临床风险因素为早产和评估产后时期的母亲心理
Jia-Jun Chen1, Xue-Jin Chen2, Qiu-Min She3
1Department of Clinical Laboratory, Shenzhen Bao'an District Songgang People's Hospital, Shenzhen 518000, Guangdong Province, China. sp57963@163.com.
World journal of psychiatry
|May 29, 2024
概括
母亲的焦虑和抑郁是早产 (PTB) 的潜在危险因素,而PTB可能会增加产后焦虑. 关键的PTB风险因素包括妊娠期糖尿病,宫长度缩短和白血球数量增加.
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
- 生殖健康 生殖健康
背景情况:
- 过早分娩 (PTB) 的发病过程很复杂,受到各种母亲因素的影响,包括并发症,社会经济地位,生活方式和产前护理.
- PTB对新生儿和家庭有严重的影响,需要有效的风险预测来进行早期干预.
研究的目的:
- 确定PTB的风险因素,并开发一个预测模型.
- 为了评估产后焦虑和母亲抑郁症的患病率.
主要方法:
- 对648名分娩者 (2019-2022) 的回顾性分析.
- 分为PTB (n=60) 和全期 (FT) (n=588) 组.
- 使用单变量分析,逻辑回归,自我评价焦虑量表 (SAS) 和自我评价抑郁量表 (SDS).
主要成果:
- PTB组的母亲年龄更高,体重变化更大,人工授精率更高,妊娠期糖尿病,生殖道感染,白细胞计数增加.
- 在PTB组中观察到,第二个三个月的宫长度更短,中性粒细胞百分比更低.
- 在PTB组中发现了更高的产后焦虑和抑郁分数 (SAS/SDS),而母亲的焦虑和抑郁被确定为重要的PTB风险因素.
结论:
- 孕产妇的焦虑可能是PTB的风险因素,而PTB可以增加产后焦虑.
- 确定的PTB风险因素包括较大的孕产妇体重变化,妊娠期糖尿病,较短的宫长度,高的白细胞计数和产后焦虑/抑郁症.
- 一个PTB风险评分显示出高预测准确度 (AUC>0.9).
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