产妇心理状况与产时相关因素的分析  

Analysis on Psychology of Puerpera and Correlation Factors During Laborring

作　　者：李芬[1] 韩蓁[1] 王凤琴 崔丽侠[1] 张明慧[1] 金辉[1] 

机构地区：[1]西安医科大学第一临床医院妇幼系

出　　处：《中国妇幼保健》1997年第5期286-288,共3页Maternal and Child Health Care of China

摘　　要：对１６８例产妇进行心理状况的调查分析。结果显示：１６８例中发生抑郁症状９例，发生率为５．３６％。多元逐步回归分析显示，分娩方式及对分娩疼痛感到恐惧是产后抑郁症状发病的主要产时危险因素。分娩方式中的产钳助产产妇抑郁症状发生率明显高于剖宫产及自然分娩组（Ｐ＜０．０１）。产时有并发症的产妇抑郁症状发生率高于正常组，两者有显著性差异（Ｐ＜０．０１）。而产妇的年龄、职业、妊娠结局以及新生儿性别与产后抑郁的发生无明显关系（Ｐ＞０．０５）。提示：应加强围产期的心理卫生保健，对预防产妇抑郁症状有积极意义。The psychology of 168 puerpera were investigated.The results showed as the follows.Nine cases of them happened depressive symptom.The incidence rate was 5.63%.The risk factors during laborring were the labor manner and the fear for the labor pains by regressive analysis.The depression incidence rate of puerpera in obstetric forceps delivery was obvious higher than that in hysterotokotomy or that in normal labor(P<0.01).The depression incidence rate of puerpera who had complication during laborring was higher than that of puerpera who labor in normal(P<0.01).The puerperal depressive symptom did not have clear relation with age and occupatin and pregnant result of puerpera and new born sex(P>0.05).The authors suggested that the psychology health care should be strengthened in prenatal period.

关 键 词：产后抑郁症 相关因素 围产期保健 

分 类 号：R751.3[医药卫生—皮肤病学与性病学] R749.41[医药卫生—临床医学]