心理困扰和孕产妇前妇女的产妇结果:一个回顾性病例对照研究
Fatemeh Esmaeilpour Gangi1, Mahbobeh Faramarzi2, Zinatossadat Bouzari3
1Student Research Committee Babol University of Medical Sciences Babol Iran.
Health science reports
|August 7, 2025
概括
焦虑和抑郁症状在妊娠前 (PE) 中更常见,并且与更糟糕的孕产妇和婴儿结果有关. 除了医疗保健之外,解决心理健康问题对于管理PE至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 围产期心理健康问题
- 临床心理学 临床心理学
背景情况:
- 孕前 (PE) 是一种严重的妊娠并发症,对母亲和新生儿具有重大风险.
- 焦虑和抑郁等心理健康状况越来越多地被认为是妊娠并发症的潜在因素.
研究的目的:
- 调查焦虑和抑郁症症状与子宫前 (PE) 发生之间的关联.
- 探索这些心理症状对PE妇女的孕产妇和新生儿结局的影响.
主要方法:
- 一项追溯病例控制队列研究,涉及2184名孕妇.
- 196名被诊断为PE的妇女与366名没有PE的匹配对照进行了比较.
- 统计分析包括奇平方,曼-惠特尼和克鲁斯卡尔-瓦利斯测试.
主要成果:
- 患有PE的女性的抑郁症状 (26.5%对16.7%),焦虑症状 (34.2%对16.7%) 和心理困扰 (46.9%对26%) 的比率显著更高.
- 乳腺发育与母亲的不良结果 (更短的妊娠期,紧急剖腹产,出血,感染) 和新生儿的结果 (NICU入院,低出生体重,出生创伤) 的增加有关.
- 焦虑和抑郁的得分没有显著影响结果,除了更高的焦虑和痛苦在PE母亲的婴儿需要住院产后.
结论:
- 高度焦虑和抑郁症状在患有妊娠前的妇女中很普遍,并且与不良的孕产妇和新生儿结局相关.
- 建议医疗保健提供者将心理支持纳入PE的标准医疗管理中.
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