不同分娩方式对产妇心理影响

本文采用抑郁自评量表（ＳＤＳ），焦虑自评量表（ＳＡＳ）对１５５例孕产妇作了产前、产后心理状况调查，结果显示：产前、产后ＳＡＳ总分值高于常模值；产后ＳＤＳ分值高于产前，剖腹产者ＳＡＳ，ＳＤＳ高于常模值，也高于自然分娩者（均为Ｐ＜０．０１）。ＳＤＳ抑郁严重度指数≥０．５者：剖腹产２５例（３６．７６％），自然分娩者５例（５．２５％）。提示产前产后孕产妇有明显焦虑情绪，剖腹产后有明显抑郁。

Influence of varying ways of delivery on the psychological state of parturient

One hundred and fifty-five parturients were investigated by self-rating depression scale(SDS) and self-fating anxiety scale(SAS).The result by SAS was that both prepartum and postpartum anxiety levels were higher than that of normal population Depression measured by SDS postpartumly was higher than that prepartumly.Depression in those underwent Cesarean was higher than that in easy delivery group,that is 25 of68 underwent Cesarean had SDS scores over 50 point vherever only 5 of 98 easy delivery parturiennts had SDS score so high.The results indicated that partum was an anxiety evoking life event,parturients underwent Cesarean had much more depression which should be taken care by obstetricians.Strictly mastering the criteria of Cesarean operation should be noticed by all obstetricians.