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对分娩的恐惧延长了妊娠间隔:一个基于全国登记的量子逻辑回归分析
Matias Vaajala1, Ville M Mattila1,2, Ilari Kuitunen3,4
1Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.
概括
对分娩的恐惧 (FOC) 与更长的妊娠间隔 (IPI) 有关. 患有FOC的女性更有可能在怀孕之间有更长的时间,这表明FOC会影响生殖决策.
科学领域:
- 生殖健康 生殖健康
- 围产期心理学 围产期心理学
背景情况:
- 对分娩的恐惧 (FOC) 是一个重大问题,但它对妊娠间隔 (IPI) 的影响仍未得到充分研究.
- 了解影响IPI长度的因素对于生殖健康规划和干预至关重要.
研究的目的:
- 分析出产恐惧 (FOC) 与妊娠间隔时间 (IPI) 的长度之间的关联.
- 调查第一或第二次怀孕中的FOC如何影响随后的IPI持续时间.
主要方法:
- 利用芬兰医疗出生登记 (2004-2018) 的数据,对妇女进行第一次和第二次怀孕.
- 使用后勤回归来评估FOC和IPI长度之间的关联,定义短 (<1.05年) 和长 (>2.57年) 的IPI.
主要成果:
- 在第一次怀孕时患有FOC的女性,短期IPI的几率较低 (aOR 0.88),长期IPI的几率较高 (aOR 1.30).
- 第二次怀孕中首次FOC诊断与较长IPI的更高几率有关 (aOR 1.68).
- 分娩方式影响结果:第一个怀孕期间的阴道分娩与第二个怀孕期间的FOC显示短IPI的几率较低 (aOR 0.71),而剖腹产显示长IPI的几率较高 (aOR 1.52).
结论:
- 感到害怕分娩的女性显示,更长的妊娠间隔的几率明显更高.
- 应该认识到FOC不仅是怀孕并发症,而且是影响女性对后期怀孕的决定的一个因素.
- 建议对FOC的病因因素进行进一步研究,以制定有效的预防策略.
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