孕妇心理健康状况与低出生体重儿关系  

Relationship between mental health status of pregnant women and low birth weight neonates

作　　者：蒋晓敏[1,2] 陶芳标[1] 董娟[2] 朱鹏[1] 王有礼[1] 丁洁[2] 曹武军[2] 

机构地区：[1]安徽医科大学公共卫生学院儿少卫生与妇幼保健学教研室,合肥230032 [2]安徽省合肥市妇幼保健院产科

出　　处：《中国公共卫生》2009年第4期438-440,共3页Chinese Journal of Public Health

基　　金：国家教育部博士点基金(20060366002);合肥市科技局应用技术研究与开发项目(2008-1007)

摘　　要：目的了解孕妇的心理健康状况,探讨孕妇心理社会应激对低出生体重儿的影响。方法通过对1519名即将分娩的孕妇进行社会人口统计学变量和心理健康状况问卷调查,并追踪其分娩情况,采用χ2检验和非条件Lo-gistic回归分析其对低出生体重儿的影响因素。结果不同户籍、文化程度、年龄孕妇其低出生体重儿的发生率差异有统计学意义(均P<0.05);孕妇焦虑、抑郁、特质应对方式、社会支持与低出生体重均无关联(均P>0.05);控制孕妇年龄、户籍、文化程度及妊娠合并或/和并发症等因素后,中重度生活事件应激仍是低出生体重的危险因素(OR=3.619,95%CI=1.863～7.028)。结论孕妇发生中重度心理社会应激可能对胎儿宫内生长产生不利影响。Objective To describe mental health status in pregnant women and to estimate whether there is an association between psychosocial stress and low birth weight. Methods A voluntary sample of 1 519 pregnant women who had the forcoming birth in a hospital in Hefei was selected. Their social demography and mental health information were assessed by a questionnaire survey and were compared between women who delivered low birth weight neonates and women who delivered normal birth weight neonates. Chi square test,relative risks and 95% confidence intervals were calculated by means of non-conditional Logistic regression. Results Low birth weight rates were different in different maternal registered permanent residence, age and educational degree, and the differences were of significance （ P 〈 0. 05 for all comparisons）. There was no significant association between maternal anxiety and a low birth weight delivery, and the analysis of maternal depres- sion, trait coping style, social support yielded the same results （ P 〉 0. 05 for all comparisons ）. After adjusting for maternal social demography and complicated disease factors,moderate or severe life events （odds ratio = 3. 619,95% confidence interval ： 1. 863 - 7.028 ） was significantly associated with low birth weight delivery （ P = 0. 000 ）. Conelttsion This study provides evidence that moderate or severe psychosocial stress in pregnant women may have adverse effect on fetal growth.

关 键 词：婴儿 出生时低体重 应激 心理学 生活变动事件 孕妇 

分 类 号：R395.6[哲学宗教—心理学] R722.1[医药卫生—医学心理学]