产妇焦虑抑郁与分娩方式关系探讨

目的:探讨产妇产前情绪障碍与分娩方式之间的关系。方法:采用自制问卷及状态-特质焦虑量表(STAI)和抑郁自评量表(SDS)对1184名产妇进行了心理状况调查评估。结果:①焦虑组选择性剖宫产的比例显著升高(P<0.01),宫缩乏力(P<0.01)及胎儿窘迫(P<0.001)发生率显著高于对照组。②抑郁组产妇选择剖宫产(P<0.01)、宫缩乏力(P<0.01)及胎儿窘迫(P<0.001)比例高于对照组,差异有显著性。结论:产前焦虑抑郁是剖宫产增多的一个重要原因。

Relationship between Psychological Status and Delivery Styles

Objective To investigate the relationship between delivery mode and psychological status.Methods In the prospective cohort study,1184 healthy primiparase from cesarean section on maternal request(n=413)and planning vaginal delivery(n=771) completed State-Trait Anxiety Inventory(STAI) and Self-Rating Depression(SDS) self-assessment questionnaires 24 hours before delivery.Results ①The ratio of selective cesarean sectionin the anxiety group was higher significantly(P<0.01).The incidence of uterine inertia(P<0.01)and fetal distress(P<0.001)in the anxiety group were significantly higher.②The ratio of selective cesarean section(P<0.01)in the depression group was significantly higher.The incidence of uterine inertia(17.27%vs 2.20%,χ2=42.84,P<0.01)and fetal distress(P<0.001) were significantly higher.Conclusion Both anxiety and depression are important factors for the high ratio of caesarean section.