Clinical risk factors for preterm birth and evaluating maternal psychology in the postpartum period  

作　　者：Jia-Jun Chen Xue-Jin Chen Qiu-Min She Jie-Xi Li Qiu-Hong Luo 

机构地区：[1]Department of Clinical Laboratory,Shenzhen Bao’an District Songgang People’s Hospital,Shenzhen 518000,Guangdong Province,China [2]Department of Otolaryngology Head and Neck Surgery Outpatient,Shenzhen Children’s Hospital,Shenzhen 518000,Guangdong Province,China [3]Department of Prevention and Health Care,Shenzhen Bao’an District Songgang People’s Hospital,Shenzhen 518000,Guangdong Province,China [4]Department of Obstetrics,Shenzhen Bao’an District Songgang People’s Hospital,Shenzhen 518000,Guangdong Province,China

出　　处：《World Journal of Psychiatry》2024年第5期661-669,共9页世界精神病学杂志

基　　金：Supported by Shenzhen Baoan District Medical and Health Research Project,No.2023JD214.

摘　　要：BACKGROUND Although the specific pathogenesis of preterm birth(PTB)has not been thoroughly clarified,it is known to be related to various factors,such as pregnancy complications,maternal socioeconomic factors,lifestyle habits,reproductive history,environmental and psychological factors,prenatal care,and nutritional status.PTB has serious implications for newborns and families and is associated with high mortality and complications.Therefore,the prediction of PTB risk can facilitate early intervention and reduce its resultant adverse consequences.AIM To analyze the risk factors for PTB to establish a PTB risk prediction model and to assess postpartum anxiety and depression in mothers.METHODS A retrospective analysis of 648 consecutive parturients who delivered at Shenzhen Bao’an District Songgang People’s Hospital between January 2019 and January 2022 was performed.According to the diagnostic criteria for premature infants,the parturients were divided into a PTB group(n=60)and a full-term(FT)group(n=588).Puerperae were assessed by the Self-rating Anxiety Scale(SAS)and Self rating Depression Scale(SDS),based on which the mothers with anxiety and depression symptoms were screened for further analysis.The factors affecting PTB were analyzed by univariate analysis,and the related risk factors were identified by logistic regression.RESULTS According to univariate analysis,the PTB group was older than the FT group,with a smaller weight change and greater proportions of women who underwent artificial insemination and had gestational diabetes mellitus(P<0.05).In addition,greater proportions of women with reproductive tract infections and greater white blood cell(WBC)counts(P<0.05),shorter cervical lengths in the second trimester and lower neutrophil percentages(P<0.001)were detected in the PTB group than in the FT group.The PTB group exhibited higher postpartum SAS and SDS scores than did the FT group(P<0.0001),with a higher number of mothers experiencing anxiety and depression(P<0.001).Multivariate logistic regressio

关 键 词：Preterm birth Risk factors Postpartum psychological state Risk model Prediction 

分 类 号：R749.4[医药卫生—神经病学与精神病学]