丈夫主动参与围生保健对高危孕产妇分娩情况心理状态及新生儿状况的影响  

Study on the effect of husband of high-risk pregnant women in perinatal care on pregnancy and psychological status and delivery

作　　者：方蓓欢 崔丽珺[2] 马军[3] FANG Bei-Huan;CUI Li-Jun;MA Jun(Department of Maternity Protection,Zhoushan Maternal and Child Health Hospital,Zhoushan,Zhejiang 316000,China)

机构地区：[1]舟山市妇幼保健院妇保科,浙江舟山316000 [2]西安交通大学第一附属医院,陕西西安710065 [3]广州市第一人民医院内科,广东广州510180

出　　处：《中国妇幼保健》2022年第11期1950-1952,共3页Maternal and Child Health Care of China

基　　金：浙江省舟山市科技计划项目(2017B31123)。

摘　　要：目的探讨丈夫主动参与围生保健对高危孕产妇分娩情况、心理状态及新生儿状况的影响。方法选取2015年6月—2017年5月来舟山市妇幼保健院建卡产检并住院分娩的216例高危孕产妇为研究对象,随机分为观察组和对照组,观察组孕产妇的丈夫主动参与围生期保健。记录观察组和对照组孕妇产前检查次数、分娩方式、妊娠并发症和新生儿并发症等指标。此外,在预产期前一周采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评估孕妇的抑郁、焦虑情绪。结果观察组产前检查次数多于对照组(P<0.05);观察组经阴道分娩人数多于对照组(P<0.05);观察组新生儿并发症的发病率为12.50%,对照组发病率为29.81%。观察组低体质量儿的发病率低于对照组(P<0.05);观察组HAMD和HAMA评分均低于对照组(P<0.05)。结论在围生保健中,丈夫的积极参与可缓解孕产妇抑郁和焦虑情绪,降低围生期并发症的发生。Objective To investigated the effect of husband of high-risk pregnant women in perinatal care on pregnancy and psychological status and delivery.Methods 216 high-risk pregnant women in Zhoushan Maternal and Child Health Hospital from June 2015 to May 2017 were included and randomly divided into the experimental group and the control group,husbands of primiparas participate in perinatal care on pregnancy and delivery in the experimental group.The number of prenatal examination,the mode of delivery,the complications of pregnancy and neonatal complications were recorded,One week before the expected date of childbirth,the Hamilton Depression Scale(HAMD)and the Hamilton Anxiety Scale(HAMA)were used to assess the depression and anxiety in pregnant women.Results The number of prenatal examinations in the experimental group was higher than the control group(P<0.05);the number of vaginal delivery in the experimental group was higher than the control group(P<0.05);The incidence of neonatal complications in experimental group was 12.50%,29.81%in the control group,the incidence of low birth weight infants in experimental group was lower than the control group(P<0.05);The scores of HAMD and HAMA in the experimental group were lower than the control group(P<0.05).Conclusion In the perinatal health care,the participation of husband can alleviate the depression and anxiety of pregnant women and reduce the incidence of perinatal complications.

关 键 词：围生保健 心理 高危孕产妇 

分 类 号：R197[医药卫生—卫生事业管理]