选择性剖腹产前高焦虑水平可能会对母亲和胎儿产生负面影响
F Tosun1, M Bülbül2, C Ç Yıldız1
1Department of Anesthesia and Reanimation, Adiyaman University Faculty of Medicine, Adiyaman, Turkey.
Nigerian journal of clinical practice
|April 28, 2024
概括
在剖腹产前 (CS) 高度的手术前焦虑与降低出生体重和增加母亲的心率和扩张血压 (DBP) 有关. 管理焦虑对于更好的胎儿和母亲的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 怀孕和手术程序,如剖腹产 (CS),是孕妇焦虑的常见来源.
- 在此期间,焦虑水平升高可能会导致不良的胎儿和母亲的结果.
研究的目的:
- 调查接受选择性剖腹产 (CS) 的妇女手术前焦虑水平和胎儿-母亲结果之间的关联.
主要方法:
- 在224名预定参加选修CS的妇女中,使用国家特征焦虑清单 (STAI) 评估了手术前的焦虑.
- 参与者根据他们的STAI分数被分为低,中等和高焦虑组.
主要成果:
- 很大一部分女性经历了中度至高度的焦虑 (66.5%).
- 与低焦虑组相比,高焦虑组的出生体重较低 (P = 0.018).
- 在剖腹产后的高焦虑组中,母亲的心率和透气血压 (DBP) 升高.
结论:
- 在CS之前增加的术前焦虑得分与不良的新生儿结果有关,特别是出生体重较低.
- 母亲心率升高和DBP也与更高的焦虑水平有关.
- 在剖腹产期间,焦虑管理策略可能有助于改善胎儿和母亲的健康.
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