一个基于认知行为疗法的干预对产前焦虑在巴基斯坦出生结果的结果:一个随机对照试验
Kirsten F Siebach1, Jamie Perin1, Abid Malik2
1Department of International Health, Johns Hopkins School of Public Health, 615 N. Wolfe Street, Room E5523, Baltimore, MD, 21205, USA.
Scientific reports
|June 14, 2024
概括
快乐的母亲-健康的婴儿计划对巴基斯坦的出生结果没有显著影响. 然而,完成至少五次治疗的女性出生时体重较低和妊娠年龄较小的出生几率较低.
科学领域:
- 孕产妇健康 孕产妇健康
- 围产期结局的结果
- 心理干预 心理干预
背景情况:
- 在巴基斯坦,产前焦虑是不良分娩结果的重要风险因素.
- 快乐的母亲-健康的婴儿计划,利用认知行为疗法,是为了减轻这种风险而开发的.
研究的目的:
- 评估"快乐的母亲-健康的婴儿"计划对巴基斯坦孕妇分娩结果的有效性.
- 评估产前焦虑减轻对低出生体重,早产和小至孕年龄结果的影响.
主要方法:
- 一个随机对照试验,涉及796名妇女在拉瓦尔宾迪,巴基斯坦,从2019-2022.
- 为了评估该计划的影响,进行了治疗意图和每条协议分析.
- 该计划采用认知行为疗法来减少怀孕期间的焦虑.
主要成果:
- 对治疗意图的分析显示,在低出生体重 (LBW),早产 (PTB) 或小到妊娠年龄 (SGA) 的出生中没有统计学上显著的差异.
- 每项协议分析表明,完成≥5次会议的女性的LBW几率明显较低 (Adj. 在OR=0.61) 和SGA (Adj. OR=0.68) 的情况.
- 这些更全面的分析表明,对计划有效性的潜在剂量反应关系.
结论:
- 快乐的母亲-健康的婴儿计划可以有效地减少LBW和SGA当足够多的干预会议完成时.
- 需要进一步的研究来证实这些发现,因为随机化在更完整的分析中没有维持.
- 该研究强调了心理干预在改善高风险人群中围产期结果方面的潜力.
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