在怀孕早期积极应对和不良怀孕结果
Tess E K Cersonsky1, Audra C Fain2, Adam K Lewkowitz3,4
1Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
在怀孕早期较低的积极应对与增加的不良周产期结果有关. 加强应对策略的干预措施可以减少怀孕并发症.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 围产儿医学 围产儿医学
背景情况:
- 积极应对与怀孕之外的慢性疾病中的福祉和生活质量有关.
- 它对围产期结局的影响仍未得到充分研究.
- 怀孕早期是建立应对机制的关键时期.
研究的目的:
- 评估怀孕早期主动应对和不良周产期结果之间的关联.
- 调查主动应对是否影响特定妊娠并发症的风险.
主要方法:
- 从第三级护理中心招募的281名无双子参与者的二次分析.
- 通过使用8-20周妊娠期间的积极应对量表来评估主动应对能力.
- 包括复合措施在内的不良围产期结局被纵向追踪到分娩.
主要成果:
- 积极应对量表的中位数为45.0,其中47%的人经历了不良结果.
- 较低的主动应对得分 (最低四分位数) 与不良围产期结局的几率增加2.2倍有关.
- 对于单个复合成分或新生儿发病率,没有观察到显著差异.
结论:
- 在怀孕早期减少主动应对与不良周产期结果显著增加相关.
- 旨在改善主动应对的干预措施可能为减少围产期发病率提供一种新的方法.
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