怀孕期间特征焦虑对出生体重的影响:一项观察性队列研究
Miguel Sandonis1,2, Joaquín Temprado3, Alina Hernández-Fleury3
1Mental Health Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Journal of psychosomatic obstetrics and gynaecology
|August 7, 2023
概括
产前焦虑,特别是特征焦虑,会对胎儿生长产生负面影响,预测出生体重较低. 这项研究强调了孕期母亲心理健康对胎儿健康发育的重要性.
科学领域:
- 产科和妇科 产科和妇科
- 围产期心理健康 围产期心理健康
- 胎儿的发育 胎儿的发育
背景情况:
- 在COVID-19大流行封锁期间怀孕呈现出独特的压力因素.
- 产前焦虑是一个日益关注的问题,它可能对胎儿的结果产生潜在影响.
- 了解低出生体重的预测因素对于产周护理至关重要.
研究的目的:
- 调查产前焦虑与胎儿生长之间的关联.
- 确定预测出生体重低的心理社会和人口因素.
- 探索特征焦虑对出生体重百分比的影响.
主要方法:
- 在COVID-19封锁期间对204名女性进行观察性队列研究.
- 评估了心理社会因素,母亲人口统计和产科结果.
- 使用了国家特征焦虑清单 (STAI和STAIt) 和爱丁堡产后抑郁量表 (EPDS).
主要成果:
- 特征焦虑 (STAIt得分) 与出生体重百分位数 (r = -0.228,p = .047) 有负相关性.
- 单变量分析确定了较低的孕前体重,BMI,平价,增加的特征焦虑和早产为低出生体重的风险因素.
- 多变量分析证实,低产妇妊娠前体重和增加的特征焦虑是低出生体重的独立预测因素.
结论:
- 产前焦虑,特别是特征焦虑,是低出生体重的重要预测因素.
- 母亲怀孕前的体重也是胎儿生长的独立预测因素.
- 这些发现强调了监测和管理孕期母亲焦虑的重要性.
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