怀孕早期的特征正念和不良产周结果:一个前性队列研究
Audra C Fain1, Tess E K Cersonsky2, Margaret H Bublitz3,4
1Department of Obstetrics and Gynecology, David Geffen School of Medicine UCLA, 10833 Le Conte Ave, Los Angeles, CA, CHS B2-049, USA. afain@mednet.ucla.edu.
BMC pregnancy and childbirth
|January 25, 2025
概括
较高的特征正念水平,特别是在第二和第三个四分位数中,与未经计划的剖腹产率显著降低有关. 这表明正念可能在改善怀孕结果方面发挥作用.
科学领域:
- 围产期健康 围产期健康
- 正念研究 研究正念研究
- 产科 产科 产科 产科 产科
背景情况:
- 以正念为中心的治疗显示出改善围产期心理健康的前景.
- 新出现的证据表明,正念训练 (MT) 也可能有利于怀孕期间的体质结果.
- 确定从MT干预中获益最多的特定围产期人群至关重要.
研究的目的:
- 评估特征正念与不良怀孕结果之间的关联.
- 确定更高的正念水平是否与剖腹产,妊娠糖尿病和高血压疾病的风险降低相关.
- 探索正念对无双人群的潜在益处.
主要方法:
- 一项前性队列研究的二次分析,涉及无配偶参与者.
- 在怀孕20周之前使用的正念和注意意识量表.
- 结果 (意外剖腹产,妊娠糖尿病,高血压疾病,新生儿发病率) 通过正念四分位数分析,调整为共变量.
主要成果:
- 几乎一半 (47.9%) 的参与者经历了不良的围产期结果.
- 与第四个四分位数相比,第二和第三个正念四分位数的参与者有明显较低的意外剖腹产率 (aOR分别为0.42和0.23).
- 在正念四分位数之间没有观察到妊娠糖尿病,高血压疾病或复合新生儿结局的显著差异.
结论:
- 在第2和第3个四分位数中,特征正念与无孕期个体的剖腹产率降低有关.
- 这些发现表明,正念的积极实践,而不仅仅是特征水平,可能有助于改善围产期结果.
- 需要进一步的研究,以了解将正念练习与更好的产科结果联系在一起的机制.
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