妊娠的计划性对母亲情绪泌乳时间与婴儿发育的影响  

The influence caused by desire or non-desire before cyesis on mother emotion,postpartum lactating time and neonate growth

作　　者：张红梅[1] 徐英[2] 吴爱勤[2] 樊洁[1] 李国海[1] 

机构地区：[1]镇江市第四人民医院心理卫生中心,镇江212001 [2]苏州大学附属第一人民医院

出　　处：《中国行为医学科学》2005年第9期780-781,共2页Chinese Journal of Behavioral Medical Science

基　　金：镇江市社会发展科技项目(FZ2004107)

摘　　要：目的探讨计划妊娠对产后母婴心身是否存在积极影响。方法采用围产期孕妇一般情况调查表、爱丁堡产后抑郁量表(EPDS)、汉密尔顿抑郁量表(HAMD)对72名围产期孕妇进行跟踪调查,直至分娩,并进行统计学分析。结果计划妊娠组的产后泌乳时间[(50.18±21.54)h]早于非计划妊娠组[(71.71±32.57)h](P<0.01),计划妊娠组新生儿体质量[(3.4±0.5)kg],新生儿身长[(50±1)cm]低于非计划组[(3.8±0.4)kg,(51±2)cm](P<0.01,P<0.05);计划妊娠组EPDS总分(7.59±3.63)分,HAMD总分[(12.41±6.86)]分显著低于非计划妊娠组[(12.29±6.00)分,(19.29±9.30)分](P<0.01);计划妊娠组产后抑郁症发病率(8.9%)显著低于非计划妊娠组(35.7%)(P<0.01)。结论从妊娠后果来看,计划妊娠明显优于非计划妊娠。Objective To explore the influence of desire before cyesis on the results of delivery . Methods 72 gravidas were investigated by using the gravida general situation questionnaire, the Edinburgh Postnatal Depression Scale（EPDS）, and Hamilton depressive scale（HAMD） in the earlier period of pregnancy till giving birth. The data were done with hygienic statistics. Results The postpartum lactating time was earlier in the group who desir before cyesis[ （50.18±21.54） h vs （71.71±32.57 h） ] than that in the control who failed to desire before cyesis （ P〈0.01 ）. The neonate body weight （BW） in the desire group was significantly lower than that in the non-desire group（ 3. 4±0. 5 vs 3.8 ±0.4） （P〈0.01）, and so did body length [（50±1）cm vs （51 ±2） cm ] （ P 〈 0.05 ）. The total score of EPDS was significantly lower in the desire group than in the non-desire group （7.59±3.63 vs 12.29±6.00）（P〈0.01）,andsodid HAMD （12.41±6.86 vs 19.29±9.30）（P〈0.01）. The prevalence rate of postpartum depression was significantly lower in the desire group （8.9%）than in the control group（35.7% ） （ P 〈 0.01 ）. Conclusion On the basis of the results of the pregnancy ,the desire before cyesis have advantages over the non-desire.

关 键 词：围产期 HAMD EPDS 产后抑郁症 产后泌乳 非计划妊娠 泌乳时间 爱丁堡产后抑郁量表 婴儿发育 汉密尔顿抑郁量表 

分 类 号：R174[医药卫生—妇幼卫生保健]