产后出血 乳汁分泌 |
The influce of maternal mental state on postpartum hemorrhage and milk secretion |
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Authors: | QI Hua-ping |
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Institution: | QI Hua-ping Department of Obstetrical,Maternal and Child Care Service Centre in Dingcheng District of Changde City in Hunan Province,Changde 415101,China |
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Abstract: | 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. |
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Keywords: | Anxiety Depression Postpartum hemorrhage Milk secretion |
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